Dialysis; Complications, Life Quality
Conditions
Brief summary
Patients undergoing hemodialysis (HD) can experience symptoms such as lassitude, pain, muscle cramps, nausea, vomiting, constipation, diarrhea, rash, skin dryness, sleep disorders, and emotional and sexual problems after the treatment. Many chronic HD patients do not feel well after the treatment sessions and need some time to recover. This recovery time is defined as the time required to recover from the feelings of lassitude and fatigue.
Detailed description
The recovery time not only decreases the quality of life but also increases the risk of mortality and morbidity. As a prolonged recovery time affects both the patients and the healthcare professionals and caregivers, there has been increased interest on determining the modifiable treatment-related factors in the international literature. The patients are limited in their daily living activities at home and at work during this period and a significant amount of time is therefore required to go back to normal life.
Interventions
Before the hemodialysis session, the patients were asked by the investigators how long it took them to recover from a dialysis session, taking the last treatment month into account.
Sponsors
Istanbul Demiroglu Bilim University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* 18 years or older * Being on HD for 4 hours a day on 3 days per week for at least 6 months * No communication problem * Volunteering to participate to the study
Exclusion criteria
* Younger than 18 years * Shorter being on HD for 4 hours a day on 3 days per week for at least 6 months * Have communication problem * Not volunteering to participate to the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-dialysis Recovery Time | Up to 7 days | Before the hemodialysis session, the patients were asked by the investigators how long it took them to recover from a dialysis session, taking the last treatment month into account. |
| Number of Participants With Intradialytic Hypotension | Up to 7 days | It is defined in the European Best Practice Guideline (EBPG) as a decrease of 20 mmHg or more in the systolic blood pressure or 10 mmHg or more in the mean arterial blood pressure together with symptoms requiring nursing intervention. |
| Rate of Dialysis Symptoms | Up to 7 days | It was identified with Dialysis Symptom Index (DSI). DSI consists of 30 items. We queried the subjects regarding symptoms in the last 7 days. The effect was evaluated with a Likert type scale from 0 to 4, representing not at all to significantly. The total score of the DSI ranges from 0 to 150. A score of zero reflects no symptoms while increasing total scores reflect increasing effects of the symptoms. |
Countries
Turkey (Türkiye)
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Post-dialysis Recovery Group Before the hemodialysis session, the patients were asked by the investigators how long it took them to recover from a dialysis session, taking the last treatment month into account | 86 |
| Total | 86 |
Baseline characteristics
| Characteristic | Post-dialysis Recovery Group | — |
|---|---|---|
| Age, Categorical <=18 years | 0 Participants | — |
| Age, Categorical >=65 years | 0 Participants | — |
| Age, Categorical Between 18 and 65 years | 86 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 44 Participants | — |
| Sex: Female, Male Male | 42 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 86 |
| other Total, other adverse events | 0 / 0 |
| serious Total, serious adverse events | 0 / 86 |
Outcome results
Primary
Number of Participants With Intradialytic Hypotension
It is defined in the European Best Practice Guideline (EBPG) as a decrease of 20 mmHg or more in the systolic blood pressure or 10 mmHg or more in the mean arterial blood pressure together with symptoms requiring nursing intervention.
Time frame: Up to 7 days
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Post-dialysis Recovery Group | Number of Participants With Intradialytic Hypotension | Existing of intradialytic symptoms | 42 Participants |
| Post-dialysis Recovery Group | Number of Participants With Intradialytic Hypotension | Absent of intradialytic symptoms | 44 Participants |
Primary
Post-dialysis Recovery Time
Before the hemodialysis session, the patients were asked by the investigators how long it took them to recover from a dialysis session, taking the last treatment month into account.
Time frame: Up to 7 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Post-dialysis Recovery Group | Post-dialysis Recovery Time | 278.02 minutes | Standard Deviation 209.94 |
Primary
Rate of Dialysis Symptoms
It was identified with Dialysis Symptom Index (DSI). DSI consists of 30 items. We queried the subjects regarding symptoms in the last 7 days. The effect was evaluated with a Likert type scale from 0 to 4, representing not at all to significantly. The total score of the DSI ranges from 0 to 150. A score of zero reflects no symptoms while increasing total scores reflect increasing effects of the symptoms.
Time frame: Up to 7 days
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Post-dialysis Recovery Group | Rate of Dialysis Symptoms | 19.10 score on a scale | Standard Deviation 14.29 |