The Experience of "Feeling Cold" in Patients Undergoing In-Centre Haemodialysis.
Vivi de Fries Bjerrum, Johanne Weiers, Signe Heine Sørensen and 4 others
PMID 42508419WHAT IT FOUND
Patients on in-centre haemodialysis described feeling cold as a new distressing and unpredictable symptom that disrupted concentration home life and activities.
Some also had hot flashes after treatment. They coped with layers heat or distraction often without seeking help.
Key findings
01Participants described feeling cold as a new or changed symptom after kidney failure that varied from person to person.
02The symptom affected concentration, home temperature and activities, and some participants stopped swimming because cold water was intolerable.
03Some participants also described feeling hot, especially hot flashes after haemodialysis, which disrupted sleep.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Interviews took place during dialysis in a shared clinical space, so interruptions and other patients may have limited disclosure. The study was done in autumn, and the authors say summer findings might differ. Patients with kidney failure may have reduced cognition or memory, which could have affected recall. Interviews varied from 3.5 to 24 min, so some accounts were brief. Some interviewers had prior clinical relationships with participants, which may have affected responses. The study was done in one Danish-speaking satellite unit, so it may not apply to other settings.
Declared interests
The authors report no funding and declare no conflicts of interest.
The easy way to misread this
Do not read these themes as evidence that warming interventions relieve cold or that most dialysis patients feel cold. The study described 26 patients' experiences and did not test treatments or measure prevalence.