Search
Search
Close this search box.

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

  • Ammirati, A. L. Chronic kidney disease. Rev. Assoc. Med. Bras. (1992) 66(1), 3–9 (2020).


    Google Scholar
     

  • Maïga, D. et al. Epidemiological and clinical aspects of chronic renal failure in the Medical Department at the Hospital of Sikasso. Open J. Nephrol. 13(1), 57–66 (2023).


    Google Scholar
     

  • Kovesdy, C. P. Epidemiology of chronic kidney disease: An update 2022. Kidney Int. Suppl. 12(1), 7–11 (2022).

    Article 

    Google Scholar
     

  • Alipor, A., Yasari, F., Khodakarim, S. & Shokri, A. Epidemiologic pattern of patients with chronic renal failure and related factors in hemodialysis patients of Shahid Ayatollah Ashrafi Esfahani Hospital in Tehran in 2017. J. Res. Urol. 2(3), 13–19 (2018).

    Article 

    Google Scholar
     

  • Sacadura, M. C. & Almeida, H. Are human needs fulfilled in treatment adherence in hemodialysis? A crossover between social work and neurology. Neuro Res. 4(1), 1–8 (2022).

    Article 

    Google Scholar
     

  • Ahmadi, M. et al. Geographical accessibility to the hemodialysis centers in Ardabil Iran. J. Nephropharmacol. 11(2), e14 (2022).

    Article 

    Google Scholar
     

  • Himmelfarb, J. & Ikizler, T. A. Hemodialysis. N. Engl. J. Med. 363(19), 1833–1845 (2010).

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Rhee, C. M. et al. Nutritional and dietary management of chronic kidney disease under conservative and preservative kidney care without dialysis. J. Renal Nutr. 33, S56–S66 (2023).

    Article 
    CAS 

    Google Scholar
     

  • Motedayen, M., Sarokhani, D., Ghiasi, B., Khatony, A. & Dehkordi, A. H. Prevalence of hypertension in renal diseases in Iran: Systematic review and meta-analysis. Int. J. Prev. Med. 10, 124 (2019).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Ghiasi, B., Sarokhani, D., Dehkordi, A. H., Sayehmiri, K. & Heidari, M. H. Quality of Life of patients with chronic kidney disease in Iran: Systematic review and meta-analysis. Indian J. Palliat. Care 24(1), 104 (2018).

    PubMed 
    PubMed Central 

    Google Scholar
     

  • Davey, C. H., Webel, A. R., Sehgal, A. R., Voss, J. G. & Huml, A. M. Fatigue in individuals with end-stage renal disease. Nephrol. Nurs. J. 46(5), 497 (2019).

    PubMed 
    PubMed Central 

    Google Scholar
     

  • Gregg, L. P., Bossola, M., Ostrosky-Frid, M. & Hedayati, S. S. Fatigue in CKD: Epidemiology, pathophysiology, and treatment. Clin. J. Am. Soc. Nephrol. 16(9), 1445–1455 (2021).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Tsirigotis, S. et al. Factors associated with fatigue in patients undergoing hemodialysis. Cureus J. Med. Sci. 14(3), e22994 (2022).


    Google Scholar
     

  • Zuo, M. et al. The impact of nurse-led nonpharmacological multidisciplinary holistic nursing care on fatigue patients receiving hemodialysis: A randomized, parallel-group, controlled trial. BMC Nurs. 21(1), 352 (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Sharifi, S., Navidian, A., Jahantigh, M. & Lori, A. S. Investigating the impact of foot reflexology on the severity of fatigue in patients undergoing hemodialysis: A clinical trial study. Med.-Surg. Nurs. J. 7(1), 81364 (2018).


    Google Scholar
     

  • Theofilou, P. Medication adherence in greek hemodialysis patients: The contribution of depression and health cognitions. Int. J. Behav. Med. 20(2), 311–318 (2013).

    Article 
    PubMed 

    Google Scholar
     

  • Lee, C.-H. & Giuliani, F. The role of inflammation in depression and fatigue. Front. Immunol. 10, 1696 (2019).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Rehman, I. U., Chan, K. G., Munib, S., Lee, L. H. & Khan, T. M. The association between CKD-associated pruritus and quality of life in patients undergoing hemodialysis in Pakistan: A STROBE complaint cross-sectional study. Medicine. 98(36), e16812 (2019).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Osakwe, N. & Hashmi, M. F. Uremic Pruritus Evaluation and Treatment. Copyright © 2022 (StatPearls Publishing LLC, 2022).

