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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 7 Issue 6, November-December 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD61200 | Volume – 7 | Issue – 6 | Nov-Dec 2023 Page 468
A Study on the Psycho-Social Problems of
Patients Undergoing Dialysis Treatment
Sayana Sunny
Assistant Professor, Mar Elias College, Kottappady, Kerala, India
ABSTRACT
The prime objective of the study was to understand the psycho-social
problems faced by dialysis patients. Dialysis patients face a range of
challenges that extend beyond the physical aspects of their condition.
This abstract deals with the emotional, social, and mental dimensions
of the individual undergoing dialysis. The questionnaire method was
used to collect data from 60 participants including females (N=24)
and males (N=36) in the age group of 30 years from Ernakulum
district. A simple random sampling method was used by the
researcher to select participants. The study revealed that support
groups, counseling services, and edconsultationams can play a
critical role in helping patients cope with distress.
KEYWORDS: Dialysis, Treatment, Psycho-Social, Problem, Patient
How to cite this paper: Sayana Sunny
"A Study on the Psycho-Social Problems
of Patients Undergoing Dialysis
Treatment" Published in International
Journal of Trend in
Scientific Research
and Development
(ijtsrd), ISSN:
2456-6470,
Volume-7 | Issue-6,
December 2023,
pp.468-469, URL:
www.ijtsrd.com/papers/ijtsrd61200.pdf
Copyright © 2023 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
Chronic kidney disease (CKD) is growing among all
population groups worldwide. Kidney disease is a
major health problem. Kidney and urinary tract
disease affects millions of people. Kidney disease can
cause high blood pressure, anemia, and elevated
cholesterol. When it is chronic, it leads to depression
and sexual dysfunction. Kidney hormones help
regulate blood pressure and calcium metabolism.
Anytime the kidney’s ability to remove and regulate
water and chemicals is impaired by disease or
blockage, fluids, and waste products accumulate,
ultimately resulting in extreme swelling and
symptoms of uremia (an overload of toxic by-
products) or kidney failure. Even people with
complete kidney failure can now lead reasonably
normal lives because of modern dialysis techniques.
In hemodialysis, an artificial kidney machine carries
out the vital functions the kidneys can no longer
perform. In this procedure, a person is connected to
the machine by plastic tubing that attaches to special
blood vessels in the arm or leg. The treatment can be
done at home or dialysis unit.
REVIEW OF LITERATURE
According to B.J. Hailey in the year 2000, a literature
review of compliance behavior in patients undergoing
hemodialysis was conducted. This review paper
describes end-stage renal disease and a common
treatment for hemodialysis. It requires patients to
commit considerable time to their treatment, comply
with strict dietary and fluid restrictions, and take
medication regularly.
According to Daniel Cukor’s research in 2001,
Towards the Psychosocial Treatment of Depressed
Patients on Dialysis, There is a growing literature on
the bidirectional relationship between depression and
various medical illnesses but depression in end-stage
renal disease has been understudied.
MATERIALS AND METHODS
The research approach used in the study was a
quantitative approach by using d descriptive research
design. The geographical universe of the study is
Ernakulum district, Kerala and the study population
consists of patients undergoing dialysis treatment in
different hospitals in Ernakulum district. The unit of
the study has been the individual dialysis patients in
the Ernakulum district. A simple random sampling
IJTSRD61200
International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD61200 | Volume – 7 | Issue – 6 | Nov-Dec 2023 Page 469
technique was used to select the study area and
samples. Self-prepared questionnaire methods have
been prepared as a tool to collect data from patients.
The questions were developed through a literature
review and consultation. Descriptive statistics were
used to analyze the data.
DATA ANALYSIS & INTERPRETATION
RESPONDENTS STRESS DUE TO DISEASE
CONDITION
Sl. No. Stress Frequency Percentage
1 Always 0 0
2 Sometimes 41 68.3
3 Rare 0 0
4 Never 19 31.7
Total 60 100
RESPONDENT'S ANGER WITH FAMILY
MEMBERS DUE TO DISEASE CONDITION
Sl. No. Anger Frequency Percentage
1 Yes 11 18.3
2 No 49 81.7
Total 60 100
FINDINGS
1. This study indicates that 96.7 % of respondents
maintain good peer relationships, which help
them to control emotional and psychological
problems.
2. This study shows Most of the respondents (68.3
%) have sometimes felt stress due to their
condition. The remaining 31.7% of the
respondents have never felt stress. From this
table, it is clear that disease condition and dialysis
procedure increases the stress of the respondents.
