Korean J Rehabil Nurs.  2022 Dec;25(2):113-123. 10.7587/kjrehn.2022.113.

Relationships among Handgrip Strength, Blood Pressure, Dialysis Adequacy, Dialysis Symptoms, and Depression in Hemodialysis Patients

• Kim CH
• Moon SS

• KMID: 2538141
• DOI: http://doi.org/10.7587/kjrehn.2022.113

Abstract

Purpose
This study aimed to determine relationships among handgrip strength (HGS), blood pressure, dialysis adequacy, dialysis symptoms, and depression in hemodialysis patients.
Methods
Data from 150 subjects were obtained and analyzed, following a descriptive approach.
Results
The average grip strength of the subjects was lower than the standard value for both men and women, and the grip strength differed significantly according to age, gender, education level, monthly income, and BMI. The physiological indicators that showed significant results with the study variables were hemoglobin, serum calcium, and serum phosphorus. The average dialysis adequacy (Kt/V) of the subjects was higher than the normal standard, and there were significant differences according to age, gender, education level, monthly income, dialysis period, number of accompanying diseases, and BMI. The subject's depression score had a significant negative correlation with dialysis adequacy, and the dialysis symptom score and depression score had a significant positive correlation.
Conclusion
General characteristics, dialysis-related characteristics, and physiological indicators of hemodialysis patients were analyzed in detail, and differences between these characteristics and grip strength, blood pressure, dialysis adequacy, dialysis symptoms, and depression were also examined. It is necessary to provide delicate nursing according to the individual characteristics of the patient.

Keyword

Renal dialysis; Hand strength; Blood pressure; Symptoms; Depression