  • Gül, D. T. & Akca, N. K. Effects of uremic pruritus on dermatological and kidney disease quality of life in patients receiving hemodialysis. Med. Rec. 5(2), 196–203 (2023).


    Google Scholar
     

  • Rehman, I. U. et al. Chronic kidney disease-associated pruritus and quality of life in Malaysian patients undergoing hemodialysis. Ther. Apher. Dial. 24(1), 1725 (2020).

    Article 

    Google Scholar
     

  • Zhang, L. et al. Acupuncture for uremic pruritus: A systematic review and meta-analysis. J. Pain Symptom Manag. 65(1), 51–62 (2023).

    Article 

    Google Scholar
     

  • Bossola, M. editor. Xerostomia in patients on chronic hemodialysis: An update. In Seminars in Dialysis (Wiley Online Library, 2019).

  • Kara, B. Determinants of thirst distress in patients on hemodialysis. Int. Urol. Nephrol. 48(9), 1525–1532 (2016).

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Bossola, M., Calvani, R., Marzetti, E., Picca, A. & Antocicco, E. Thirst in patients on chronic hemodialysis: What do we know so far?. Int. Urol. Nephrol. 52(4), 697–711 (2020).

    Article 
    PubMed 

    Google Scholar
     

  • Lestari, S., Kuswadi, I. & Prasanto, H. Management of thirst in hemodialysis patients in primary services. Rev. Prim. Care Pract. Educ. (Kajian Praktik dan Pendidikan Layanan Primer). 4(3), 568 (2021).


    Google Scholar
     

  • Rikos, N. et al. Investigation of perception of quality of life and psychological burden of patients undergoing hemodialysis-quality of life of hemodialysis patients. Nurs. Rep. 13(3), 1331–1341 (2023).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Johnson, J. P., McCauley, C. R. & Copley, J. B. The quality of life of hemodialysis and transplant patients. Kidney Int. 22(3), 286–291 (1982).

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Kimmel, P. L. & Patel, S. S, editors. Quality of life in patients with chronic kidney disease: Focus on end-stage renal disease treated with hemodialysis. In Seminars in Nephrology (Elsevier, 2006).

  • Marthoenis, M. et al. Quality of life, depression, and anxiety of patients undergoing hemodialysis: Significant role of acceptance of the illness. Int. J. Psychiatry Med. 56(1), 40–50 (2021).

    Article 
    PubMed 

    Google Scholar
     

  • Yonata, A., Islamy, N., Taruna, A. & Pura, L. Factors affecting quality of life in hemodialysis patients. Int. J. Gen. Med. 2022, 7173–7178 (2022).

    Article 

    Google Scholar
     

  • Moridi, R., Soltani, R., Khorsandi, M. & Almasi, A. Investigating the quality of life and factors affecting it in chronic kidney failure patients undergoing hemodialysis in the hospitals of Borujerd City in the year 1401. Daneshvar Med. Basic Clin. Res. J. 30(3) (2022).

  • Naderifar, M., Zagheri Tafreshi, M., Ilkhani, M., Akbarizadeh, M. R. & Ghaljaei, F. Correlation between quality of life and adherence to treatment in hemodialysis patients. J. Renal Inj. Prev. 8(1), 22–27 (2019).

    Article 

    Google Scholar
     

  • Demir, G. & Efil, S. Adherence to the Treatment and Nursing in View of Individuals Receiving Hemodialysis Treatment 292–298 (International Antalya Scientific Research and Innovative Studies Congress Antalya, 2022).


    Google Scholar
     

  • Piña, I. L. et al. Medication adherence: Importance, issues, and policy: A policy statement from the American Heart Association. Prog. Cardiovasc. Dis. 64, 111–120 (2021).

