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Abstract
Introducción: La fatiga es uno de los síntomas más comunes en los pacientes con enfermedad renal crónica en hemodiálisis (HD). La prevalencia oscila entre 42 y 97% de incidencia con niveles de intensidad variables desde leve a severa. La fatiga no es solo perjudicial para el desempeño físico y social del paciente pues además está asociada a una baja calidad de vida de los pacientes en hemodiálisis. Por esta razón, es necesario conocer los factores asociados a la incidencia de fatiga para que puedan llevarse a cabo las intervenciones adecuadas, sean farmacológicas o no.
Objetivo: Evaluar la influencia de factores relacionados a ansiedad y diálisis en la incidencia de fatiga en pacientes de diálisis en el Hospital Ciamis.
Material y Método: Se llevó a cabo un estudio transversal en una muestra de 88 pacientes.
Resultados: Setenta y ocho pacientes (88,6%) con fatiga declaraban que la ansiedad tiene una relación con la incidencia de la fatiga (OR:9,0; p=0,019).
Conclusiones: Factores psicológicos como la ansiedad están asociados a la aparición de fatiga en pacientes en hemodiálisis.
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Copyright (c) 2022 Yanti Cahyati Yanti
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References
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- Jeon HO, Kim J, Kim O. Factors affecting depressive symptoms in employed hemodialysis patients with chronic renal failure. Psychol Heal Med;25(8):940-9. DOI: https://doi.org/10.1080/13548506.2019.1702218
- Zyga S, Alikari V, Sachlas A, Fradelos EC, Stathoulis J, Panoutsopoulos G, et al. Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: prevalence and associated factors. Med Arch. 2015;69(6):376-80. DOI: https://doi.org/10.5455/medarh.2015.69.376-380
- Davis MP, Walsh D. Mechanisms of fatigue. J Support Oncol. 2010;8(4):164–74.
- Horigan AE. Fatigue in hemodialysis patients: a review of current knowledge. J Pain Symptom Manage. 2012;44(5):715–24. DOI: https://doi.org/10.1016/j.jpainsymman.2011.10.015
- Picariello F, Moss-Morris R, Macdougall IC, Chilcot J. The role of psychological factors in fatigue among end-stage kidney disease patients: a critical review. Clin Kidney J. 2016;10(1):79–88. DOI: https://doi.org/10.1093/ckj/sfw113
- Jhamb M, Abdel-Kader K, Yabes J, Wang Y, Weisbord SD, et al. Comparison of Fatigue, Pain, and Depression in Patients With Advanced Kidney Disease and Cancer—Symptom Burden and Clusters. J Pain Symptom Manage. 2019;57(3):566–75. DOI: https://doi.org/10.1016/j.jpainsymman.2018.12.006
- Chiaranai C. The lived experience of patients receiving hemodialysis treatment for end-stage renal disease: a qualitative study. J Nurs Res. 2016;24(2):101–8. DOI: https://doi.org/10.1097/jnr.0000000000000100
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- Letchmi S, Das S, Halim H, Zakariah FA, Hassan H, Mat S, et al. Fatigue experienced by patients receiving maintenance dialysis in hemodialysis units. Nurs Health Sci. 2011;13(1):60–4. DOI: https://doi.org/10.1111/j.1442-2018.2011.00579.x
- Jhamb M, Weisbord SD, Steel JL, Unruh M. Fatigue in patients receiving maintenance dialysis: a review of definitions, measures, and contributing factors. Am J Kidney Dis. 2008;52(2):353-65.
- Sajadi A, Farahani B, Zanjani E, Durmanesh B, Zare M. Factors affecting fatigue in chronic renal failure patients treated with hemodialysis. Iran J Crit Care Nurs. 2010;3:33-8.
- Johansen KL, Finkelstein FO, Revicki DA, Evans C, Wan S, Gitlin M, et al. Systematic review of the impact of erythropoiesis-stimulating agents on fatigue in dialysis patients. Nephrol Dial Transplant. 2011;27(6):2418-25. DOI: https://doi.org/10.1093/ndt/gfr697
- Yamasaki A, Yoda K, Koyama H, Yamada S, Tsujimoto Y, Okuno S, et al. Association of erythropoietin resistance with fatigue in hemodialysis patients: a cross-sectional study. Nephron. 2016;134(2):95-102. DOI: https://doi.org/10.1159/000448108
- Chilcot J, Norton S, Kelly ME, Moss-Morris R. The Chalder Fatigue Questionnaire is a valid and reliable measure of perceived fatigue severity in multiple sclerosis. Mult Scler J. 2016;22(5):677-84. DOI: https://doi.org/10.1177/1352458515598019
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- Wewers ME LN. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Heal. 1990;13(4):227–36. DOI: https://doi.org/10.1002/nur.4770130405
- Auliasari BM, Maliya A, Kesehatan. Pengaruh Aromaterapi Terhadap Tingkat Kelelahan (Fatigue) pada Pasien Gagal Ginjal yang Menjalani Terapi Hemodialisa. Semin Nas Keperawatan Univ Muhammadiyah Surakarta. 2020;45–53.
