| 黄碧红,曹艳佩.维持性血液透析患者疲乏现况及影响因素调查研究[J].上海护理,2016,16(3): |
| 维持性血液透析患者疲乏现况及影响因素调查研究 |
|
| DOI： |
| 中文关键词: 维持性血液透析 疲乏 影响因素 |
| 英文关键词:Hemodialysis, Fatigue, Influencing factors |
| 基金项目: |
|
| 摘要点击次数: 2448 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的：旨在了解维持性血液透析患者疲乏的现状，分析维持性血液透析患者疲乏的影响因素，为维持性血液透析患者疲乏的有效干预策略提供依据。方法：采取非概率抽样方法，应用疲乏评定量表调查维持性血液透析患者共140例。结果：65.6%的患者存在疲乏，其中17.2%的患者为中、重度疲乏。单因素分析显示，研究对象的疲乏状况与不同性别、透析过程中是否出现急性并发症、透析中不同的超滤量和体重增加百分比、CRP水平等因素存在差异。多因素Logistic回归分析显示，性别、有无并发症、CRP>8mg/l是疲乏的影响因素。结论：疲乏是维持性血液透析患者最常见的症状之一。患者在透析中需要关注急性并发症、超滤量和透析间期体重增加百分比，加强健康教育，提高透析质量，减少并发症的发生；在治疗时，要关注患者的微炎症状态，采取措施降低患者体内的微炎症水平。 |
| 英文摘要: |
| Objectives：This study is to describe the fatigue status of patients with maintenance hemodialysis explore the influencing factors of fatigue in these patients, and propose effective intervention measures to the fatigue of maintenance hemodialysis patients. This study is to describe the fatigue status of patients with maintenancehemodialysisexplore the influencing factors of fatigue in these patients, and propose effective intervention measures to the fatigue of maintenance hemodialysis patients. Methods This study is a descriptive study. 140 maintenancehemodialysis patients were recruited using a convenience sampling method The demographic questionnaire was completed by researchers when distributing questionnaires to patients. Questionnaires including fatigue assessment instrument (FAI).Results In this study, 65.6% of patients felt fatigue, and17.2% of patients felt moderate or heavy fatigue. Univariate analysis showed that the fatigue of patients was correlated with gender, acute complications during hemodialysis, ultrafiltration volume and proportion of weight gain during hemodialysis, CRP leve.It is found in logistic regression analysis that gender, complication, and CRP level were significant influencing factors of the fatigue of patients.Conclusionsit is recommended that the acute complications、dialysis ultrafiltration volume and Dialysis interphase weight percentageshould be evaluated and appropriate. Education should be strengthened to reduce the complications of hemodialysispatients. The micro-inflammation status of patients should be concerned during the process of therapy, and measures should be implemented to reduce the level of patients’micro-inflammation. |
| 查看/发表评论 下载PDF阅读器 全文HTML |
| 关闭 |
|
|
|
