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KMID : 0928020200240020059
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Nursing and Innovation
2020 Volume.24 No. 2 p.59 ~ p.70
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Effects of Symptom Clusters, Spiritual Well-being on the Quality of Life in Patients Undergoing Hemodialysis
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Kim Gyung-Duck
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Abstract
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Purpose: This study was to identify the impact of symptom clusters, spiritual well-being on the quality of life in patients undergoing hemodialysis.
Methods: Data were collected from 154 patients at six hemodialysis clinics from June 1st, 2016 to February 28th, 2017. The data were analyzed using factor analysis, multiple regression analysis.
Results: The most frequently reported symptoms included fatigue, itching, dry skin, decreased interest in sex, difficulty falling asleep. The mean spiritual well-being score was 3.37. Factor analysis showed that eight distinct symptom clusters were identified: Emotional distress cluster, pain-fatigue cluster, skin disorder cluster, sleep disturbance related cluster, gastrointestinal-leg distress cluster, sexual distress cluster, nausea-vomiting cluster, shortness of breath-diarrhea cluster. The factor that most affected the quality of life was existential spiritual well-being.
Conclusion: The finding supported existence of the symptom cluster and existential spiritual well-being affected the quality of life of hemodialysis patients. It was existential spiritual well-being, which showed 67.5% of explanatory power. It is necessary to manage on the characteristics of each dialysis patient’s symptoms cluster and to develop a strategy that can improve spiritual well-being.
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KEYWORD
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Quality of life, Renal dialysis
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