Abstract
To assess the association between the comfort level of chronic hemodialysis patients with sociodemographic and clinical variables using the General Comfort Questionnaire. Cross-sectional study, with a quantitative approach, considering 180 chronic hemodialysis renal patients. Two instruments were used: one for sociodemographic and clinical variables; and the General Comfort Questionnaire, Brazilian version. Mann-Whitney's, Kruskal-Wallis's, and Spearman's tests were used for data analysis. The overall comfort level of patients was 78.16%. The socio-cultural domain presented the lowest level of comfort and the psychospiritual the highest level. Some variables were significantly associated with the domains, such as marital status, education, and considering oneself to be anxious. In the four domains of comfort, it was possible to identify patients' needs, such as the presence and intensity of pain, anxiety, constipation and type of access, making it possible to guide nurses in the systematization of care and improve the comfort of these patients.
Highlights
METHODSPatients with chronic kidney disease undergoing hemodialysis (HD) experience a series of changes and limitations that affect biological, psychological, and social aspects of their lives(1)
The routine imposed by treatment is exhaustive, as patients go to dialysis clinics two or three times a week for three to four hours/ session(2)
In the sociocultural domain, the variables that were associated with the comfort level were: source of income, marital status, educational level, and change in sleep patterns caused by pain.The association of the variable“source of income”with the level of comfort was evidenced by the fact that patients who still work have a better level of comfort (32.33 ± 5.80) when compared with those who have no income, are retired, and receive health welfare
Summary
METHODSPatients with chronic kidney disease undergoing hemodialysis (HD) experience a series of changes and limitations that affect biological, psychological, and social aspects of their lives(1). The routine imposed by treatment is exhaustive, as patients go to dialysis clinics two or three times a week for three to four hours/ session(2). This compromises the performance of their daily and work activities, generating financial dependence, in addition to impacting their quality of life (QoL)(3). Multidimensional construct and a basic human need(5). Theorist Katharine Kolcaba defines comfort as the immediate experience of feeling strengthened through the basic human needs of relief, tranquility, and transcendence, which are addressed in four contexts of experience (physical, psycho-spiritual, sociocultural, and environmental)(6)
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