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Abstract
Introduction: Post-dialysis fatigue is a common symptom in haemodialysis patients. They describe it as feeling exhausted and having to rest or take a nap.
Objective: To analyse recovery time after a haemodialysis session and identify related factors.
Material and Method: This was a cross-sectional, prospective observational study conducted in March 2023, including patients who had been on chronic haemodialysis for more than one month. We studied demographic variables, treatment time, dialysis shift, time on renal replacement therapy, ultrafiltration volume, intra-dialysis complications, sleep quality, means of transport, travel time, frailty scales, dependence, fatigue questionnaire, and post-dialysis recovery time estimated by the patient. The data were obtained from the clinical history and the Versia® computer support.
Results: Thirty-nine patients were included, 26 men, mean age 66.12±13.41 years, time on renal replacement therapy 100.17±140.30 months, duration of haemodialysis session 248.07±12.80 minutes, ultrafiltration volume 2311.33±733.83 ml, post-dialysis recovery time 92.69±97.93 minutes. 64.10% used an ambulance, sleep quality was poor or fair in 43.58%, intradialytic complications in 15.38%, Barthel 91.897±20.41, pre-frail or frail in 94.9%, mean fatigue questionnaire score was 18.92±7.93.
Conclusions: Haemodialysis can be fatiguing for patients; however, recovery time varies greatly between patients. The mean recovery time was 1.5 hours, which was found to be related to the level of dependency.
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Copyright (c) 2024 Ana Isabel Aguilera Flórez, Maria del Rosario Castro Garcia, Maria Blanco Alvarez, Israel Robles del Río, Lydia Rodríguez Pérez, Angela Gonzalez Landeras
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References
- Ju A, Teixeira-Pinto A, Tong A, Smith AC, Unruh M, Davison SN, et al. Validation of a Core Patient-Reported Outcome Measure for Fatigue in Patients Receiving Hemodialysis: The SONG-HD Fatigue Instrument. Clin J Am Soc Nephrol. 2020;15(11):1614-21.
- 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.
- Van der Borg WE, Verdonk P, de Jong-Camerik J, Abma TA. How to relate to dialysis patients’ fatigue - perspectives of dialysis nurses and renal health professionals: A qualitative study. Int J Nurs Stud. 2021;117:103884.
- Tsirigotis S, Polikandrioti M, Alikari V, Dousis E, Koutelekos I, Toulia G, Pavlatou N, Panoutsopoulos GI, Leftheriotis D, Gerogianni G. Factors Associated With Fatigue in Patients Undergoing Hemodialysis. Cureus 2022;14(3):e22994.
- Bossola M, Hedayati SS, Brys ADH, Gregg LP. Fatigue in Patients Receiving Maintenance Hemodialysis: A Review. Am J Kidney Dis. 2023;82(4):464-80.
- Kodama, H., Togari, T., Konno, Y. et al. A new assessment scale for post-dialysis fatigue in hemodialysis patients. Ren Replace Ther. 2020;6(1).
- Bossola M, Tazza L. Fatigue in Patients Receiving Maintenance Hemodialysis: A Review. Semin marcar. 2016; 29:222–7.
- Dou J, Liu H, Ma Y, et al. Prevalence of post- dialysis fatigue: a systematic review and meta- analysis. BMJ Open. 2023;13(6):e064174
- You Q, Bai DX, Wu CX, Chen H, Hou CM, Gao J. Prevalence and Risk Factors of Postdialysis Fatigue in Patients Under Maintenance Hemodialysis: A Systematic Review and Meta-Analysis. Asian Nurs Res. (Korean Soc Nurs Sci). 2022;16(5):292-8.
- Elsayed MM, Zeid MM, Hamza OMR, Elkholy NM. Dialysis recovery time: associated factors and its association with quality of life of hemodialysis patients. BMC Nephrol. 2022;23(1):298.
- Lindsay RM, Leitch R, Heidenheim AP, Kortas C; London Daily/Nocturnal Hemodialysis Study: The London Daily/Nocturnal Hemodialysis Study–study design, morbidity, and mortality results. Am J Kidney Dis 2003;42(1 Suppl.):S5-12.
- Hendriks C, Drent M, Elfferich M, De Vries J. The Fatigue Assessment Scale: quality and availability in sarcoidosis and other diseases. Curr Opin Pulm Med. 2018;24(5):495-503.
- Rosas-Carrasco O, Cruz-Arenas E, Parra-Rodríguez L, García-González AI, Contreras-González LH, Szlejf C. Cross-Cultural Adaptation and Validation of the FRAIL Scale to Assess Frailty in Mexican Adults. J Am Med Dir Assoc. 2016;17(12):1094-98.
- Barrero C, García S, Ojeda A. Índice de Barthel (IB): Un instrumento esencial para la evaluación funcional y la rehabilitación. Plast & Rest Neurol. 2005;4(1-2):81-5.
