The Effect of the Hemodialysis Practice on the Dialysis Patients’ Sexual Functions

Year 2022, , 494 - 501, 29.10.2022

Alev Yıldırım Keskin , Sibel Şentürk

https://doi.org/10.54005/geneltip.1115090

Cited By: 1

Abstract

Objective: This study aims to analyze the effect of the hemodialysis practice on the patients’ sexual functions and sexual experiences.
Materials and Methods: Designed as phenomenological research, the study was performed with 19 patients who had hemodialysis treatment from 20 January 2021 to 20 February 2021 and agreed to participate in the study. The research data were collected by using individual in-depth interviews, the researchers’ notes, and patients’ personal notes. The ‘Patient Information Form’ and the semi-structured ‘Interview Form’ were used as the data collection tools.
Results: The research data were examined thematically by using the content analysis method. The participant patients’ mean age was found as 54.31±15.21 years. As per the content analysis, the sub-theme, ‘an indispensable part of life’, was identified under the theme of ‘the meaning of sexuality’ while seven sub-themes, ‘the loss of sexual drive and the sexual dissatisfaction/failure to have pleasure in sex’, ‘the fear of damaging the fistula or catheter during sexual intercourse’, ‘the fall in the frequency of sexual intercourse and the end of sex life’, ‘the erection problems due to additional diseases’, ‘the refusal to have sexual intercourse due to hemodialysis-based fatigue’, ‘the religious requirements to be met following the sexual intercourse’, and ‘the sexual avoidance during the COVID-19 pandemic’, were categorized under the theme of ‘the effects of hemodialysis on sex life’.
Conclusion: In the study, it was found that the hemodialysis affected the participant patients’ sex lives negatively. Thus, it was concluded that the hemodialysis patients needed psychological support.

