Dialysis symptoms, fluid compliance, and related factors in hemodialysis patients

Patients with ESRD who receive dialysis experience a wide range of unpleasant symptoms that have a negative effect on patient prognosis. The aim of this study was to evaluate the relationship between dialysis symptoms, adherence to interdialytic weight gain, fluid control, and associated factors in hemodialysis patients.

This study was conducted in a descriptive and cross-sectional design. Demographic and clinical characteristics form, mean of interdialytic weight gain last 12 hemodialysis sessions, Fluid Control in Hemodialysis Patients Scale, and Dialysis Symptom Index (DSI) were used to collect data.

Patients with chronic illnesses and unemployment patients experienced higher DSI scores. The literate participants had a significantly higher DSI and lower adequacy of fluid intake. The regression analysis results showed that employment, chronic diseases, dialysis adequacy, and compliance with fluid intake explained 20.3% of the variance and that the model was a significant predictor of the DSI.

Dialysis symptoms were seen prevalently among the patients, and factors such as employment status, chronic disease, dialysis adequacy, and fluid intake compliance affected the DSI. It is important to monitor the fluid volume status and hemodialysis symptoms of hemodialysis patients regularly.