علائم آزار دهنده در بیماران مبتلا به نارسایی مزمن کلیه تحت همودیالیز و رابطه آن با کیفیت زندگی

Aims : Few studies have assessed physical and emotional distressing symptoms in patients with chronic renal failure undergoing hemodialysis. The aim of this study was to investigate distressing symptoms and its relationship with the quality of life of the patients, suffering from chronic renal failure undergoing hemodialysis. Methods: In this cross sectional study, two hundred patients with chronic renal failure undergoing hemodialysis at four dialysis units in Karaj, in ۲۰۱۱ were interviewed and also their medical records were investigated. Sampling method was census sampling. The used instruments included demographic data form, dialysis symptom index and World Health Organization quality of life (WHOQOL-BREF) questionnaire .Data were analyzed by SPSS software and using descriptive statistics, t-test, ANOVA and Pearson coefficient correlation. Results : Findings showed that, the most common distressing symptoms was related to decreased interest in sex (۸۷%), difficulty of becoming sexually aroused (۸۱%), fatigue(۶۸.۵%) and bone or joint pain(۵۷%) . ۷۷% had mild and ۲۰.۵% had moderate distressing symptoms severity. There were significant positive correlation between frequency score of distressing symptoms with age (p<; ۰.۰۰۰۱) and negative and significant correlation with physical health (p<; ۰.۰۰۰۱) social relationships (p<;-۰.۰۱۱), mental health (p<; ۰.۰۰۰۱), environmental health (p<; ۰.۰۰۰۱) and total score of quality of life (p<; ۰.۰۰۰۱). Distressing symptoms severity had significant positive correlation with age (p=-۰.۰۰۶) and negative correlation with physical health (p<; ۰.۰۰۰۱) social relationships (p<; ۰.۰۰۰۱), mental health (p<; ۰.۰۰۰۱), environmental health (p<; ۰.۰۰۰۱) and total score of quality of life (p<; ۰.۰۰۰۱). Conclusions: Hemodialysis patients experience many distressing symptoms that negatively affect their quality of life . Teaching self-care behaviors in order to reduce and control distressing symptoms can help to improve the quality of life in hemodialysis patients .