International Journal of Research in Medical Sciences | April 2022 | Vol 10 | Issue 4 Page 808
International Journal of Research in Medical Sciences
Erandika NHG et al. Int J Res Med Sci. 2022 Apr;10(4):808-812
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
Relationship between knowledge and treatment satisfaction with
psychological well-being among haemodialysis patients:
a single center study
Naduni H. G. Erandika
1
*, Nadeeka S. Gunarathne
2
, Ayesha Nayanamali
3
,
Priyanthi S. Muthukuda
1
, Nishantha Nanayakkara
1
INTRODUCTION
Haemodialysis (HD) is one form of renal replacement
therapy (RRT) which has allowed longer survival of
patients with end-stage renal disease (ESRD).
1
HD is
associated with strong physical and psychological
stressors such as pain
2
, fluid restrictions
3
, and physical
activity limitations, lack of self-care and mood disasters.
4
The relationship between health staff and patients with
ESRD is a unique one. Because of that satisfaction with
care and caregivers is an important part which can be
directly affects to empower the quality of life (QoL).
1
Department of Nephrology and Transplant Unit, National Hospital, Kandy, Sri Lanka
2
Department of Nursing, Faculty of Allied Health Sciences, University of Peradeniya, Sri Lanka
3
Faculty of Nursing, University of Colombo, Sri Lanka
Received: 10 February 2022
Revised: 03 March 2022
Accepted: 11 March 2022
*Correspondence:
Naduni H. G. Erandika,
E-mail: hgnadunierandika@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Haemodialysis (HD) patients are subjected to bio-psychosocial stress in many ways even after successful
hemodialysis session. Therefore, this study was designed to survey on relationship between knowledge and treatment
satisfaction with psychological well-being among haemodialysis patients.
Methods: This cross-sectional study included 100 HD patients who were referred to emergency dialysis unit,
nephrology and transplant unit, National Hospital, Kandy during the year 2019. Data were collected using a self-
administered questionnaire.
Results: Mean age of this study group was 45.17 (13.6) years; two dominant etiologies of chronic renal failure were
diabetic nephropathy and hypertension accounting for nearly 61% of the study population. Only 19% of patients
presented with emotional suffering and 40% of patients worried about their disease condition. However, majority of the
patients satisfied with nursing care and nurses’ co-operation while they are on HD treatment. Moreover, they confirmed
nurses’ co-operation helped to reduce their stress level. Further, knowledge on HD compliance (p=0.000), satisfaction
on nursing staff attitudes (p=0.001), satisfaction on nursing staff concern about the health issues (p=0.001) and worrying
about the kidney disease condition (p=0.000) had statistically significant association with mental stress in this study
cohort.
Conclusions: The topic of stressors is very important among patients receiving dialysis, as these affect their psycho-
social and physiological wellbeing. Thus, health care team is playing an important role in providing patients with
effective psycho-social and physiological support.
Keywords: Haemodialysis, Knowledge, Treatment satisfaction, Mental stress
DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20220969