    Article 
    PubMed 

    Google Scholar
     

  • Ebrahim, M., Beydokhti, T. B., Akbari, A. & Moghaddam, R. S. Effect of family-centered empowerment model on diet adherence in hemodialysis patients. J. Shahid Sadoughi Univ. Med. Sci. https://doi.org/10.18502/ssu.v29i12.8975 (2022).

    Article 

    Google Scholar
     

  • Pazirofteh, S., Alilu, L., Habibzade, H. & Rasoli, J. The effect of an educational program based on the teach-back method on adherence to diet and fluid restriction in hemodialysis patients referring to the educational-treatment centers of Urmia Medical Science University in 2020. 87–96 (2021).

  • Umeukeje, E. M., Mixon, A. S. & Cavanaugh, K. L. Phosphate-control adherence in hemodialysis patients: Current perspectives. Patient Prefer. Adherence. 12, 1175–1191 (2018).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Gurning, L., Purba, J. M. & Siregar, C. T. Influence of low-sodium diet management on thirst response in end stage renal disease patients with hemodialysis. Belitung Nurs. J. 4(2), 128–134 (2018).

    Article 

    Google Scholar
     

  • Malini, H. et al. The effect of intradialytic range of motion exercise on dialysis adequacy and fatigue in hemodialysis patients. J. Nurs. Res. 30(4), e221 (2022).

    Article 
    PubMed 

    Google Scholar
     

  • Motonishi, S., Tanaka, K. & Ozawa, T. Iron deficiency associates with deterioration in several symptoms independently from hemoglobin level among chronic hemodialysis patients. PLoS ONE. 13(8), 0201662 (2018).

    Article 

    Google Scholar
     

  • Mohamedi, S. & Mosha, I. H. Hemodialysis therapy adherence and contributing factors among end-stage renal disease patients at Muhimbili National Hospital, Dar es Salaam, Tanzania. Kidney Dial. 2(1), 12330 (2022).


    Google Scholar
     

  • Rahdar, Z. et al. Probing the relationship between treatment regimen compliance and the quality of life in hemodialysis patients: A descriptive-analytic study. Med.-Surg. Nurs. J. 8 (2019).

  • Nugroho, F. A., Rahmawati, D. A. & Rahmadhani, H. T. Y. editors. Adherence to fluid restriction and quality of life in patients with chronic kidney failure. In Proceedings of the 2nd Borobudur International Symposium on Humanities and Social Sciences, Magelang, Central Java, Indonesia (2021).

  • Liu, M. W., Syukri, M., Abdullah, A. & Chien, L.-Y. Missing in-center hemodialysis sessions among patients with end-stage renal disease in Banda Aceh, Indonesia. Int. J. Environ. Res. Public Health. 18(17), 9215 (2021).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Mechta Nielsen, T., Frøjk Juhl, M., Feldt-Rasmussen, B. & Thomsen, T. Adherence to medication in patients with chronic kidney disease: A systematic review of qualitative research. Clin. Kidney J. 11(4), 513–527 (2018).

    Article 
    PubMed 

    Google Scholar
     

  • Cheng, T. Y., Tarng, D. C., Liao, Y. M. & Lin, P. C. Effects of systematic nursing instruction on a low-phosphorus diet, serum phosphorus level and pruritus of patients on hemodialysis. J. Clin. Nurs. 26(34), 48594 (2017).


    Google Scholar
     

  • Putri, N. S., Sukartini, T. & Efendy, F. Fluid adherence level among patients undergoing with hemodialysis. Int. J. Nurs. Health Serv. 2(4), 320–325 (2019).


    Google Scholar
     

  • Ozkan, I. & Taylan, S. Diet and fluid restriction experiences of patients on hemodialysis: A meta-synthesis study. Revista de Nefrología, Diálisis y Trasplante. 42(1), 22–40 (2022).


    Google Scholar
     

  • Colombijn, J. M. T. et al. Impact of phosphate binders on quality of life in dialysis patients: Results from the prospective Dutch Nocturnal and Home dialysis Study To Improve Clinical Outcomes study. Nephrology 27(10), 834–844 (2022).

    Article 
    CAS 
    PubMed 

    Google Scholar
     

  • Klein, K. B. et al. Adherence to drug treatments in patients with chronic kidney disease on hemodialysis. Mundo saúde (Impr). 43, 800–813 (2019).

