The Relationship between Social Support and Fatigue Severity among Hemodialysis Patients

Hanan Mohammed Garwai¹, Iman Abdullah Mohammed Abdulmutalib^2, and Asmaa Hamdi Mohammed³

¹Unit Manager, Maternity and Children Hospital, Makkah, KSA

²Medical-Surgical Nursing Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt

³Medical-Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah, KSA

Cite this paper:
Hanan Mohammed Garwai, Iman Abdullah Mohammed Abdulmutalib and Asmaa Hamdi Mohammed. The Relationship between Social Support and Fatigue Severity among Hemodialysis Patients. American Journal of Nursing Research. 2020; 8(3):392-398. doi: 10.12691/ajnr-8-3-9

Abstract

Fatigue is a frequent complaint of hemodialysis patients and occurs after dialysis sessions. Dealing with fatigue in dialysis patients requires effective social support. Hemodialysis patients receive a high level of social support. The study aimed to assess the relationship between social support and fatigue severity among hemodialysis patients. A quantitative descriptive correlational research design was used. The study was conducted in the Artificial Kidney Unit at AL Noor Specialist Hospital, Makkah, Saudi Arabia. A convenience sample of 65 adult hemodialysis patients was recruited. Data were collected through two tools; Tool I, Fatigue Severity Scale which consists of two parts; Part I, Socio-demographic and clinical data. Part II, Fatigue Severity Scale to measure the severity of fatigue. Tool II, a Multidimensional scale of perceived social support to measure how much support a patient feels they get from family, friends and significant others. The study results showed that 40.0 % of the studied participants had no fatigue, 35.4 % had mild fatigue, while 23.1 % had moderate fatigue and 1.5 % had severe fatigue. It was found that 52.3 % had moderate social support, 44.6 % had high social support, and 3.1 % had low social support. There was a positive correlation with statistical significance between the severity of fatigue and total social support with p-value 0.016, particularly significant others and family support with p-value 0.001, and 0.030, respectively. It was concluded that there was a relationship between social support and fatigue severity among hemodialysis patients. The current study recommended raising the awareness of family, friends, and special person regarding the importance of social support for hemodialysis patients.

Keywords:
fatigue severity hemodialysis social support

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References:

