الفهرس 
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Abstract
Hemodialysis is a physically stressful procedure and most of the elderly patients will have fatigue. Fatigue is a common and debilitating symptom, affecting 42–89% of end-stage kidney disease patients. It is a complex, multidimensional, and multifactorial phenomenon with huge repercussions on functioning, quality of life and elderly patient outcomes.
Aim of the study: This study aimed to determine the relationship between fatigue and functional status of the elderly patients on hemodialysis.
Materials and Method : A descriptive co-relational research design was conducted at the hemodialysis unit at New Mansoura General Hospital in Mansoura city affiliated to the Ministry of Health. The data was collected from 110 hemodialysis elderly patients who corresponded to the inclusion criteria. Demographic and clinical data structured interview schedule, Katz and Akpom scale (1976) to assess the ability of the elderly to perform activities of daily living , Lawton and Brody scale of (1969) to assess the ability of the elderly to perform instrumental activities of daily living , The Multidimensional Fatigue Inventory Scale (MFI-20) to measure level of fatigue were used to achieve the purpose of the study.
Results:the study revealed that about half of the studied elderly (51.8%) have high level of fatigue and there is a significant correlation between fatigue and the functional status of the elderly patients on hemodialysis. The frequency of fatigue is high among hemodialysis patients. Overall, females have more fatigue than males when treated with hemodialysis. And there is no significant difference between age, marital status, residence, income and occupation with fatigue. there is correlation between fatigue and functional status, so fatigue has an effect on functional status of hemodialysis elderly patients. Recommendation:Hemodialysis nurses who deal with elderly patients must be taught that timely follow-up and evaluations of fatigue is essential to the care of patients.