Assessment of hemodialysis stressors among patients undergoing maintenance hemodialysis

Background: Hemodialysis patients often face considerable physical and psychosocial stressors, which can negatively impact their quality of life. This study aims to assess these stressors among hemodialysis patients in selected hospitals in Kerala, India. Materials and Methods: A cross-sectional, qu...

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Main Authors: Dhanya Michael, Molly John, Usha Samuel, G. Lakshmi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:MGM Journal of Medical Sciences
Subjects:
Online Access:https://doi.org/10.4103/mgmj.mgmj_268_24
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author Dhanya Michael
Molly John
Usha Samuel
G. Lakshmi
author_facet Dhanya Michael
Molly John
Usha Samuel
G. Lakshmi
author_sort Dhanya Michael
collection DOAJ
description Background: Hemodialysis patients often face considerable physical and psychosocial stressors, which can negatively impact their quality of life. This study aims to assess these stressors among hemodialysis patients in selected hospitals in Kerala, India. Materials and Methods: A cross-sectional, quantitative study was conducted with 222 hemodialysis patients. Participants were chosen through purposive sampling based on predefined inclusion criteria. Data were collected using self-reported methods, employing the validated Hemodialysis Stressor Scale to evaluate 32 physical and psychosocial stressors. Descriptive statistics were used to summarize demographic data and stressor scores, whereas correlation analysis was conducted to identify relationships between variables. Results: The most frequently reported physical stressors were arterial and venous punctures [mean (M) = 1.4, standard deviation (SD) = 1.1] and muscle cramps (M = 0.97, SD = 0.72). For psychosocial stressors, fluid restrictions (65.3%, M = 2.49, SD = 0.80) and dietary limitations (54.1%, M = 2.21, SD = 1.00) were the most prominent. Correlation analysis showed a moderate association between age and both physical and psychosocial stressors, with older patients experiencing higher levels of stress. Conclusion: The study highlights that fluid and dietary restrictions are hemodialysis patients’ most significant psychosocial stressors, whereas arterial and venous punctures are key physical challenges. These findings underscore the importance of developing interventions to reduce these stressors and improve patients’ quality of life.
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spelling doaj-art-acbfadf079ba44cfa373f187426a4e792025-01-17T10:55:33ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622024-12-0111467868310.4103/mgmj.mgmj_268_24Assessment of hemodialysis stressors among patients undergoing maintenance hemodialysisDhanya MichaelMolly JohnUsha SamuelG. LakshmiBackground: Hemodialysis patients often face considerable physical and psychosocial stressors, which can negatively impact their quality of life. This study aims to assess these stressors among hemodialysis patients in selected hospitals in Kerala, India. Materials and Methods: A cross-sectional, quantitative study was conducted with 222 hemodialysis patients. Participants were chosen through purposive sampling based on predefined inclusion criteria. Data were collected using self-reported methods, employing the validated Hemodialysis Stressor Scale to evaluate 32 physical and psychosocial stressors. Descriptive statistics were used to summarize demographic data and stressor scores, whereas correlation analysis was conducted to identify relationships between variables. Results: The most frequently reported physical stressors were arterial and venous punctures [mean (M) = 1.4, standard deviation (SD) = 1.1] and muscle cramps (M = 0.97, SD = 0.72). For psychosocial stressors, fluid restrictions (65.3%, M = 2.49, SD = 0.80) and dietary limitations (54.1%, M = 2.21, SD = 1.00) were the most prominent. Correlation analysis showed a moderate association between age and both physical and psychosocial stressors, with older patients experiencing higher levels of stress. Conclusion: The study highlights that fluid and dietary restrictions are hemodialysis patients’ most significant psychosocial stressors, whereas arterial and venous punctures are key physical challenges. These findings underscore the importance of developing interventions to reduce these stressors and improve patients’ quality of life.https://doi.org/10.4103/mgmj.mgmj_268_24hemodialysishemodialysis stressor scalephysical stressorspsychosocial stressors
spellingShingle Dhanya Michael
Molly John
Usha Samuel
G. Lakshmi
Assessment of hemodialysis stressors among patients undergoing maintenance hemodialysis
MGM Journal of Medical Sciences
hemodialysis
hemodialysis stressor scale
physical stressors
psychosocial stressors
title Assessment of hemodialysis stressors among patients undergoing maintenance hemodialysis
title_full Assessment of hemodialysis stressors among patients undergoing maintenance hemodialysis
title_fullStr Assessment of hemodialysis stressors among patients undergoing maintenance hemodialysis
title_full_unstemmed Assessment of hemodialysis stressors among patients undergoing maintenance hemodialysis
title_short Assessment of hemodialysis stressors among patients undergoing maintenance hemodialysis
title_sort assessment of hemodialysis stressors among patients undergoing maintenance hemodialysis
topic hemodialysis
hemodialysis stressor scale
physical stressors
psychosocial stressors
url https://doi.org/10.4103/mgmj.mgmj_268_24
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AT mollyjohn assessmentofhemodialysisstressorsamongpatientsundergoingmaintenancehemodialysis
AT ushasamuel assessmentofhemodialysisstressorsamongpatientsundergoingmaintenancehemodialysis
AT glakshmi assessmentofhemodialysisstressorsamongpatientsundergoingmaintenancehemodialysis