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Haemodialysis patients' experience with fatigue: a phenomenological study

25 June 2020
Volume 29 · Issue 12


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).

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