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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="allergy-and-immunology" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">278</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2024.40502</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Allergy and Immunology</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Palliative Care Needs and Symptom Burden in Patients Undergoing Maintenance Hemodialysis: A Systematic Review&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Haneef</surname>
            <given-names>Sara</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Abdullah</surname>
            <given-names>Marwah</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>30</day>
        <month>05</month>
        <year>2024</year>
      </pub-date>
      <volume>4</volume>
      <issue>5</issue>
      <fpage>201</fpage>
      <lpage>215</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>While life-sustaining, hemodialysis imposes significant physical, emotional, and psychological burdens on patients. The integration of palliative care into the routine management of hemodialysis patients has shown promising benefits. Studies indicate that early palliative care intervention can significantly improve symptom control, enhance quality of life, and reduce hospital admissions and healthcare costs. By addressing the multifaceted needs of hemodialysis patients through palliative care, it is possible to enhance their quality of life significantly. This systematic review aims to synthesize the existing evidence on palliative care needs and symptom burden in hemodialysis patients, highlighting the critical role of palliative care in this vulnerable population. The inclusion criteria encompass studies focusing on adults undergoing maintenance hemodialysis. A quality assessment was performed using the Newcastle-Ottawa Scale to ensure the reliability and validity of findings. Findings highlight significant palliative care needs among hemodialysis patients and emphasize positive perceptions of palliative care interventions among patients underscoring their value while comfort-focused treatment, was prioritized defining the necessity for improved decision-making and access to palliative care services in dialysis settings. Additionally, research identified varied levels of palliative care needs among patients, with a notable proportion experiencing moderate to severe requirements. Furthermore, results of this study indicate the burden of symptoms among hemodialysis patients is extensive and diverse, encompassing issues like fatigue, pain, and itching, which are particularly pronounced among older individuals. These symptoms significantly impair patients__ampersandsign#39; quality of life. Moreover, symptom severity varies widely among patients, with certain symptoms such as sleep disturbances and itching posing significant challenges to patient comfort and well-being. These findings underscore the complex symptom management needs within the hemodialysis population. Future research should focus on standardizing measures of palliative care needs, evaluating the effectiveness of tailored interventions, and addressing gaps in current evidence to improve palliative care delivery and patient outcomes in hemodialysis settings.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>hemodialysis</kwd>
        <kwd> palliative</kwd>
        <kwd> care</kwd>
        <kwd> needs</kwd>
        <kwd> symptom</kwd>
        <kwd> burden</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>