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Updated: Jan 21, 2026

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Published on: October 2, 2020
Psychological problems as the major cause of fatigue in clients undergoing hemodialysis: A qualitative study
Zahra Rezaei1, Amir Jalali2, Rostam Jalali3
1Student Research Committee, School of Nursing and Midwifery, Kermanshah University of medical sciences, Kermanshah, Iran.
Background:
It is obvious that hemodialysis is a stressful process, leading to numerous social and psychological problems, and may cause fatigue and helplessness.
Objective:
This study aimed to explain the experiences of hemodialysis clients regarding the effect of psychological problems on fatigue.
Methods:
This article was extracted from a qualitative study conducted on clients undergoing hemodialysis in Khorramabad. To this end, a total of 15 participants were purposefully selected using the snowball sampling method and the required data was collected using individual, face to face, detailed and semi-structured interviews. There were 12 client interviewees and one doctor, one nurse and one hemodialysis client's spouse. Content analysis was used to analyze the data.
Results:
Continuous analysis of data and documents obtained from the interviews on the hemodialysis clients' experiences and comments regarding the main causes of fatigue revealed two main categories: 1) Psychological effects with subcategories of psychological stress and exhaustion; 2) Needs and constraints with subcategories of individual and social needs and constraints.
Conclusion:
According to the clients' speech and expression analysis, psychological impacts and disease-induced needs and constraints were the most important cause of fatigue and its continuation among these clients.
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