    Article 

    Google Scholar
     

  • Bai, Y. L., Chang, Y. Y., Chiou, C. P. & Lee, B. O. Mediating effects of fatigue on the relationships among sociodemographic characteristics, depression, and quality of life in patients receiving hemodialysis. Nurs. Health Sci. 21(2), 231–238 (2019).

    Article 
    PubMed 

    Google Scholar
     

  • Cho, O. H., Hong, I. & Kim, H. Effect of uncertainty in illness and fatigue on health-related quality of life of patients on dialysis: A cross-sectional correlation study. Healthcare. 10(10), 2043 (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Shetty, D. et al. Uremic pruritus: Prevalence, determinants, and its impact on health-related quality of life and sleep in Indian patients undergoing hemodialysis. Irish J. Med. Sci. 1–7 (2023).

  • Van der Willik, E. M. et al. Itching in dialysis patients: Impact on health-related quality of life and interactions with sleep problems and psychological symptoms—results from the RENINE/PROMs registry. Nephrol. Dial. Transpl. 37(9), 1731–1741 (2022).

    Article 

    Google Scholar
     

  • Fan, W.-F., Zhang, Q., Luo, L.-H., Niu, J.-Y. & Gu, Y. Study on the clinical significance and related factors of thirst and xerostomia in maintenance hemodialysis patients. Kidney Blood Press. Res. 37(45), 46474 (2013).


    Google Scholar
     

  • Sabouri, F., Rambod, M. & Khademian, Z. The effect of positive thinking training on hope and adherence to treatment in hemodialysis patients: A randomized controlled trial. BMC Psychol. 11(1), 6 (2023).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • García-Llana, H., Remor, E. & Selgas, R. Adherence to treatment, emotional state and quality of life in patients with end-stage renal disease undergoing dialysis. Psicothema. 25(1), 79–86 (2013).

    PubMed 

    Google Scholar
     

  • Pooresmaeil, M., Iranpour, S. & Aghamohammadi, M. Effects of a nurse-led structured home visiting program on quality of life and adherence to treatment in hemodialysis patients. Front. Public Health. 11, 1013019 (2023).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Tesfaye, W. H. et al. Medication adherence, burden and health-related quality of life in adults with predialysis chronic kidney disease: A prospective cohort study. Int. J. Environ. Res. Public Health. 17(1), 371 (2020).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Varghese, C. S., Naik, H. K., Sangeetha, R. & Srinivasan, R. A study on medication adherence and quality of life in patients with chronic kidney disease. J. Drug Deliv. Ther. 10(3), 52–60 (2020).

    Article 

    Google Scholar
     

  • Alikari, V. et al. The impact of education on knowledge, adherence, and quality of life among patients on hemodialysis. Qual. Life Res. 28(1), 73–83 (2019).

    Article 
    PubMed 

    Google Scholar
     

  • Cwiekala-Lewis, K., Parkyn, B. H. & Modliszewska, K. Analysis of University of California in San Francisco (UCSF) symptom management theory and theory implication for persons with neurological disorders/diseases. Pielęgniarstwo Neurologiczne i Neurochirurgiczne. 6(2), 55–65 (2017).


    Google Scholar
     

  • Corless, I. B. et al. The impact of stressful life events, symptom status, and adherence concerns on quality of life in people living with HIV. J. Assoc. Nurses AIDS Care. 24(6), 478–490 (2013).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Mathew, A., Doorenbos, A. Z. & Vincent, C. Symptom management theory: Analysis, evaluation, and implications for caring for adults with cancer. ANS Adv. Nurs. Sci. 44(3), E93-e112 (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Miaskowski, C. & Aouizerat, B. E. Is there a biological basis for the clustering of symptoms?. Semin. Oncol. Nurs. 23(2), 99–105 (2007).

    Article 
    PubMed 

    Google Scholar
     

  • Feldman, R. et al. Improving symptom management in hemodialysis patients: Identifying barriers and future directions. J. Palliat. Med. 16(12), 1528–1533 (2013).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Rhee, C. M. et al. Living well with kidney disease and effective symptom management: Consensus conference proceedings. Kidney Int. Rep. 7(9), 1951–1963 (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Zhou, M., Gu, X., Cheng, K., Wang, Y. & Zhang, N. Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients: A cross-sectional study. BMC Nephrol. 24(1), 115 (2023).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Kalantar-Zadeh, K. et al. Patient-centered approaches for the management of unpleasant symptoms in kidney disease. Nat. Rev. Nephrol. 18(3), 185–198 (2022).