3. This study indicates that 20% of respondents are
unaware of the service of counselors.
4. The study shows that the family members are
very much concerned about their disease and
giving quality care and support and try to make
them happy always
5. The study indicates that nausea and leg pain are
the leading complications faced by patients
undergoing dialysis
SUGGESTIONS
1. To develop a support system for dialysis patients
such as family, friends, and self-help groups,
especially for women. Encourage social
participation of dialysis patients.
2. To develop a strategy for reducing the psycho-
social problem of dialysis patients. Engage them
in socially productive activities.
3. To develop counseling services for dialysis
patients. Their family to cope with the
problematic situations. Also, it helps to solve the
maladjustments in the relationship with the
patients.
4. To develop an association for dialysis patients. It
is based on the people who suffer similar
problems, which helps to know the problems of
other patients.
5. To provide counseling services in each hospital
once a week to reduce the stress of dialysis
patients.
REFERENCES
[1] Allen R. Nissenson-( 2000), Dialysis Therapy,
Elsevier publication 5th
edition p: 25-35
[2] Blagg, C.R. (1994) Hemodialysis, Medical
publishers,p:793-794
[3] Bossola M, (2010 ) Anxiety in a chronic
hemodialysis patient, Addicus books
publications p:125-131
[4] Chen H Y, (2011)Sleep disturbance and stress
in hemodialysis patients, Brush education
publication p:415-422
[5] Evans R.W.- (1985) The quality of life of
patients with end-stage renal disease S.Chand
& Co ltd publication, 3rd edition p:312-329
[6] Gokal R, Mallick- (2000), Chronic Renal
Failure and Dialysis, Elsevier Health sciences
publication p: 789-803
[7] Hakim RM, (1994) Effect of dialysis of a
patient with acute renal failure Adenine press
publication p:1338-1342
[8] Juan G Gonzales-Perez- (2005) Hemodialysis
for end-stage renal disease, Rathna sagar
private ltd publication, p:455-501)
[9] Jhamb M, (2008) Patient receiving dialysis: A
review of definitions, measures, and
contributing factors, Bryan Edwards publishing
p: 353-365
[10] Kimmel PL, Phillips TM, (1998), Immunologic
function and survival in hemodialysis patients,
Cooper publishing group publication p: 236-
244

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A Study on the Psycho Social Problems of Patients Undergoing Dialysis Treatment

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 7 Issue 6, November-December 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD61200 | Volume – 7 | Issue – 6 | Nov-Dec 2023 Page 468 A Study on the Psycho-Social Problems of Patients Undergoing Dialysis Treatment Sayana Sunny Assistant Professor, Mar Elias College, Kottappady, Kerala, India ABSTRACT The prime objective of the study was to understand the psycho-social problems faced by dialysis patients. Dialysis patients face a range of challenges that extend beyond the physical aspects of their condition. This abstract deals with the emotional, social, and mental dimensions of the individual undergoing dialysis. The questionnaire method was used to collect data from 60 participants including females (N=24) and males (N=36) in the age group of 30 years from Ernakulum district. A simple random sampling method was used by the researcher to select participants. The study revealed that support groups, counseling services, and edconsultationams can play a critical role in helping patients cope with distress. KEYWORDS: Dialysis, Treatment, Psycho-Social, Problem, Patient How to cite this paper: Sayana Sunny "A Study on the Psycho-Social Problems of Patients Undergoing Dialysis Treatment" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-6, December 2023, pp.468-469, URL: www.ijtsrd.com/papers/ijtsrd61200.pdf Copyright © 2023 by author (s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION Chronic kidney disease (CKD) is growing among all population groups worldwide. Kidney disease is a major health problem. Kidney and urinary tract disease affects millions of people. Kidney disease can cause high blood pressure, anemia, and elevated cholesterol. When it is chronic, it leads to depression and sexual dysfunction. Kidney hormones help regulate blood pressure and calcium metabolism. Anytime the kidney’s ability to remove and regulate water and chemicals is impaired by disease or blockage, fluids, and waste products accumulate, ultimately resulting in extreme swelling and symptoms of uremia (an overload of toxic by- products) or kidney failure. Even people with complete kidney failure can now lead reasonably normal lives because of modern dialysis techniques. In hemodialysis, an artificial kidney machine carries out the vital functions the kidneys can no longer perform. In