Keywords

Hemodialysis, sexual function, phenomelogical approach, Turkey

Project Number

yok

References

• 1. Hill NR, Fatoba ST, Oke JL, Hirst JA, O’Callaghan CA, Lasserson DS, Hobbs FD. Global prevalence of chronic kidney disease - a systematic review and meta-analysis. PLoS One. 2016; 6:11(7):e0158765.
• 2. Ovayolu N, Ovayolu Ö. Basic internal medicine nursing and chronic diseases with different dimensions, 1st edition. Adana, Çukurova Nobel Medicine Bookstore. 2016; 350-390.
• 3. Türk Nefroloji Derneği (TND, Registry Report). Regıstry of The Nephrology, Dıalysıs And Transplantatıon In Turkey (2020). https://www.nefroloji.org.tr/folders/file/registry_2019.pdf. Accessed 12 May 2021.
• 4. Göriş S, Bilgi N. Sexual dysfunction and nursing care in patients with end-stage renal disease. Journal of Nephrology Nursing. 2015; 10(1): 68-74.
• 5. Girişgen İ, Sönmez F, Yenisey Ç, Kurt İÖ. Hypertension and kidney injury in obese children. Turkish Journal of Nephrology Dialysis and Transplantation. 2016;25(2): 175- 181.
• 6. Esen B, Kahvecioğlu S, Atay AE, Özgen G, Okumuş MM, Seyahi N, Sit D, Kadıoğlu P. Evaluation of relationship between sexual functions, depression and quality of life in patients with chronic kidney disease at predialysis stage. Renal Failure. 2015;37(2): 262-267.
• 7. Hekmat R, Maghsudloo F, Mohebi M, Rezaee SA, Vakili R, Panah HR. A study of the main determinants of sexual dysfunction in women aged 15-45 years on chronic hemodialysis. Saudi Journal of Kidney Diseases and Transplantation. 2016; 27(5): 916-920.
• 8. Savadi H, Khaki M, Javnbakht M, Pourrafiee H. The ımpact of hemodialysis on sexual function in male patients using the ınternational ındex of erectile function questionnaire (IIEF). Electronic Physician. 2016;8(5):2371-2377.
• 9. Kim HJ, Doo WS, Kazandı YJ, Kwon HS, Song SE, Lee JH, Lim SI, Hwang H, Song SY. Association between the hemodialysis adequacy and sexual dysfunction in chronic renal failure: a preliminary study. BMC Urol. 2014; 8:14,4. doi: 10.1186/1471-2490-14-4.
• 10. Gorsane I, Amri N, Younsi F, Helal I, Kheder A. Erectile dysfunction in hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation. 2016;27(1): 23-28.
• 11. Sarı E, Usta MF. The relationship between erectile dysfunction and hyperhomocysteinemia in patients with chronic renal failure. Androl Bul. 2017;19(2): 33-39.
• 12. Lau LC, Adaikan PG, Vathsala A, Srilatha B, Wong ML, Tan CS, Deng X, Sran HK, Koh LH, Ma V. Clinical prevalence and associated factors of erectile dysfunction in patients undergoing haemodialysis. Ann Acad Med Singapore. 2018;47(2): 78-81.
• 13. Günalay S, Taşkıran E, Mergen H. Evaluation of non-compliance with diet and fluid restriction in hemodialysis patients. Istanbul Bilim University Florence Nightingale Medical Journal. 2017;3(1):9-14 .
• 14. Özyalvaçlı ME, Metin A. Sexual health in male patients with chronic renal failure. Andrology Bulletin.2015;17(61): 112-117.
• 15. Oliveira APB, Schmidt DB, Amatneeks TM, Santos J.Cd, Cavallet LHR, Michel RB. Quality of life in hemodialysis patients and the relationship with mortality, hospitalizations and poor treatment adherence. Brazilian Journal of Nephrology. 2016;38(4): 411-420.
• 16. Akyol AD. Investigation of factors affecting quality of life in hemodialysis patients. Journal of Nephrology Nursing. 2016;11(1):17-33.
• 17. Çiçek AU, Fettahoğlu EÇ, Özatala E, Sarı SA. Evaluation of sexually abused adolescents with repertory grid technique: A cross-sectional study. Cukurova Medical Journal. 2019;44(3):1007-1016.
• 18. Aker S, Yüksel S. Determination of factors affecting treatment compliance of hypertensive hemodialysis patients: Qualitative study. Journal of Human Sciences. 2016;13(3): 4389-4404.
• 19. Varol E, Sivrikaya SK. Quality of life and nursing in chronic renal failure. Journal of Duzce University Institute of Health Sciences. 2018;8(2): 89-96.
• 20. Oskay Ü. Sexual problems in gynecological cancer patients and the models and approaches used to solve these problems. Journal of Ege University Faculty of Nursing. 2019;31(1): 108-119.
