References

Ahmadi SM, Jalali A, Jalali R Factors associated with the choice of peritoneal dialysis in Iran: qualitative study. Open Access Maced J Med Sci. 2018; 6:(7)1253-1259 https://doi.org/10.3889/oamjms.2018.255

Aktürk U, Gül E Investigation of fatigue in hemodialysis patients, severity and influencing factors. Turkish Journal of Nephrology. 2019; 28:(3)197-201 https://doi.org/10.5152/turkjnephrol.2019.3433

Brkovic T, Burilovic E, Puljak L Prevalence and severity of pain in adult end-stage renal disease patients on chronic intermittent hemodialysis: a systematic review. Patient Prefer Adherence. 2016; 10:1131-1150 https://doi.org/10.2147/PPA.S103927

Chiaranai C The lived experience of patients receiving hemodialysis treatment for end-stage renal disease. J Nurs Res. 2016; 24:(2)101-108 https://doi.org/10.1097/jnr.0000000000000100

Collins AJ, Foley RN, Chavers B United States renal data system 2011 annual data report: atlas of chronic kidney disease and end-stage renal disease in the United States. Am J Kidney Dis. 2012; 59:e1-e420 https://doi.org/10.1053/j.ajkd.2011.11.015

Cruz JP, Colet PC, Alquwez N, Inocian EP, Al-Otaibi RS, Islam MS Influence of religiosity and spiritual coping on health-related quality of life in Saudi haemodialysis patients. Hemodial Int. 2017; 21:(1)125-132 https://doi.org/10.1111/hdi.12441

Edward KL, Welch T The extension of Colaizzi's method of phenomenological enquiry. Contemp Nurse. 2011; 39:(2)163-171 https://doi.org/10.5172/conu.2011.163

Frier A, Barnett F, Devine S, Barker R Understanding disability and the ‘social determinants of health’: how does disability affect peoples' social determinants of health?. Disabil Rehabil. 2018; 40:(5)538-547 https://doi.org/10.1080/09638288.2016.1258090

Fructuoso M, Castro R, Oliveira L, Prata C, Morgado T Quality of life in chronic kidney disease. Nefrologia. 2011; 31:(1)91-96 https://doi.org/10.3265/Nefrologia.pre2010.Jul.10483

Gennari FJ Acid–base homeostasis in dialysis, 5th edn. In: Nissenson AR, Fine RN (eds). London: Elsevier; 2017

Hinkle JL, Cheever KH Brunner and Suddarth's textbook of medical-surgical nursing, 14th edn. Philadelphia (PA): Wolters Kluwer; 2018

Horigan AE Fatigue in hemodialysis patients: a review of current knowledge. J Pain Symptom Manage. 2012; 44:(5)715-724 https://doi.org/10.1016/j.jpainsymman.2011.10.015

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)353-365 https://doi.org/10.1053/j.ajkd.2008.05.005

Khan SN Qualitative research method—phenomenology. Asian Social Science. 2014; 10:(21)298-310 https://doi.org/10.5539/ass.v10n21p298

Lee B-O, Lin C-C, Chaboyer W, Chiang C-L, Hung C-C The fatigue experience of haemodialysis patients in Taiwan. J Clin Nurs. 2007; 16:(2)407-413 https://doi.org/10.1111/j.1365-2702.2005.01409.x

Maher-Edwards L, Fernie BA, Murphy G, Wells A, Spada MM Metacognitions and negative emotions as predictors of symptom severity in chronic fatigue syndrome. J Psychosom Res. 2011; 70:(4)311-317 https://doi.org/10.1016/j.jpsychores.2010.09.016

Mollaoglu M Fatigue in people undergoing hemodialysis. Dialysis and Transplantation. 2009; 38:(6)216-220 https://doi.org/10.1002/dat.20330

Nix ES The lived experiences of the African American end-stage renal disease patient receiving hemodialysis.Minneapolis (MN): Walden University; 2013

Rezaei Z, Jalali A, Jalali R, Khaledi-Paveh B Psychological problems as the major cause of fatigue in clients undergoing hemodialysis: A qualitative study. Int J Nurs Sci. 2018; 5:(3)262-267 https://doi.org/10.1016/j.ijnss.2018.07.001

Sakkas GK, Karatzaferi C Hemodialysis fatigue: just ‘simple’ fatigue or a syndrome on its own right?. Front Physiol. 2012; 3:306-06 https://doi.org/10.3389/fphys.2012.00306

Sepanlou SG, Barahimi H, Najafi I Prevalence and determinants of chronic kidney disease in northeast of Iran: results of the Golestan cohort study. PLoS One. 2017; 12:(5) https://doi.org/10.1371/journal.pone.0176540

Sit JWH, Wong TKS, Clinton M, Li LSW, Fong Y-M Stroke care in the home: the impact of social support on the general health of family caregivers. J Clin Nurs. 2004; 13:(7)816-24 https://doi.org/10.1111/j.1365-2702.2004.00943.x

Streubert HJ, Carpenter DR Qualitative research in nursing: advancing the humanistic imperative, 5th edn. Philadelphia (PA): Lippincott Williams & Wilkins; 2011

Yu HD, Petrini MA The HRQoL of Chinese patients undergoing haemodialysis. J Clin Nurs. 2010; 19:(5-6)658-665 https://doi.org/10.1111/j.1365-2702.2009.03071.x

Zyoud SH, Daraghmeh DN, Mezyed DO Factors affecting quality of life in patients on haemodialysis: a cross-sectional study from Palestine. BMC Nephrol. 2016; 17:(1) https://doi.org/10.1186/s12882-016-0257-z

Haemodialysis patients' experience with fatigue: a phenomenological study

25 June 2020
Professional
02 June 2020
Volume 29 · Issue 12

Abstract

Fatigue is one of the main and serious problems that affects haemodialysis patients' quality of life. It should be actively evaluated and, in this process, cooperation between the patient, their family, and healthcare staff is needed to examine fatigue and improve the quality of healthcare and the patient's life. The aim of the present research was to investigate haemodialysis patients' experiences of fatigue. In this qualitative phenomenological study, 12 participants were selected from haemodialysis patients in two health centres in Iran through purposeful sampling. Data were collected through semi-structured in-depth interviews and the collected data were analysed using Colaizzi's method. Two main themes, the nature of fatigue and the perception of fatigue, were found. In addition, the results revealed six secondary themes: physical problems, psychosocial problems, behavioural problems, limitations, need for support, and burnout. The results help to clarify the concept and nature of fatigue for this group of haemodialysis patients.

Chronic diseases have become one of the most important challenges for health systems around the world. One such condition is end-stage renal disease (ESRD) (Fructuoso et al, 2011). ESRD is caused by an irreversible defect of the kidney that leads to a gradual and progressive decline of kidney function (Hinkle and Cheever, 2018). The mortality rate due to chronic kidney disease increased from 1% in 1990 to more than 2% in 2013 in Iran (Sepanlou et al, 2017). ESRD is one of the main problems of human health, worldwide (Chiaranai, 2016). It is a severe disease with serious health consequences that negatively affect patients' lives (Gennari, 2017). Haemodialysis is a common approach for the management of these patients and the majority of the overall dialysis population require this treatment (Collins et al, 2012). This procedure uses an artificial kidney for removing waste and extra fluid from the blood (Hinkle and Cheever, 2018).

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content

Register
Or continue by

Signing in with your registered email address

Fatigue
Qualitative research
End-stage renal disease
Haemodialysis
Patient experience
Iran