Assessment of Physiological and Psychosocial Problems in Chronic Kidney Disease Patients with a View to Develop the Nursing Intervention Strategies

Any chronic illness is a potential life crisis for patients and their families. Chronic kidney disease is no different, in fact it is physical, psychosocial and economic burden to patient and family as well. One of the most important life-threatening chronic illnesses that are growing worldwide is chronic kidney disease. It is a gradual and progressive loss of the ability of the kidneys to function normally. The change is irreversible and is due to loss of nephron of kidney. Aim: the aim of study was to assess the physiological and psychosocial problems of chronic kidney disease patients in view to develop the nursing intervention strategies and to find the correlation between them.A quantitative(descriptive) approach was chosen for chronic kidney disease patients in dialysis unit of selected hospital of Ludhiana, Punjab. By using Purposive sampling technique chronic kidney disease patients who fulfilled the inclusion criteria were selected as samples. Physiological and psychosocial problems were assessed by interview schedule. mean age of subjects was 37-54yrs, males from nuclear families. Majority of the subjects were non-working (53.3%) with more than 36 months duration of treatment (53.3%), (53.3%) no of patients with stage iii chronic kidney disease and a greater number of patients found on stage iv (66.7%). conclusion: findings of the study revealed that two third of the subjects had insomnia11(73.3%), restless leg syndrome11(73.3%) and moderate to severe psychosocial problems like health awareness3(20%), occupational problems9(60%), family and social environment problems9(60%), financial problems7(46.7%) and psychological distress problems6(20%). Appropriate nursing intervention strategies need to be made to improve their quality of living