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- Bossola M, Di Stasio E, Antocicco M, Pepe G, Marzetti E, Vulpio C. 1-year course of fatigue in patients on chronic hemodialysis. Int Urol Nephrol. 2017;49(4);727-34. DOI: https://doi.org/10.1007/s11255-016-1496-4
- Sandwijk MS Van, Arashi D Al, Bijlsma JA, Bemelman FJ. Fatigue, anxiety, depression and quality of life in kidney transplant recipients,haemodialysis patients, patients with a haematological malignancy and healthy controls. 2018;833–8. DOI: https://doi.org/10.1093/ndt/gfy103
- Jhamb M, Weisbord SD, Steel JL, Unruh M. Dialysis: A Review of Definitions, Measures, and Contributing Factors. Am J kidney Dis. 2008;52(2):353–65. DOI: https://doi.org/10.1053/j.ajkd.2008.05.005
- Maesaroh, Agung Waluyo WJ. Faktor-Faktor yang Berhubungan dengan Terjadinya Fatigue pada Pasien Hemodialisis. Jurnal Ilmiah Indonesia. 2020;5(4):110–20. DOI: https://doi.org/10.36418/syntax-literate.v5i4.1074
- Sulistini R, Yetti, Krisna, Hariyati T. Faktor faktor yang mempengaruhi Fatique pada Pasien yang Menjalani Hemodialisa. J Keperawatan. 2012;15(2):75–82. DOI: https://doi.org/10.7454/jki.v15i2.30
- Dadgari A, Dadvar L, Eslam-Arrow H. Multidimensional fatigue syndrome and dialysis adequacy among elderly patients under hemodialysis treatment. International Journal of Health Studies. 2015;2(1):5–8.
- Dehvan F, Monjazebi F, Khanghahi ME, Mohammadi H, Ghanei Gheshlagh R, Kurdi A. Adequacy of dialysis in Iranian patients undergoing hemodialysis: A systematic review and meta-analysis. Nephrourol Mon. 2018;10(5);1-10. DOI: https://doi.org/10.5812/numonthly.82235
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References
Kallenbach JZ. Review of hemodialysis for nurses and dialysis personnel-e-book. Elsevier health sciences; 2020.
Jeon HO, Kim J, Kim O. Factors affecting depressive symptoms in employed hemodialysis patients with chronic renal failure. Psychol Heal Med;25(8):940-9. DOI: https://doi.org/10.1080/13548506.2019.1702218
Zyga S, Alikari V, Sachlas A, Fradelos EC, Stathoulis J, Panoutsopoulos G, et al. Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: prevalence and associated factors. Med Arch. 2015;69(6):376-80. DOI: https://doi.org/10.5455/medarh.2015.69.376-380
Davis MP, Walsh D. Mechanisms of fatigue. J Support Oncol. 2010;8(4):164–74.
Horigan AE. Fatigue in hemodialysis patients: a review of current knowledge. J Pain Symptom Manage. 2012;44(5):715–24. DOI: https://doi.org/10.1016/j.jpainsymman.2011.10.015
Picariello F, Moss-Morris R, Macdougall IC, Chilcot J. The role of psychological factors in fatigue among end-stage kidney disease patients: a critical review. Clin Kidney J. 2016;10(1):79–88. DOI: https://doi.org/10.1093/ckj/sfw113
Jhamb M, Abdel-Kader K, Yabes J, Wang Y, Weisbord SD, et al. Comparison of Fatigue, Pain, and Depression in Patients With Advanced Kidney Disease and Cancer—Symptom Burden and Clusters. J Pain Symptom Manage. 2019;57(3):566–75. DOI: https://doi.org/10.1016/j.jpainsymman.2018.12.006
Chiaranai C. The lived experience of patients receiving hemodialysis treatment for end-stage renal disease: a qualitative study. J Nurs Res. 2016;24(2):101–8. DOI: https://doi.org/10.1097/jnr.0000000000000100
Strippoli GF, Craig JC, Tong A, Saglimbene VM, Unruh ML, et al. Interventions for fatigue in people with chronic kidney disease requiring dialysis. Cochrane Database Syst Rev. 2018;(8).
Letchmi S, Das S, Halim H, Zakariah FA, Hassan H, Mat S, et al. Fatigue experienced by patients receiving maintenance dialysis in hemodialysis units. Nurs Health Sci. 2011;13(1):60–4. DOI: https://doi.org/10.1111/j.1442-2018.2011.00579.x
Jhamb M, Weisbord SD, Steel JL, Unruh M. Fatigue in patients receiving maintenance dialysis: a review of definitions, measures, and contributing factors. Am J Kidney Dis. 2008;52(2):353-65.
