Title: Assessment concerns of end stage kidney disease client undergoing hemodialysis therapy
Abstract:
Introduction: End Stage Kidney Disease (ESKD) is a significant health problem in Saudi Arabia. The number of people requiring hemodialysis therapy in Saudi Arabia is growing, which poses challenges for health professionals and increases the client's physical, psychological, social, spiritual, and economic concerns.
Aim: To assess the concerns of end-stage kidney disease clients undergoing hemodialysis therapy. Design: Descriptive analytical design has been used.
Setting: Hemodialysis center at Al-Noor Specialist Hospital, Makkah city, Saudi Arabia for seven months from April to October 2016.
Sample: Convenience sample from 250 clients. Tools: Tool I- demographic and clinical data, Tool II- Questionnaire to assess concerns of end-stage kidney diseases client undergoing hemodialysis therapy.
Results: There were statistically significant relations in physical, psychological, social, spiritual, and economic concerns at (p-value≤ 0.050). Nearly three-quarters (74.0%) of the clients had psychological concerns, (72.4%) had social concerns and (71.6%) had physical concerns. Nearly half of the clients had spiritual concerns (49.2%) and exactly half of the clients (50%) had economical concerns. The Mean± SD of psychological, social, physical, spiritual, and economic concerns was (2.74±.44), (2.68±.54), (2.68±.52), (2.32±.75), and (1.50±.50) respectively.
Conclusions: The current study concluded that there were statistically significant relations in physical, psychological, social, spiritual, and economic concerns. Nearly three-quarters of clients had psychological, physical, and social concerns respectively. Nearly half of the clients had spiritual concerns, while exactly half of the clients had economical concerns.
Recommendation: Implement an educational workshop for Nephrology nurses about the importance of accurate assessment of ESKD client concerns undergoing hemodialysis therapy. Reused the developed questionnaire of ESKD for assessment of client concerns undergoing hemodialysis therapy in a different area and culture.
