Day-to-Day Changes in Symptom Distress in Chronic Hemodialysis Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/148347
Type:
Presentation
Title:
Day-to-Day Changes in Symptom Distress in Chronic Hemodialysis Patients
Abstract:
Day-to-Day Changes in Symptom Distress in Chronic Hemodialysis Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Thomas-Hawkins, Charlotte
P.I. Institution Name:Rutgers, The State University of New Jersey
Objective: Symptom distress (SD) in hemodialysis patients has not been studied extensively. The purposes of this study were to examine the day-to-day changes in SD during one week in the life of chronic hemodialysis patients and to determine the extent to which demographic and clinical variables explain daily variations in SD. Design: A correlational panel study design was used. Sample/Setting: The convenience sample consisted of 104 chronic hemodialysis patients recruited from two outpatient hemodialysis centers. Variables: Variables of interest to this study were age, level of education, gender, number of comorbid conditions, diabetes as a diagnosis, ultrafiltration volume, interdialytic weight gain, and symptom distress. Measures/Instruments: A demographic data form was used to collect demographic and clinical data. The Kidney Disease Quality of Life Symptom/Problem Scale (Short Form) was administered daily for seven consecutive days to examine daily SD. Day-to-day changes in SD were examined using repeated measures analysis of variance. Multiple regression was used to examine the effect of demographic and clinical variables on daily variations in SD. Findings: Study findings indicated a significant increase in the level of symptom distress on the first and second dialysis day of the week compared to the previous and subsequent non-dialysis days. Findings also indicated distinct intermittent and continuous patterns of SD throughout the week. Female gender, level of comorbidity, and large interdialytic fluid gains were significantly related to SD throughout the week, and these variables explained up to 17% of the variation in daily SD. Conclusions: There are significant changes in hemodialysis patients’ level of SD during the week, and female gender, level of comorbidity, and large interdialytic fluid gains account for a significant level of variation in daily SD. Implications: These findings indicate a need for ongoing assessment of hemodialysis patients’ level of SD. Moreover, there is an essential need for the rigorous testing of the effect of symptom management interventions on the level of SD in these patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDay-to-Day Changes in Symptom Distress in Chronic Hemodialysis Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148347-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Day-to-Day Changes in Symptom Distress in Chronic Hemodialysis Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Thomas-Hawkins, Charlotte</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Rutgers, The State University of New Jersey</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cthomashaw@aol.com</td></tr><tr><td colspan="2" class="item-abstract">Objective: Symptom distress (SD) in hemodialysis patients has not been studied extensively. The purposes of this study were to examine the day-to-day changes in SD during one week in the life of chronic hemodialysis patients and to determine the extent to which demographic and clinical variables explain daily variations in SD. Design: A correlational panel study design was used. Sample/Setting: The convenience sample consisted of 104 chronic hemodialysis patients recruited from two outpatient hemodialysis centers. Variables: Variables of interest to this study were age, level of education, gender, number of comorbid conditions, diabetes as a diagnosis, ultrafiltration volume, interdialytic weight gain, and symptom distress. Measures/Instruments: A demographic data form was used to collect demographic and clinical data. The Kidney Disease Quality of Life Symptom/Problem Scale (Short Form) was administered daily for seven consecutive days to examine daily SD. Day-to-day changes in SD were examined using repeated measures analysis of variance. Multiple regression was used to examine the effect of demographic and clinical variables on daily variations in SD. Findings: Study findings indicated a significant increase in the level of symptom distress on the first and second dialysis day of the week compared to the previous and subsequent non-dialysis days. Findings also indicated distinct intermittent and continuous patterns of SD throughout the week. Female gender, level of comorbidity, and large interdialytic fluid gains were significantly related to SD throughout the week, and these variables explained up to 17% of the variation in daily SD. Conclusions: There are significant changes in hemodialysis patients&rsquo; level of SD during the week, and female gender, level of comorbidity, and large interdialytic fluid gains account for a significant level of variation in daily SD. Implications: These findings indicate a need for ongoing assessment of hemodialysis patients&rsquo; level of SD. Moreover, there is an essential need for the rigorous testing of the effect of symptom management interventions on the level of SD in these patients.</td></tr></table>en_GB
dc.date.available2011-10-26T09:43:50Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T09:43:50Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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