Symptom Interference in Thai Patients with End-Stage Renal Disease Undergoing Hemodialysis
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Abstract
Objectives: To explore the prevalence, frequency, severity, and distress of physical and psychological symptoms among end-stage renal disease (ESRD) patients undergoing hemodialysis (HD). Methods: Two hundred and three ESRD patients undergoing HD completed the Thai Memorial Symptom Assessment Scale-ESRD (the Thai MSAS-ESRD). The content validity was 0.96 and the stability reliability was 0.94 for frequency, 0.93 for severity and 0.95 for distress. The data were analyzed using descriptive statistics. Results:
The results showed that the majority of participants (98.52%) had a symptom interference, and the average number of symptoms was 11.50 (SD = 7.19). The top five prevalence of physical symptom interferences were itching (64.53%) and dry skin (64.53%), followed by lack of energy (60.59%), trouble falling asleep (57.64%), and trouble staying asleep (52.71%). The top three prevalence of psychological symptom interferences were boredom (61.08%), irritability (49.75%), and worry (39.41%). Regarding frequency, the most of physical symptom interference at the rarely level was dry skin (54.96%), whereas lack of energy (60.16%) was reported at the occasionally level. In terms of psychological symptom interference, worry (75.00%) was reported at the rarely level. Regarding severity, lack of energy (65.04%) was reported the most common of physical symptom interference, whereas worry (46.25%) was reported the most common
of psychological symptom interference. Regarding distress, trouble staying asleep (47.66%) was reported the most common of physical symptom interference, whereas boredom (29.03%) was reported the most common of psychological symptom interference. In terms of severity level and distress level, all of physical and psychological symptom interferences were reported at slightly severe level. Conclusion: Thai ESRD patients undergoing HD experience interference from multiple symptoms that need appropriate management.
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