Evaluation of hemodialysis adequacy in hemodialysis patients in Sanandaj in 2017

Abstract

Background & Aim: Hemodialysis is one of the alternative therapies in patients with end stage renal disease. Despite the vital role of hemodialysis in maintaining life, these patients face a lot of physical, mental and social problems. The hemodialysis status of patients in the long run is influenced by the adequacy of hemodialysis treatment and its analysis is particularly important in the management of patients. The present study was conducted to determine the adequacy of hemodialysis in hemodialysis patients in Sanandaj. Materials & Methods: In this cross-sectional study, 143 patients undergoing hemodialysis referring to the dialysis ward of Tohid Hospital in Sanandaj city were selected by census. The data collection tool comprised of demographic characteristics and calculation, recording the value of the hemodialysis adequacy index (KT/V). All calculations were performed using SPSS 21 software using descriptive and inferential tests. Results: The results of the study showed that the average total score of hemodialysis adequacy was 1.32±0.28. Patient hemodialysis adequacy was in a favorable situation (58%). Among all demographic variables, only gender had significant correlation with hemodialysis adequacy. In women, hemodialysis adequacy score was significantly higher than males (P=0.001). Conclusion: The majority of hemodialysis patients had satisfactory hemodialysis adequacy. However, in 40% of hemodialysis patients, the adequacy of hemodialysis was ineffective. Therefore, it is recommended that a periodic assessment of the adequacy of hemodialysis in hemodialysis centers should be undertaken to investigate its underlying causes.

Keywords

• dialysis adequacy
• hemodialysis
• chronic renal failure