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A n n u a l C o n g r e s s o n
Nursing & Healthcare
December 03-04 , 2018
Amsterdam, Nether l ands
Journal of Nursing and Health Studies
ISSN: 2574-2825
Nursing & Healthcare 2018
Background:
Maintenance haemodialysis (MHD) does not always elevate dialysis symptoms. Information about symptoms'
burden and control can be useful for developing adequate MHD patient's services.
Objectives:
To characterize and examine thepresence andburdenof dialysis symptoms amongMHDpatients, and their correlations
with age, time on dialysis, daily function, co-morbidity, depression and quality of life.
Methods:
A multi-center, cross-sectional study of 336 MHD patients was done. The study tools included: dialysis symptom index
(DSI); kidney disease quality of life short form (KDQOL-SF); mini international psychiatric interview (MINI); functional independence
measure (FIM); Karnofsky performance status scale (KPS); Charlson's co-morbidity index (CCI); montreal cognitive assessment
(MoCA) for screening. Data were collected using patients' and nephrologists' interviews.
Results:
The burden of symptoms was found to be positively and consistently associated with time on dialysis >24 months and
the presence of major depression, and inversely associated with daily function and the quality of life. In multivariate quantile
regression models, time on dialysis >24 months was associated with an increase in the OBS and OSSS by 2.3-3.1 points and
8.6-11.6 points, respectively. Depression was associated with an increase in the OBS and OSSS by 7.3-7.5 and 30-40 points,
respectively. An increase in the burden of symptoms was associated with a decrease in daily function and in quality of life metrics.
Conclusions:
In addition to providing haemodialysis treatments, clinical and research resources should be directed at controlling
of symptoms in MHD patients. Controlling symptoms, while providing multidisciplinary personalized care, may contribute to the
patient's quality of life.
talya.fleishman@moh.gov.il fleishmantalya@gmail.comPatient-reported outcomes in chronic mainte-
nance haemodialysis patients: a cross-sectional
multi-center study
Tatiana Talya Fleishman
1,2
Jacob Dreiher
2,3,4
and Pesach
Shvartzman
2,3,4
1
Ministry of Health, Israel
2
Ben-Gurion University of the Negev, Israel
3
Clalit health services, Israel
4
Soroka university medical centre, Israel
J Nurs Health Stud 2018, Volume: 3
DOI: 10.21767/2574-2825-C5-015