[1]	Berns, J. S. (2018). Training nephrology fellows in temporary hemodialysis catheter placement and kidney biopsies is needed and should be required. Clinical Journal of the American Society of Nephrology, 13(7), 1099-1101.
[2]	Sattar, S., Khan, N., Ahmad, F., Adnan, F., & Danish, S. H. (2016). Post-dialysis effects in patients on haemodialysis. JPMA. The Journal of the Pakistan Medical Association, 66(6), 781-788.
[3]	Caplin, B., Kumar, S., & Davenport, A. (2011). Patients' perspective of hemodialysis-associated symptoms. Nephrology Dialysis Transplantation, 26(8), 2656-2663.
[4]	Gordon, C. E., Uhlig, K., Schmid, C. H., Levey, A. S., & Wong, J. B. (2011). Long-term viral negativity after interferon for chronic hepatitis C virus infection In hemodialysis. Clinical Journal of the American Society of Nephrology, 6(9), 2226-2234.
[5]	Jhamb, M., Pike, F., Ramer, S., Argyropoulos, C., Steel, J., Dew, M. A., ... & Unruh, M. (2011). Impact of fatigue on outcomes in the hemodialysis (HEMO) study. American journal of nephrology, 33(6), 515-523.
[6]	Horigan, A. E. (2012). Fatigue in hemodialysis patients: a review of current knowledge. Journal of pain and symptom management, 44(5), 715-724.
[7]	Karadag, E., Kilic, S. P., & Metin, O. (2013). Relationship between fatigue and social support in hemodialysis patients. Nursing & health sciences, 15(2), 164-171.
[8]	Joshwa, B. (2019). Multiple Dimensions and Correlates of Fatigue in Individuals on Hemodialysis: A Quantitative Study (Doctoral dissertation, Wayne State University).
[9]	Theofilou, P. (2013). Medication adherence in Greek hemodialysis patients: the contribution of depression and health cognitions. International journal of behavioral medicine, 20(2), 311-318.
[10]	Samara, A., Kouidi, E., Fountoulakis, K., Deligiannis, A., & Alexiou, S. (2016). The effects of aquatic exercise on functional capacity and health-related quality of life in hemodialysis patients. Journal of Clinical & Experimental Nephrology, 1(IKEEXREF-301663).
[11]	Krupp, L. B., LaRocca, N. G., Muir-Nash, J., & Steinberg, A. D. (1989). The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of neurology, 46(10), 1121-1123.
[12]	Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of personality assessment, 52(1), 30-41.
[13]	Zyga, S., Alikari, V., Sachlas, A., Fradelos, E. C., Stathoulis, J., Panoutsopoulos, G., ... & Lavdaniti, M. (2015). Assessment of fatigue in end stage renal disease patients undergoing hemodialysis: prevalence and associated factors. Medical Archives, 69 (6), 376-80.
[14]	Mukakarangwa, M. C., Chironda, G., Bhengu, B., & Katende, G. (2018). Adherence to hemodialysis and associated factors among end stage renal disease patients at selected nephrology units in Rwanda: A descriptive cross-sectional study. Nursing research and practice, 2018.
[15]	Ali, H. H., & Taha, N. M. (2017). Fatigue, depression and sleep disturbance among hemodialysis patients. IOSR Journal of Nursing and Health Science, 6 (3), 61-69.
[16]	Garg, A. X., Suri, R. S., Eggers, P., Finkelstein, F. O., Greene, T., Kimmel, P. L., ... & Unruh, M. (2017). Patients receiving frequent hemodialysis have better health-related quality of life compared to patients receiving conventional hemodialysis. Kidney international, 91(3), 746-754.
[17]	Bossola, M., Vulpio, C., & Tazza, L. (2011). Fatigue in chronic dialysis patients. In: Seminars in Dialysis. Wiley Online Library, 24: 550-555
[18]	Artom, M., Moss-Morris, R., & Caskey, F. (2014). Fatigue in Advanced Kidney Disease. Kidney International, 86: 497-505.
[19]	Ghasemi, H., Afshar, R., Zerafatjou, N., et al. (2012). Impact of hemodialysis on visual parameters in patients with end-stage renal disease. Iran J Kidney Dis, 6(6), 457-63.
[20]	Seidl, E. M., Melchíades, A., Farias, V., & Brito , A. (2007). People living with HIV / AIDS: variables associated with adherence to antiretroviral treatment. Cad Saúde Pública, 23(10): 2305-16.
[21]	Rezende, L. K., Mendes, I. J. M., & Santos, B. M. D. O. (2009). Suporte social para idosos portadores de insuficiência cardíaca. Revista de Ciências Farmacêuticas Básica e Aplicada, 28(1),107-111.
[22]	Sandri, A. M., Elewa, U., Poterucha, J. J., & Fervenza, F. C. (2011). Treatment of hepatitis C-mediated glomerular disease. Nephron Clinical Practice, 119 (2), c121-c130.
[23]	Bayat, A., Kazemi, R., Toghiani, A., Mohebi, B., Tabatabaee, M. N., & Adibi, N. (2012). Psychological evaluation in hemodialysis patients. J Pak Med Assoc, 62 (3 Suppl 2), S1-5.
[24]	Alnazly, E. (2016). Coping strategies and socio-demographic characteristics among Jordanian caregivers of patients receiving hemodialysis. Saudi Journal of Kidney Diseases and Transplantation, 27(1), 101.
[25]	Ahrari, S., Moshki, M., & Bahrami, M. (2014). The relationship between social support and adherence of dietary and fluids restrictions among hemodialysis patients in Iran. Journal of caring sciences, 3(1), 11-19.
[26]	Theodoritsi, A., Aravantinou, M. E., Gravani, V., Bourtsi, E., Vasilopoulou, C., Theofilou, P., & Polikandrioti, M. (2016). Factors associated with the social support of hemodialysis patients. Iranian journal of public health, 45(10), 1261-1269.
[27]	Alexopoulou, M., Giannakopoulou, N., Komna, E., Alikari, V., Toulia, G., & Polikandrioti, M. (2016). THE EFFECT OF PERCEIVED SOCIAL SUPPORT ON HEMODIALYSIS PATIENTS’QUALITY OF LIFE. Materia socio-medica, 28(5), 338-342.
[28]	Goedendorp, M. M., Hoitsma, A. J., Bloot, L., Bleijenberg, G., & Knoop, H. (2013). Severe fatigue after kidney transplantation: a highly prevalent, disabling and multifactorial symptom. Transplant International, 26(10), 1007-1015.
[29]	Wang, S. Y., Zang, X. Y., Fu, S. H., Bai, J., Liu, J. D., Tian, L., ... & Zhao, Y. (2016). Factors related to fatigue in Chinese patients with end-stage renal disease receiving maintenance hemodialysis: a multi-center cross-sectional study. Renal failure, 38(3), 442-450.
[30]	Kim, H. R., & Son, G. R. (2005). Fatigue and its related factors in Korean patients on hemodialysis. Journal of Korean Academy of Nursing, 35(4), 701-708.
[31]	Sayin, A., Mutluay, R., & Sindel, S. (2007). Quality of life in hemodialysis, peritoneal dialysis, and transplantation patients. Transplant Proc, 39 (10): 3047-53.
[32]	Williams, K. D. (2007). Ostracism: The kiss of social death. Social and Personality Psychology Compass, 1(1), 236-247.