HOW NURSES MANAGE FATIGUE IN KIDNEY CARE: AN INTERNATIONAL SURVEY

 

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HOW NURSES MANAGE FATIGUE IN KIDNEY CARE: AN INTERNATIONAL SURVEY

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Marques Shek Nam
Ng
Marques Shek Nam Ng marquesng@cuhk.edu.hk The Chinese University of Hong Kong The Nethersole School of Nursing Shatin Hong Kong, China *
Ana Elizabeth Figueiredo anaef@pucrs.br Pontifícia Universidade Católica do Rio Grande do Sul School of Nursing Porto Alegre Brazil -
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Fatigue is a common symptom in patients with kidney failure. There is room for improvement in terms of assessment and management of fatigue in routine kidney care. Understanding how nephrology nurses assess and manage this distressing symptom may shed light on the development of clinical guidelines for improving fatigue management. The study aims to evaluate nursing practice on management of fatigue in patients with kidney failure across countries and clinical settings.

A cross-sectional survey was conducted between December 2023 and July 2024. Qualified nurses providing care for patients with kidney failure were invited to complete an online survey. This survey was designed by the investigators to assess the frequency, competency, and challenges of manging fatigue. Data is presented with descriptive statistics.

Among the 144 consented participants, the majority had completed specialty training(75.7%) from Spain (26.4%), Mainland China (16.0%) and Hong Kong China (9.7%), and 17 other countries. Over 80% of them provided care for patients receiving haemodialysis with more than 10 years of experience in nephrology (mean = 14.4 years). While they often noticed patients with fatigue (59.7%), almost 60% of them did not frequently evaluate this symptom in daily practice. Most participants relied on clinical observation (84.7%) and patient self-report (64.6%) for assessing fatigue. Only 35% of participants often manage fatigue, and management strategies, including distraction, relaxation, and exercise, were developed primarily based on personal judgement (67.4%). Participants urged for additional training and clinical guidelines to support assessment and management of fatigue.

Findings from this study demonstrate the awareness of managing fatigue in kidney care among nurses. However, standards are lacking to guide the assessment and management of this distressful symptom in clinical practice. Clinical guidelines and educational strategies are warranted to support nurses for improving care of fatigue in patients with kidney failure.

Kewords