Palliative care needs and symptom burden in younger and older patients with end-stage renal disease undergoing maintenance hemodialysis: A cross-sectional study

• DOI: 10.1016/j.ijnss.2022.09.015
• Publication Date: 2022-10-04T21:33:35Z
• Authors: Xuefei Wang; Qiuyin Shi; Yongzhen Mo; Jing Liu; Yingying Yuan
• Keywords: Cross-sectional study; Demographics

To investigate the current situation of palliative care needs and symptom burden in patients with end-stage renal disease (ESRD) undergoing maintenance hemodialysis (MHD), to explore whether there are differences between younger older patients. This cross-sectional study was conducted centers two tertiary hospitals from November 2021 June 2022. Participants were selected by convenience sampling. Socio-demographics, clinical characteristics, Palliative Care Outcome Scale (POS), Dialysis Symptom Index (DSI), health-related quality life (EQ-5D-3L) used for evaluation. Descriptive statistics, between-group comparisons, correlation analysis analyze data. A total 236 enrolled, including 118 The median (P25, P75) POS score 16.0 (12.0, 23.0), higher (P < 0.01). mean number symptoms MHD 15.04 ± 5.06, overall severity 59.0 (52.0, 71.0); these scores group most common dry mouth (91.5%), followed itching (83.1%), skin (82.2%). Additionally, significantly associated (HRQOL). results showed that ESRD have a significant moderate needs, which more severe Therefore, interdisciplinary teams should be formed actively manage patients’ meet physical, psychological, social, spiritual related improve HRQOL.