J Korean Acad Fundam Nurs.  2022 Aug;29(3):295-304. 10.7739/jkafn.2022.29.3.295.

Relationship of Symptom Clusters, Compliance with the Patient’s Role Behavior, and Dialysis Adequacy with Quality of Life in Hemodialysis Patients

• Moon S
• Cha C

• KMID: 2533158
• DOI: http://doi.org/10.7739/jkafn.2022.29.3.295

Abstract

Purpose
The purpose of this study was to identify the relationships of symptom clusters, compliance with the patient’s role behavior, and dialysis adequacy with quality of life among hemodialysis patients. Methods: Structured surveys were used to collect data from 132 patients who were receiving hemodialysis as outpatients at two hemodialysis units using the Dialysis Symptom Index, tools to assess compliance with the patient’s role behavior and dialysis adequacy, and the Korean version of the World Health Organization BREF index for quality of life. Results: Quality of life was negatively correlated with the emotional-gastrointestinal symptom cluster (r=-.20, p=.021), the disturbance related-worrying symptom cluster (r=-.40, p<.001), and the sexual symptom cluster (r=-.23, p=.007), and positively correlated with compliance with the patient’s sick role (r=.43, p<.001). Conclusion: Nursing interventions for hemodialysis patients targeting each symptom cluster are expected to improve their quality of life, as well as applying educational programs and nursing interventions to strengthen patient role performance.

Keyword

Compliance; Hemodialysis; Quality of life; Symptom cluster; 환자역할행위이행; 혈액투석; 삶의 질; 증상 클러스터