    Article 
    PubMed 

    Google Scholar
     

  • Mehrotra, R. et al. Managing the symptom burden associated with maintenance dialysis: Conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney Int. 104(3), 441–454 (2023).

    Article 
    PubMed 

    Google Scholar
     

  • Westland, J. C. Lower bounds on sample size in structural equation modeling. Electronic commerce research and applications. 9(6), 476–487 (2010).

    Article 

    Google Scholar
     

  • Sun, S., Pan, W. & Wang, L. L. A comprehensive review of effect size reporting and interpreting practices in academic journals in education and psychology. J. Educ. Psychol. 102(4), 989 (2010).

    Article 

    Google Scholar
     

  • Michielsen, H. J., De Vries, J. & Van Heck, G. L. Psychometric qualities of a brief self-rated fatigue measure: The Fatigue Assessment Scale. J. Psychosom. Res. 54(4), 345–352 (2003).

    Article 
    PubMed 

    Google Scholar
     

  • Lookzadeh, S. et al. Evaluation of the reliability and validity of the Persian version of the fatigue assessment scale in Iranian sarcoidosis patients. Open Access Maced. J. Med. Sci. 6(7), 1310 (2018).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Welch, J. L. & Molzahn, A. E. Development of the thirst distress scale/commentary and response. Nephrol. Nurs. J. 29(4), 337 (2002).

    PubMed 

    Google Scholar
     

  • Reich, A., Bożek, A., Janiszewska, K. & Szepietowski, J. C. 12-item pruritus severity scale: development and validation of new itch severity questionnaire. BioMed Res Int. 2017, 1–7 (2017).

    Article 

    Google Scholar
     

  • Esmaeili, A., Abbasi, M. R. & Namazi, S. Validity and reliability of a Persian version of the 12-Item Pruritus Severity Scale in hemodialysis patients with uremic pruritus. Iran J. Dermatol. 24, 73–79 (2021).


    Google Scholar
     

  • Ware, J. E. Jr., Kosinski, M. & Keller, S. D. A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Med. Care. 34(3), 220–233 (1996).

    Article 
    PubMed 

    Google Scholar
     

  • Montazeri, A., Vahdaninia, M., Mousavi, S. J. & Omidvari, S. The Iranian version of 12-item Short Form Health Survey (SF-12): Factor structure, internal consistency and construct validity. BMC Public Health. 9(1), 110 (2009).

    Article 

    Google Scholar
     

  • Alikari, V. et al. A modified version of the Greek Simplified Medication Adherence Questionnaire for hemodialysis patients. Health Psychol. Res. https://doi.org/10.4081/hpr.2017.6647 (2017).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Hou, D., Al-Tabbaa, A., Chen, H. & Mamic, I. Factor analysis and structural equation modeling of sustainable behavior in contaminated land remediation. J. Clean. Prod. 84, 439–449 (2014).

    Article 
    CAS 

    Google Scholar
     

  • Hosseini, L., Sharif Nia, H. & Ashghali, F. M. Development and psychometric evaluation of family caregivers’ hardiness scale: a sequential-exploratory mixed-method study. Front. Psychol. 13, 807049 (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Pahlevan Sharif, S. et al. Retaining nurses via organizational support and pay during COVID-19 pandemic: The moderating effect between intrinsic and extrinsic incentives. Nurs. Open. 10(1), 123–134 (2023).

    Article 
    PubMed 

    Google Scholar
     

  • Molaie, E. et al. Anxiety, depression and quality of sleep related to fatigue in patients undergoing hemodialysis. J. Res. Dev. Nurs. Midwifery. 11(1), 99–107 (2014).


    Google Scholar
     

  • Cahyati, Y. & Rosdiana, I. Contribution of anxiety and dialysis factors to the event of fatigue in hemodialysis patient. Enfermería Nefrológica. 25(2), 156–161 (2022).

