Prevalence of Adverse Effects of Hemodialysis in Patients Dialyzing in Fatemeh Zahra Teaching Hospital, ۲۰۱۴

Background & Objectives: Hemodialysis is the most common treatment used in patients with end-stage renal disease, and it is associated with unpleasant and fatal side effects. This study, therefore, was performed to determine the complications occurring in dialyzing patients of Fatemeh Zahra Teaching Hospital, Sari, Iran. Materials and Methods: This descriptive analytical study was conducted on ۷۸ hemodialysis patients who were always dialyzing in the dialysis unit of Fatemeh Zahra Teaching Hospital for at least two times a week. The data collection tool was a self-designed questionnaire. Data analysis was done using descriptive statistics (mean and standard deviation) and performing t-test, ANOVA and Chi- Square tests, using SPSS version ۱۶. Results: The most common hemodialysis complications were muscle cramps (۵۱.۲۸%), pruritus (۴۱.۰۳%), headache (۳۲.۰۵%), hypotension (۲۳.۰۸%), back pain (۲۹.۴۹%), chest pain (۲۰.۵۱%), shortness of breath (۱۲.۸۲%), hypertension (۱۰.۲۶%), nausea and vomiting (۱۰.۲۵%), fever and chills (۵.۱۳%) and bleeding (۳.۸۵%). Conclusion: Considering the obtained results, hemodialysis complications can be prevented through precise regulation of the hemodialysis system (e.g., ultrafiltration pump, the pumping velocity and selecting the appropriate filter), considering the principles of nutrition and providing training for patients.

Keywords:

Chronic renal failure , Complications , End-stage renal disease , Hemodialysis , همودیالیز , عوارض نامطلوب , نارسایی مزمن کلیه , مرحله آخر بیمار کلیوی