Symptoms and quality of life from patients undergoing hemodialysis in Switzerland

Delmas, Philippe (Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale) ; Cohen, Christine (Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale) ; Loiselle, Marie-Chantal (School of nursing, Faculty of Medicine and Health science, University of Sherbrooke, Sherbrooke, Québec, Canada) ; Antonini, Matteo (Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale) ; Pasquier, Jérôme (Institute of social and preventive medicine, Vaud University Hospital - Chuv, Lausanne, Switzerland) ; Burnier, Michel (Service of Nephrology, Department of Medicine, Vaud, University Hospital - Chuv, Lausanne, Switzerland)

Background: Dialysis patients experience multiple symptoms impairing their quality of life. A relationship seems to exist between the cultural context and the burden of symptoms. In this study, the prevalence and severity of 30 symptoms and their relationship with quality of life among hemodialysis patients in Switzerland is explored. Methods: A cross-sectional correlation design was used with a convenience sample of 119 patients from five dialysis units. Presence and severity of symptoms were assessed with the Dialysis Symptom Index and quality of life with the WHOQOL-Bref questionnaire. Multivariate linear regressions were used to examine the relationship between the prevalence and severity of symptoms, respectively, and quality of life. T-tests and Fisher’s tests were used for the international comparisons. Results: On average, patients reported 10 symptoms and often rated these as “somewhat bothersome”. The most frequent were: lack of energy, dry skin, trouble falling asleep, trouble staying asleep, and muscle cramps. Average symptoms prevalence and severity levels were both observed to decrease patients’ quality of life, items related to physical health and psychological state having the greatest impact. Prevalence and severity of psychological symptoms and prevalence of sex-related symptoms seem to be influenced by patients’ cultural context. Conclusions: These results demonstrate that patients on chronic hemodialysis present several symptoms that affect their quality of life. Healthcare professionals should develop strategies to identify more properly these symptoms, especially sex-related and psychological symptoms.

Article Type:
Soins infirmiers
La Source
Secteur Recherche et Développement (Ra&D) de l'Institut et Haute Ecole de la Santé La Source
Soins infirmiers
8 p.
Published in:
Clinical Nursing Studies
Numeration (vol. no.):
2018, vol. 6, no. 2, pp. 63-72
External resources:
Appears in Collection:

 Record created 2018-12-17, last modified 2020-10-27

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