10 Sep Running Head: POST-DIALYSIS FATIGUE (PDF) RESEARCH 1

Running Head: POST-DIALYSIS FATIGUE (PDF) RESEARCH 1

POST-DIALYSIS FATIGUE (PDF) RESEARCH 2

Post-dialysis fatigue (PDF) research

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Abstract

Haemodialysis (HD) patients are mostly affected by fatigue, with prevalence ranging between sixty and ninety-seven percent. Dialysis recovery time, also known as post-dialysis fatigue (PDF), is a discrete phenomenon that commonly affects HD patients after a dialysis session. A particular study shows that thirty-two percent of people under the dialysis section recovers within two hours. The same research shows that forty-one percent of the patient recovered two to six hours, seventeen percent recovered between seven to twelve hours, and finally, ten percent reported to recover with more than twelve hours. PDF essentially refers to fatigue associated with HD patients after a dialysis session. This paper provides an evidence-based summary of reasons why there is variation in the HD patient recovery period.

The Dialysis Outcome and Practice Patterns Study (DOPPS) on HD patients recently from twelve countries shows that the male gender was associated with shorter recovery time. The male gender was also fully-time employed and with greater serum albumin. The longer recovery time was associated with older HD patients (Han & Kim, 2016). The older individuals were also noted to have lower dialysate sodium concentration, higher ultrafiltration goals, psychiatric disorders, diabetes and higher body mass index (BMI) (Holland & Magama, 2017).

Additionally, longer recovery patients were noted to have a higher risk of dying. HD patients who take more than twelve hours to recover have thirty to sixty percent more chances to die than HD patients who take between two to six hours to recover. The study is precise that recovery time for HD patients can be used to ascertain the health condition. The more extended recovery period is associated with individuals with lower health-associated quality of life (Han & Kim, 2016).

Therefore, it is recommended that dialysis nurses acquire education regarding HD patients’ symptoms management and assessment of PDF. On the other hand, the HD patient should receive instruction on the importance of body exercise, proper diet, management to comorbidities, controlling weight gain (Holland & Magama, 2017). Additionally, HD patients with significant PDF should further be screened for psychosocial disorders, for instance, depression (Holland & Magama, 2017).

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In conclusion, HD patients should take the first step to ensure improvement in the recovery period after the dialysis session. Keeping the body fit through proper diet and exercise is vital to winning this battle. On the other hand, nurses have to advise HD patients on ways to escape psychosocial disorders, which contribute significantly to PDF (Han & Kim, 2016).

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References

Han, S., & Kim, H. (2016). Influencing factors on post-dialysis fatigue in hemodialysis patients. https://doi.org/10.14257/astl.2016.128.26

Holland, S., & Magama, M. (2017). Evidence-based practice is translated through global nurse partnerships. Nurse Education in Practice, 22, 80-82. https://doi.org/10.1016/j.nepr.2016.12.005

( Han & Kim, 2016)