• 21. Saglimbene V, Natale P, Palmer S, Scardapane M, Craig CJ, Ruospo M,…., Strippoli FMG. The prevalence and correlates of low sexual functioning in women on hemodialysis: A multinational, cross-sectional study. PLoS One. 2017;12(6): e0179511. doi: 10.1371/journal.pone.0179511.
• 22. Villarreal-Alvarez M, Garcia VFJ, Gonzalez CL, Corrales PJ, Rodriguez GJ, Ceria PD. Body Changes and Decreased Sexual Drive after Dialysis: A Qualitative Study on the Experiences of Women at an Ambulatory Dialysis Unit in Spain. Int J Environ Res Public Health. 2019;16(17): 3086. doi: 10.3390 / ijerph16173086.
• 23. Chiaranai C. The Lived Experience of Patients Receiving Hemodialysis Treatment for End-Stage Renal Disease: A Qualitative Study. J Nurs Res. 2016;24(2): 101-8. doi: 10.1097/jnr.0000000000000100.
• 24. Valsaraj PB, Bhat MS, Prabhu R, Dinesh N. A Qualitative Research on the Experience of Haemodialysis in South Karnataka: Lived Experience of Persons undergoing Haemodialysis. JKIMSU. 2014;3(2): 90-100.
• 25. Yıldırım A, Şimşek H. Qualitative research methods in the social sciences. 11th Edition, Seçkin Publishing.2018;100-427.
• 26. Wang W, Tang J., & Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. Journal of Medical Virology. 2020;92(4): 441–447. https://doi.org/10.1002/jmv.25689.
• 27. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W., ... Shi Z. L.A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020; 579: 270-273. https://doi.org/10.1038/s41586-020-2012-7.
• 28. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y I., … Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 2020;395(10223): 497–506. https://doi. org/10.1016/S0140-6736(20)30183-5.
• 29. Chaiviboontham S, Phinitkhajorndech N, Tiansaard J. Symptom Clusters in Patients with End-Stage Renal Disease Undergoing Hemodialysis. Int J Nephrol Renovasc Dis. 2020;13:297–305. doi: 10.2147/IJNRD.S271619.
• 30. Kenkin G, Gümüş BA, Yiğitoğlu TG. Sexual dysfunctions and related variables with sexual function in patients who undergo dialysis for chronic renal failure. Journal of Clinical Nursing.2018; 28(1-2): 257-269.
• 31. Palmer BF, Clegg DJ. Gonadal dysfunction in chronic kidney disease. Reviews in Endocrine and Metabolic Disorders. 2017;18 (1): 117 – 130.https://doi.org/10.1007/s11154-016-9385-9.
• 32. Almutary H, Bonner A, Douglas C. Which patients with chronic kidney disease have a greater symptom burden? A comparative study of advanced CKD stage and dialysis modality. J Ren Care. 2016; 42 (2): 73-82. doi:10.1111/jorc.12152.
• 33. Fleishman TT, Dreiher J, Shvartzman P. Patient-reported outcomes in maintenance hemodialysis: a cross-sectional, multicenter study Qual Life Res. 2020; 29(9): 2345-2354. doi: 10.1007/s11136-020-02508-3.
• 34. Aribi L, Masmoudi R, Ben Houidi A, Charfeddine F, Jarraya F, Hachicha J, & Amami O. Sexual disorder in hemodialysis patients. La tunisie Medicale. 2015;93(2): 79– 84.
• 35. Ören, M., Kızıltepe, R., Özekes, BÇ. Sexuality in old age. Ege Medical Journal. 2016; 55:38-44.
• 36. Antonucci M, Palermo G, Recupero SM, Bientinesi R, Presicce F, Foschi, N, Bassi PF, Gulino G. Male sexual dysfunction in patients with chronic end-stage renal insufficiency and in renal transplant recipients. Archivio Italiano di Urologia e Andrologia. 2015;87(4): 299-305.
• 37. McCabe PM, Sharlip DI, Lewis R, Atalla E, Balon R, Fisher DA, Laumann E, Lee WS, Segravares TR. Risk Factors for Sexual Dysfunction Among Women and Men: A Consensus Statement From the Fourth International Consultation on Sexual Medicine 2015 The Journal of Sexual Medicine. 2016;13(2): 153-167.
• 38. Kurtuluş FO, Salman MY, Fazlıoğlu A, Fazlıoğlu B. Effects of Renal Transplantation on Female Sexual Dysfunction: Comparative Study With Hemodialysis and a Control Group. Transplant Proc. 2017;49(9): 2099-210. doi: 10.1016/j.transproceed.2017.07.014.
• 39. Allon M. Vascular Access for Hemodialysis Patients. CJASN. 2019;14 (6): 954-961. DOI: https://doi.org/10.2215/CJN.00490119.
• 40. Şahin E, Satılmış Gİ. COVID-19 pandemisinde cinsellik ve cinsel sağlık. Androl Bul. 2020;22:249−253. doi: 10.24898/tandro.2020.24392.
• 41. Tetik S, Alkar YÖ. Sexual Health During the Corona Pandemic. Turkey Clinics Pandemic Pacicology. 2020;8-16.