- Bossola M, Di Stasio E, Monteburini T, Parodi E, Ippoliti F, Cenerelli S, Santarelli S, Nebiolo PE, Sirolli V, Bonomini M, Antocicco M, Zuccalà G, Laudisio A. Recovery Time after Hemodialysis Is Inversely Associated with the Ultrafiltration Rate. Blood Purif. 2019;47(1-3):45-51.
- Figueiredo AE, Domingues de Figueiredo J, Santos Bueno I. Assessment of the Impact of Fatigue on the Degree of Dependance in Hemodialysis Patients. Rev. Colomb. Nefrol. 2022;9(3).
- Bossola M, Di Stasio E, Monteburini T, Parodi E, Ippoliti F, Bonomini M, et al. Intensity, Duration and Frequency of Post-Dialysis Fatigue in Patients on Chronic Haemodialysis. Journal of Renal Care. 2020;46(2):115-23.
- Arribas P, García, S, Díaz de Argote P, Quesada MT, Liébana B, Andrés V. Prevalencia de fatiga postdiálisis, depresión y dolor del paciente en hemodiálisis. Enfermería Nefrológica. 2014;17(Supl1):S27.
- Awuah KT, Afolalu BA, Hussein UT, Raducu RR, Bekui AM, Finkelstein FO. Time to recovery after a hemodialysis session: impact of selected variables. Clin Kidney J. 2013;6(6):595-8.
- Yoowannakul, S., Tangvoraphonkchai, K. Y Davenport, A. Los síntomas intradiáliticos reportados por el paciente y los tiempos de recuperación posterior a la diálisis están influenciados por la angustia psicológica en lugar de por la prescripción de diálisis. Ren Replace Ther. 2019;5(14).
- Fitzpatrick J, Sozio SM, Jaar BG, Estrella MM, Segev DL, Shafi T, Monroy-Trujillo JM, Parekh RS, McAdams-De Marco MA. Frailty, Age, and Postdialysis Recovery Time in a Population New to Hemodialysis. Kidney360. 2021;2(9):1455-62.
- Lopes, GB, Silva, LF, Pinto, GB et al. La respuesta del paciente a una pregunta sencilla sobre la recuperación después de una sesión de hemodiálisis se asoció fuertemente con las puntuaciones de las herramientas integrales para la calidad de vida y los síntomas de depresión. Qual Life Res. 2014;23:2247–56.
- Gusti Ayu Ary Antaria b, Lestari Sukmarinia MA. Associated factors of post-hemodialysis recovery time in kidney failure patients. The Second International Nursing Scholar Congress (INSC 2018) of Faculty of Nursing, Universitas Indonesia. 2019;29(S2):247-51.
- Rayner HC, Zepel L, Fuller DS, Morgenstern H, Karaboyas A, Culleton BF, et al. Recovery Time, Quality of Life, and Mortality in Hemodialysis Patients: The Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis. 2014;64(1):86–94.
- Davenport A, Guirguis A, Almond M, Day C, Chilcot J, Da Silva Gane M, et al. Postdialysis recovery time is extended in patients with greater self-reported depression screening questionnaire scores. Hemodial Int. 2018;22(3):369-76.
References
Ju A, Teixeira-Pinto A, Tong A, Smith AC, Unruh M, Davison SN, et al. Validation of a Core Patient-Reported Outcome Measure for Fatigue in Patients Receiving Hemodialysis: The SONG-HD Fatigue Instrument. Clin J Am Soc Nephrol. 2020;15(11):1614-21.
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.
Van der Borg WE, Verdonk P, de Jong-Camerik J, Abma TA. How to relate to dialysis patients’ fatigue - perspectives of dialysis nurses and renal health professionals: A qualitative study. Int J Nurs Stud. 2021;117:103884.
Tsirigotis S, Polikandrioti M, Alikari V, Dousis E, Koutelekos I, Toulia G, Pavlatou N, Panoutsopoulos GI, Leftheriotis D, Gerogianni G. Factors Associated With Fatigue in Patients Undergoing Hemodialysis. Cureus 2022;14(3):e22994.
Bossola M, Hedayati SS, Brys ADH, Gregg LP. Fatigue in Patients Receiving Maintenance Hemodialysis: A Review. Am J Kidney Dis. 2023;82(4):464-80.
Kodama, H., Togari, T., Konno, Y. et al. A new assessment scale for post-dialysis fatigue in hemodialysis patients. Ren Replace Ther. 2020;6(1).
Bossola M, Tazza L. Fatigue in Patients Receiving Maintenance Hemodialysis: A Review. Semin marcar. 2016; 29:222–7.