this procedure, a person is connected to the machine by plastic tubing that attaches to special blood vessels in the arm or leg. The treatment can be done at home or dialysis unit. REVIEW OF LITERATURE According to B.J. Hailey in the year 2000, a literature review of compliance behavior in patients undergoing hemodialysis was conducted. This review paper describes end-stage renal disease and a common treatment for hemodialysis. It requires patients to commit considerable time to their treatment, comply with strict dietary and fluid restrictions, and take medication regularly. According to Daniel Cukor’s research in 2001, Towards the Psychosocial Treatment of Depressed Patients on Dialysis, There is a growing literature on the bidirectional relationship between depression and various medical illnesses but depression in end-stage renal disease has been understudied. MATERIALS AND METHODS The research approach used in the study was a quantitative approach by using d descriptive research design. The geographical universe of the study is Ernakulum district, Kerala and the study population consists of patients undergoing dialysis treatment in different hospitals in Ernakulum district. The unit of the study has been the individual dialysis patients in the Ernakulum district. A simple random sampling IJTSRD61200
  • 2. International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD61200 | Volume – 7 | Issue – 6 | Nov-Dec 2023 Page 469 technique was used to select the study area and samples. Self-prepared questionnaire methods have been prepared as a tool to collect data from patients. The questions were developed through a literature review and consultation. Descriptive statistics were used to analyze the data. DATA ANALYSIS & INTERPRETATION RESPONDENTS STRESS DUE TO DISEASE CONDITION Sl. No. Stress Frequency Percentage 1 Always 0 0 2 Sometimes 41 68.3 3 Rare 0 0 4 Never 19 31.7 Total 60 100 RESPONDENT'S ANGER WITH FAMILY MEMBERS DUE TO DISEASE CONDITION Sl. No. Anger Frequency Percentage 1 Yes 11 18.3 2 No 49 81.7 Total 60 100 FINDINGS 1. This study indicates that 96.7 % of respondents maintain good peer relationships, which help them to control emotional and psychological problems. 2. This study shows Most of the respondents (68.3 %) have sometimes felt stress due to their condition. The remaining 31.7% of the respondents have never felt stress. From this table, it is clear that disease condition and dialysis procedure increases the stress of the respondents. 3. This study indicates that 20% of respondents are unaware of the service of counselors. 4. The study shows that the family members are very much concerned about their disease and giving quality care and support and try to make them happy always 5. The study indicates that nausea and leg pain are the leading complications faced by patients undergoing dialysis SUGGESTIONS 1. To develop a support system for dialysis patients such as family, friends, and self-help groups, especially for women. Encourage social participation of dialysis patients. 2. To develop a strategy for reducing the psycho- social problem of dialysis patients. Engage them in socially productive activities. 3. To develop counseling services for dialysis patients. Their family to cope with the problematic situations. Also, it helps to solve the maladjustments in the relationship with the patients. 4. To develop an association for dialysis patients. It is based on the people who suffer similar problems, which helps to know the problems of other patients. 5. To provide counseling services in each hospital once a week to reduce the stress of dialysis patients. REFERENCES [1] Allen R. Nissenson-( 2000), Dialysis Therapy, Elsevier publication 5th edition p: 25-35 [2] Blagg, C.R. (1994) Hemodialysis, Medical publishers,p:793-794 [3] Bossola M, (2010 ) Anxiety in a chronic hemodialysis patient, Addicus books publications p:125-131 [4] Chen H Y, (2011)Sleep disturbance and stress in hemodialysis patients, Brush education publication p:415-422 [5] Evans R.W.- (1985) The quality of life of patients with end-stage renal disease S.Chand & Co ltd publication, 3rd edition p:312-329 [6] Gokal R, Mallick- (2000), Chronic Renal Failure and Dialysis, Elsevier Health sciences publication p: 789-803 [7] Hakim RM, (1994) Effect of dialysis of a patient with acute renal failure Adenine press publication p:1338-1342 [8] Juan G Gonzales-Perez- (2005) Hemodialysis for end-stage renal disease, Rathna sagar private ltd publication, p:455-501) [9] Jhamb M, (2008) Patient receiving dialysis: A review of definitions, measures, and contributing factors, Bryan Edwards publishing p: 353-365 [10] Kimmel PL, Phillips TM, (1998), Immunologic function and survival in hemodialysis patients, Cooper publishing group publication p: 236- 244