    Article 

    Google Scholar
     

  • Al Naamani, Z., Gormley, K., Noble, H., Santin, O. & Al, M. M. Fatigue, anxiety, depression and sleep quality in patients undergoing hemodialysis. BMC Nephrol. 22(1), 157 (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Burdelis, R. E. M. & Cruz, F. Prevalence and predisposing factors for fatigue in patients with chronic renal disease undergoing hemodialysis: A cross-sectional study. Sao Paulo Med. J. 141(5), e2022127 (2023).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Cukor, D., Unruh, M., McCurry, S. M. & Mehrotra, R. The challenge of insomnia for patients on hemodialysis. Nat. Rev. Nephrol. 17(3), 147–148 (2021).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Joshwa, B., Khakha, D. C. & Mahajan, S. Fatigue and depression and sleep problems among hemodialysis patients in a tertiary care center. Saudi J. Kidney Dis. Transpl. 23(4), 729–735 (2012).

    Article 
    PubMed 

    Google Scholar
     

  • Murdeshwar, H. N. & Anjum, F. Hemodialysis. StatPearls. Treasure Island (FL) ineligible companies. Disclosure: Fatima Anjum declares no relevant financial relationships with ineligible companies. StatPearls Publishing Copyright © 2023 (StatPearls Publishing LLC., 2023).

  • Shirazian, S. et al. Chronic kidney disease-associated pruritus: Impact on quality of life and current management challenges. Int. J. Nephrol. Renovasc. Dis. 10, 1126 (2017).

    Article 

    Google Scholar
     

  • Esteve-Simó, V. et al. Chronic Kidney disease-associated pruritus and quality of life: Learning from our patients. J. Clin. Med. 12(13), 4505 (2023).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • López-Pintor, R. M., López-Pintor, L., Casañas, E., de Arriba, L. & Hernández, G. Risk factors associated with xerostomia in hemodialysis patients. Med. Oral. Patol. Oral Cir. Bucal. 22(2), e185–e192 (2017).

    PubMed 
    PubMed Central 

    Google Scholar
     

  • Oliveira, L. M. et al. Xerostomia impacts oral health-related quality of life in individuals with end-stage renal disease. RGO-Revista Gaúcha de Odontologia. 71, e20230023 (2023).

    Article 

    Google Scholar
     

  • Butt, M. D. et al. Assessment of health-related quality of life, medication adherence, and prevalence of depression in kidney failure patients. Int. J. Environ. Res. Public Health. 19(22), 15266 (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Hou, Y., Li, L., Zhou, Q., Wang, G. & Li, R. Relationships between social capital, patient empowerment, and self-management of patients undergoing hemodialysis: a cross-sectional study. BMC Nephrol. 23(1), 71 (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Kustimah, K., Siswadi, A. G. P., Djunaidi, A. & Iskandarsyah, A. Factors affecting non-adherence to treatment in End stage renal disease (ESRD) patients undergoing hemodialysis in Indonesia. Open Psychol. J. 12(1), 141–146 (2019).

    Article 

    Google Scholar
     

  • Alvarez, L. et al. Intradialytic symptoms and recovery time in patients on thrice-weekly in-center hemodialysis: A cross-sectional online survey. Kidney Med. 2(2), 125–130 (2020).

    Article 
    PubMed 

    Google Scholar
     

  • Tinôco, J. D. D. S. et al. Pruritus in hemodialysis patients: association with phosphorus intake and serum calcium level. Revista Gaúcha de Enfermagem. https://doi.org/10.1590/1983-1447.2018.2017-0081 (2018).

    Article 
    PubMed 

    Google Scholar
     

  • Santos-Alonso, C. et al. Pruritus in dialysis patients. Review and new perspectives. Nefrología (Engl. Ed.) 42(1), 15–21 (2022).

    Article 
    PubMed 

    Google Scholar
     

  • Nagasawa, H. et al. The effect of quality of life on medication compliance among dialysis patients. Front. Pharmacol. 9, 488 (2018).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Mailani, F. et al. The fluid management experience in patients with chronic kidney disease undergoing hemodialysis in Indonesia: A qualitative study. Nurse Med. J. Nurs. 11, 389–403 (2021).

    Article 

    Google Scholar