Dou J, Liu H, Ma Y, et al. Prevalence of post- dialysis fatigue: a systematic review and meta- analysis. BMJ Open. 2023;13(6):e064174
You Q, Bai DX, Wu CX, Chen H, Hou CM, Gao J. Prevalence and Risk Factors of Postdialysis Fatigue in Patients Under Maintenance Hemodialysis: A Systematic Review and Meta-Analysis. Asian Nurs Res. (Korean Soc Nurs Sci). 2022;16(5):292-8.
Elsayed MM, Zeid MM, Hamza OMR, Elkholy NM. Dialysis recovery time: associated factors and its association with quality of life of hemodialysis patients. BMC Nephrol. 2022;23(1):298.
Lindsay RM, Leitch R, Heidenheim AP, Kortas C; London Daily/Nocturnal Hemodialysis Study: The London Daily/Nocturnal Hemodialysis Study–study design, morbidity, and mortality results. Am J Kidney Dis 2003;42(1 Suppl.):S5-12.
Hendriks C, Drent M, Elfferich M, De Vries J. The Fatigue Assessment Scale: quality and availability in sarcoidosis and other diseases. Curr Opin Pulm Med. 2018;24(5):495-503.
Rosas-Carrasco O, Cruz-Arenas E, Parra-Rodríguez L, García-González AI, Contreras-González LH, Szlejf C. Cross-Cultural Adaptation and Validation of the FRAIL Scale to Assess Frailty in Mexican Adults. J Am Med Dir Assoc. 2016;17(12):1094-98.
Barrero C, García S, Ojeda A. Índice de Barthel (IB): Un instrumento esencial para la evaluación funcional y la rehabilitación. Plast & Rest Neurol. 2005;4(1-2):81-5.
Bossola M, Di Stasio E, Monteburini T, Parodi E, Ippoliti F, Cenerelli S, Santarelli S, Nebiolo PE, Sirolli V, Bonomini M, Antocicco M, Zuccalà G, Laudisio A. Recovery Time after Hemodialysis Is Inversely Associated with the Ultrafiltration Rate. Blood Purif. 2019;47(1-3):45-51.
Figueiredo AE, Domingues de Figueiredo J, Santos Bueno I. Assessment of the Impact of Fatigue on the Degree of Dependance in Hemodialysis Patients. Rev. Colomb. Nefrol. 2022;9(3).
Bossola M, Di Stasio E, Monteburini T, Parodi E, Ippoliti F, Bonomini M, et al. Intensity, Duration and Frequency of Post-Dialysis Fatigue in Patients on Chronic Haemodialysis. Journal of Renal Care. 2020;46(2):115-23.
Arribas P, García, S, Díaz de Argote P, Quesada MT, Liébana B, Andrés V. Prevalencia de fatiga postdiálisis, depresión y dolor del paciente en hemodiálisis. Enfermería Nefrológica. 2014;17(Supl1):S27.
Awuah KT, Afolalu BA, Hussein UT, Raducu RR, Bekui AM, Finkelstein FO. Time to recovery after a hemodialysis session: impact of selected variables. Clin Kidney J. 2013;6(6):595-8.
Yoowannakul, S., Tangvoraphonkchai, K. Y Davenport, A. Los síntomas intradiáliticos reportados por el paciente y los tiempos de recuperación posterior a la diálisis están influenciados por la angustia psicológica en lugar de por la prescripción de diálisis. Ren Replace Ther. 2019;5(14).
Fitzpatrick J, Sozio SM, Jaar BG, Estrella MM, Segev DL, Shafi T, Monroy-Trujillo JM, Parekh RS, McAdams-De Marco MA. Frailty, Age, and Postdialysis Recovery Time in a Population New to Hemodialysis. Kidney360. 2021;2(9):1455-62.
Lopes, GB, Silva, LF, Pinto, GB et al. La respuesta del paciente a una pregunta sencilla sobre la recuperación después de una sesión de hemodiálisis se asoció fuertemente con las puntuaciones de las herramientas integrales para la calidad de vida y los síntomas de depresión. Qual Life Res. 2014;23:2247–56.
Gusti Ayu Ary Antaria b, Lestari Sukmarinia MA. Associated factors of post-hemodialysis recovery time in kidney failure patients. The Second International Nursing Scholar Congress (INSC 2018) of Faculty of Nursing, Universitas Indonesia. 2019;29(S2):247-51.
Rayner HC, Zepel L, Fuller DS, Morgenstern H, Karaboyas A, Culleton BF, et al. Recovery Time, Quality of Life, and Mortality in Hemodialysis Patients: The Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis. 2014;64(1):86–94.
Davenport A, Guirguis A, Almond M, Day C, Chilcot J, Da Silva Gane M, et al. Postdialysis recovery time is extended in patients with greater self-reported depression screening questionnaire scores. Hemodial Int. 2018;22(3):369-76.