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Gender-Specific Differences in Self-Care, Treatment-Related Symptoms, and Quality of Life in Hemodialysis Patients

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  • Claudia Lerma

    (Department of Electromechanical Instrumentation, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico)

  • Larissa I. Lima-Zapata

    (Department of Electromechanical Instrumentation, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico)

  • Jorge A. Amaya-Aguilar

    (Department of Nursing Research, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico)

  • Itzel Leonardo-Cruz

    (Department of Nursing Research, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico)

  • Monica Lazo-Sánchez

    (Department of Nursing Research, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico)

  • Luis A. Bermúdez

    (Centro Estatal de Hemodiálisis, Instituto Estatal de Cancerología, Colima 28000, Mexico)

  • Héctor Pérez-Grovas

    (Department of Nephrology, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico)

  • Abel Lerma

    (Institute of Health Sciences, Universidad Autónoma del Estado de Hidalgo, San Juan Tilcuautla, Pachuca 42160, Mexico)

  • Julio César Cadena-Estrada

    (Department of Nursing Research, National Institute of Cardiology Ignacio Chávez, Mexico City 14080, Mexico)

Abstract

Gender and sex differences affect women with kidney failure (KF) negatively at all stages of the disease. This study assessed gender differences in self-care, hemodialysis symptoms, and quality of life in a sample of 102 adult KF patients treated with hemodialysis, from two clinical centers in Mexico. Self-care agency, quality of life, and the symptoms related to hemodialysis were evaluated through questionnaires, and sociodemographic and laboratory variables were obtained from the clinical records. Compared to male patients, female patients reported similar self-care, lower quality of life subscales (symptoms, physical functioning, pain, and overall health), and higher prevalence and intensity of hemodialysis symptoms. There were gender differences regarding the correlation between self-care and quality of life, symptoms intensity, and symptoms prevalence. In conclusion, women with KF treated with hemodialysis perceived a higher impact of hemodialysis and reported a lower quality of life than men. Despite having a similar self-care agency, the self-care correlations with quality of life and hemodialysis symptoms appeared different between men and women treated with chronic hemodialysis. Such differences may be important in future nursing interventions to improve self-care and quality of life among KF patients.

Suggested Citation

  • Claudia Lerma & Larissa I. Lima-Zapata & Jorge A. Amaya-Aguilar & Itzel Leonardo-Cruz & Monica Lazo-Sánchez & Luis A. Bermúdez & Héctor Pérez-Grovas & Abel Lerma & Julio César Cadena-Estrada, 2021. "Gender-Specific Differences in Self-Care, Treatment-Related Symptoms, and Quality of Life in Hemodialysis Patients," IJERPH, MDPI, vol. 18(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13022-:d:699179
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    References listed on IDEAS

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    1. Shu‐Fang Vivienne Wu & Nan‐Chen Hsieh & Li‐Ju Lin & Juin‐Ming Tsai, 2016. "Prediction of self‐care behaviour on the basis of knowledge about chronic kidney disease using self‐efficacy as a mediator," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(17-18), pages 2609-2618, September.
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