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The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence

2024Journal article Open access
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dc.contributor.authorSharif-Nia, Hamid
dc.contributor.authorMaroco, J. P.
dc.contributor.authorSivarajan Froelicher, Erika
dc.contributor.authorBarzegari, Saeed
dc.contributor.authorSadeghi, Niloofar
dc.contributor.authorFatehi, Reza
dc.date.accessioned2024-05-08T19:37:50Z
dc.date.available2024-05-08T19:37:50Z
dc.date.issued2024
dc.description.abstractHemodialysis is a conservative treatment for end-stage renal disease. It has various complications which negatively afect quality of life (QOL). This study aimed to examine the relationship between fatigue, pruritus, and thirst distress (TD) with QOL of patients receiving hemodialysis, while also considering the mediating role of treatment adherence (TA). This cross-sectional study was carried out in 2023 on 411 patients receiving hemodialysis. Participants were consecutively recruited from several dialysis centers in Iran. Data were collected using a demographic information form, the Fatigue Assessment Scale, the Thirst Distress Scale, the Pruritus Severity Scale, the 12-Item Short Form Health Survey, and the modifed version of the Greek Simplifed Medication Adherence Questionnaire for Hemodialysis Patients. Covariance-based structural equation modeling was used for data analysis. The structural model and hypothesis testing results showed that all hypotheses were supported in this study. QOL had a signifcant inverse association with fatigue, pruritus, and TD and a signifcant positive association with TA. TA partially mediated the association of QOL with fatigue, pruritus, and TD, denoting that it helped counteract the negative association of these complications on QOL. This model explained 68.5% of the total variance of QOL. Fatigue, pruritus, and TD have a negative association with QOL among patients receiving hemodialysis, while TA reduces these negative associations. Therefore, TA is greatly important to manage the associations of these complications and improve patient outcomes. Healthcare providers need to assign high priority to TA improvement among these patients to reduce their fatigue, pruritus, and TD and improve their QOL. Further studies are necessary to determine the most efective strategies for improving TA and reducing the burden of complications in this patient population.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSharif-Nia, H., Marôco, J., Froelicher, E. S., Barzegari, S., Sadeghi, N., & Fatehi, R. (2024). The relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherence. Scientific Reports, 1–12. https://doi.org/10.1038/s41598-024-60679-2pt_PT
dc.identifier.doi10.1038/s41598-024-60679-2pt_PT
dc.identifier.issn20452322
dc.identifier.urihttp://hdl.handle.net/10400.12/9773
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherNature Publishing Grouppt_PT
dc.subjectFatiguept_PT
dc.subjectHemodialysispt_PT
dc.subjectPrurituspt_PT
dc.subjectQuality of lifept_PT
dc.subjectTirst distresspt_PT
dc.subjectTreatment adherencept_PT
dc.titleThe relationship between fatigue, pruritus, and thirst distress with quality of life among patients receiving hemodialysis: a mediator model to test concept of treatment adherencept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Kingdompt_PT
oaire.citation.issue1pt_PT
oaire.citation.titleScientific Reportspt_PT
oaire.citation.volume14pt_PT
person.familyNameSharif Nia
person.familyNamePaulo Marôco Domingos
person.familyNameSivarajan Froelicher
person.familyNameBarzegari
person.familyNameFatehi
person.givenNameHamid
person.givenNameJoão
person.givenNameErika
person.givenNameSaeed
person.givenNameReza
person.identifier706397
person.identifierD-4339-2015
person.identifier.ciencia-idD81B-BE2D-9B43
person.identifier.orcid0000-0002-5570-3710
person.identifier.orcid0000-0001-9214-5378
person.identifier.orcid0000-0003-1852-8922
person.identifier.orcid0000-0002-8429-8347
person.identifier.orcid0000-0002-5063-7048
person.identifier.ridE-6915-2016
person.identifier.scopus-author-id55673347800
person.identifier.scopus-author-id6602157617
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication.latestForDiscovery2b0d71bd-a3a6-4523-8b1b-5892c99b1f35

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