Evaluation of Physical Symptoms in Patients on Peritoneal Dialysis

Introduction. Little is known about physical symptoms in peritoneal dialysis (PD) Patients. This study aims to determine the prevalence of symptoms (general and abdominal) in PD patients. Methods. A cross-sectional study, with subsequent followup, using an author-designed 21 symptoms questionnaire (...

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Main Authors: Ana Elizabeth Figueiredo, Cate Goodlad, Michelle Clemenger, San San Haddoub, Jacqueline McGrory, Kim Pryde, Emma Tonkins, Nora Hisole, Edwina Anne Brown
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.1155/2012/305424
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author Ana Elizabeth Figueiredo
Cate Goodlad
Michelle Clemenger
San San Haddoub
Jacqueline McGrory
Kim Pryde
Emma Tonkins
Nora Hisole
Edwina Anne Brown
author_facet Ana Elizabeth Figueiredo
Cate Goodlad
Michelle Clemenger
San San Haddoub
Jacqueline McGrory
Kim Pryde
Emma Tonkins
Nora Hisole
Edwina Anne Brown
author_sort Ana Elizabeth Figueiredo
collection DOAJ
description Introduction. Little is known about physical symptoms in peritoneal dialysis (PD) Patients. This study aims to determine the prevalence of symptoms (general and abdominal) in PD patients. Methods. A cross-sectional study, with subsequent followup, using an author-designed 21 symptoms questionnaire (15 nonabdominal and 6 abdominal). Each symptom was assessed on a scale 0–3 for severity (none–severe) and frequency (never–every day). Results. We studied 41 patients, mean age years, 56% male, 19.5% diabetics, and 51.5% on APD. Mean number of symptoms was and total symptoms score was with abdominal scores of . Most frequent symptoms were lack of energy, itching, cramps, poor sleep, and loss of appetite. A second evaluation in 20 patients disclosed no statistical difference between the first and second assessments, or between subgroups. Cramps were the only symptoms which decreased over time (). Lack of energy did not correlate with haemoglobin, neither did itching with phosphate level. Conclusions. Physical symptoms are frequent and troublesome; they relate to advanced kidney disease and not specifically to PD. Symptoms remain stable over time and do not appear to relate to dialysis parameter markers.
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spelling doaj-art-e7842e5268ef430489c1c843e6875b282025-02-03T05:59:30ZengWileyInternational Journal of Nephrology2090-214X2090-21582012-01-01201210.1155/2012/305424305424Evaluation of Physical Symptoms in Patients on Peritoneal DialysisAna Elizabeth Figueiredo0Cate Goodlad1Michelle Clemenger2San San Haddoub3Jacqueline McGrory4Kim Pryde5Emma Tonkins6Nora Hisole7Edwina Anne Brown8Faculdade de Enfermagem, Nutrição e Fisioterapia, Pontifícia Universidade Católica do Rio Grande do Sul, FAENFI/PUCRS, 90619.900 Porto Alegre, RS, BrazilWest London Renal and Transplant Centre, Hammersmith Hospital, London W12 OHS, UKWest London Renal and Transplant Centre, Hammersmith Hospital, London W12 OHS, UKWest London Renal and Transplant Centre, Hammersmith Hospital, London W12 OHS, UKWest London Renal and Transplant Centre, Hammersmith Hospital, London W12 OHS, UKWest London Renal and Transplant Centre, Hammersmith Hospital, London W12 OHS, UKWest London Renal and Transplant Centre, Hammersmith Hospital, London W12 OHS, UKWest London Renal and Transplant Centre, Hammersmith Hospital, London W12 OHS, UKWest London Renal and Transplant Centre, Hammersmith Hospital, London W12 OHS, UKIntroduction. Little is known about physical symptoms in peritoneal dialysis (PD) Patients. This study aims to determine the prevalence of symptoms (general and abdominal) in PD patients. Methods. A cross-sectional study, with subsequent followup, using an author-designed 21 symptoms questionnaire (15 nonabdominal and 6 abdominal). Each symptom was assessed on a scale 0–3 for severity (none–severe) and frequency (never–every day). Results. We studied 41 patients, mean age years, 56% male, 19.5% diabetics, and 51.5% on APD. Mean number of symptoms was and total symptoms score was with abdominal scores of . Most frequent symptoms were lack of energy, itching, cramps, poor sleep, and loss of appetite. A second evaluation in 20 patients disclosed no statistical difference between the first and second assessments, or between subgroups. Cramps were the only symptoms which decreased over time (). Lack of energy did not correlate with haemoglobin, neither did itching with phosphate level. Conclusions. Physical symptoms are frequent and troublesome; they relate to advanced kidney disease and not specifically to PD. Symptoms remain stable over time and do not appear to relate to dialysis parameter markers.http://dx.doi.org/10.1155/2012/305424
spellingShingle Ana Elizabeth Figueiredo
Cate Goodlad
Michelle Clemenger
San San Haddoub
Jacqueline McGrory
Kim Pryde
Emma Tonkins
Nora Hisole
Edwina Anne Brown
Evaluation of Physical Symptoms in Patients on Peritoneal Dialysis
International Journal of Nephrology
title Evaluation of Physical Symptoms in Patients on Peritoneal Dialysis
title_full Evaluation of Physical Symptoms in Patients on Peritoneal Dialysis
title_fullStr Evaluation of Physical Symptoms in Patients on Peritoneal Dialysis
title_full_unstemmed Evaluation of Physical Symptoms in Patients on Peritoneal Dialysis
title_short Evaluation of Physical Symptoms in Patients on Peritoneal Dialysis
title_sort evaluation of physical symptoms in patients on peritoneal dialysis
url http://dx.doi.org/10.1155/2012/305424
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