Sajadi A, Farahani B, Zanjani E, Durmanesh B, Zare M. Factors affecting fatigue in chronic renal failure patients treated with hemodialysis. Iran J Crit Care Nurs. 2010;3:33-8.
Johansen KL, Finkelstein FO, Revicki DA, Evans C, Wan S, Gitlin M, et al. Systematic review of the impact of erythropoiesis-stimulating agents on fatigue in dialysis patients. Nephrol Dial Transplant. 2011;27(6):2418-25. DOI: https://doi.org/10.1093/ndt/gfr697
Yamasaki A, Yoda K, Koyama H, Yamada S, Tsujimoto Y, Okuno S, et al. Association of erythropoietin resistance with fatigue in hemodialysis patients: a cross-sectional study. Nephron. 2016;134(2):95-102. DOI: https://doi.org/10.1159/000448108
Chilcot J, Norton S, Kelly ME, Moss-Morris R. The Chalder Fatigue Questionnaire is a valid and reliable measure of perceived fatigue severity in multiple sclerosis. Mult Scler J. 2016;22(5):677-84. DOI: https://doi.org/10.1177/1352458515598019
Biniaz V, Tayybi A. Nemati E, Shermeh MS, Ebadi A. Different aspects of fatigue experienced by patients receiving maintenance dialysis in hemodialysis units. Nephrourol Mon. 2013;5(4):897-900. DOI: https://doi.org/10.5812/numonthly.11667
Wewers ME LN. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Heal. 1990;13(4):227–36. DOI: https://doi.org/10.1002/nur.4770130405
Auliasari BM, Maliya A, Kesehatan. Pengaruh Aromaterapi Terhadap Tingkat Kelelahan (Fatigue) pada Pasien Gagal Ginjal yang Menjalani Terapi Hemodialisa. Semin Nas Keperawatan Univ Muhammadiyah Surakarta. 2020;45–53.
Faizal M, Nur BM, Rayasari F, Citra S, Belitung DB. Management Self Care Fatigue Klien End Stage Renal Disease Yang Menjalankan Hemodialisa. J Keperawatan Pangkalpinang. 2018;1(1):28–35. DOI: https://doi.org/10.33862/citradelima.v2i1.4
Rosdiana I, Yetty K, Sabri L. Kecemasan dan lamanya waktu menjalani hemodialisis berhubungan dengan kejadian insomnia pada pasien gagal ginjal kronik. J Keperawatan Indonesia. 2014;17(2):39–47. DOI: https://doi.org/10.7454/jki.v17i2.440
McCann K, Boore JRP. Fatigue in persons with renal failure who require maintenance haemodialysis. J Adv Nurs. 2000;32(5):1132–42. DOI: https://doi.org/10.1046/j.1365-2648.2000.01584.x
Bossola M, Di Stasio E, Antocicco M, Pepe G, Marzetti E, Vulpio C. 1-year course of fatigue in patients on chronic hemodialysis. Int Urol Nephrol. 2017;49(4);727-34. DOI: https://doi.org/10.1007/s11255-016-1496-4
Sandwijk MS Van, Arashi D Al, Bijlsma JA, Bemelman FJ. Fatigue, anxiety, depression and quality of life in kidney transplant recipients,haemodialysis patients, patients with a haematological malignancy and healthy controls. 2018;833–8. DOI: https://doi.org/10.1093/ndt/gfy103
Jhamb M, Weisbord SD, Steel JL, Unruh M. Dialysis: A Review of Definitions, Measures, and Contributing Factors. Am J kidney Dis. 2008;52(2):353–65. DOI: https://doi.org/10.1053/j.ajkd.2008.05.005
Maesaroh, Agung Waluyo WJ. Faktor-Faktor yang Berhubungan dengan Terjadinya Fatigue pada Pasien Hemodialisis. Jurnal Ilmiah Indonesia. 2020;5(4):110–20. DOI: https://doi.org/10.36418/syntax-literate.v5i4.1074
Sulistini R, Yetti, Krisna, Hariyati T. Faktor faktor yang mempengaruhi Fatique pada Pasien yang Menjalani Hemodialisa. J Keperawatan. 2012;15(2):75–82. DOI: https://doi.org/10.7454/jki.v15i2.30
Dadgari A, Dadvar L, Eslam-Arrow H. Multidimensional fatigue syndrome and dialysis adequacy among elderly patients under hemodialysis treatment. International Journal of Health Studies. 2015;2(1):5–8.
Dehvan F, Monjazebi F, Khanghahi ME, Mohammadi H, Ghanei Gheshlagh R, Kurdi A. Adequacy of dialysis in Iranian patients undergoing hemodialysis: A systematic review and meta-analysis. Nephrourol Mon. 2018;10(5);1-10. DOI: https://doi.org/10.5812/numonthly.82235
Indonesia Renal Registry. IRR. 10th report of Indonesian renal registry. Sekretariat Registrasi Ginjal Indonesia. 2014.