Fatigue and Its Related Factors in Patients with Maintenance Hemodialysis_West China Medical Journal

Authors：

 YUWen-wen , CHENLin , DIAOYong-shu , WENYi , LIUXia , SHIMei , GONGLin-jie , JIANGXiao-lian

Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

Fatigue; Hemodialysis; Related factors

DOI：

10.7507/1002-0179.20150246

Video：

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Objective To examine the prevalence of fatigue and analyze its related factors in patients undertaking maintenance hemodialysis. Methods A total of 235 patients undertaking maintenance hemodialysis in West China Hospital were investigated from January to February 2013. The measures used in the study included Piper Fatigue Scale Revised and socio-demographic questionnaire. Results The prevalence of fatigue in hemodialysis patients was 83.4%. The rates of severe fatigue, moderate fatigue and low fatigue were 10.2%, 43.0% and 30.2%, respectively. The findings of univariate analysis indicated that patients with different age and sleep situation, with or without complications, with or without fatigue after dialysis reported different total fatigue scores. Conclusion The prevalence of fatigue is high in hemodialysis patients. Aged 60 years and above, with complications, poor sleep quality were significant factors related to fatigue in patients with hemodialysis.

Citation： YUWen-wen, CHENLin, DIAOYong-shu, WENYi, LIUXia, SHIMei, GONGLin-jie, JIANGXiao-lian. Fatigue and Its Related Factors in Patients with Maintenance Hemodialysis. West China Medical Journal, 2015, 30(5): 851-854. doi: 10.7507/1002-0179.20150246 Copy

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13.	楼爱仙, 章友芳. 维持性血液透析患者疲劳状况的调查分析[J]. 中国高等医学教育, 2013, 6:124-125.
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1. Castner D. Understanding the stages of chronic kidney disease[J]. Nursing, 2010, 40(5):24-31.
2. Horigan A, Rocchiccioli J, Trimm D. Dialysis and fatigue:implications for nurses-a case study analysis[J]. Med Surg Nurs, 2012, 21(3):158-163.
3. Horigan AE, Schneider SM, Docherty S, et al. The experience and self-management of fatigue in patients on hemodialysis[J]. Nephrol Nurs, 2013, 40(2):113-122.
4. Piper BF, Dibble SL, Dodd MJ, et al. The revised piper fatigue scale:psychometric evaluation in women with breast cancer[J]. J Oncol Nurs Forum, 1998, 25(4):677-684.
5. Biniaz V, Tayybi A, Nemati E, et al. Different aspects of fatigue experienced by patients receiving maintenance dialysis in hemodialysis units[J]. Nephro urol Mon, 2013, 5(4):897-900.
6. Unruh ML, Buysse DJ, Dew MA, et al. Sleep quality and its correlates in the first year of dialysis[J]. Clin J Am Soc Nephrol, 2006, 1(4):802-810.
7. 马祖, 郑智华, 张涤, 等. 华血液透析患者生存质量的多中心研究[J]. 中国血液净化, 2004, 7(3):380-396.
8. Horigan AE. Fatigue in hemodialysis patients:a review of current knowledge[J]. J Pain Symptom Manage, 2012, 44(5):715-724.
9. Liu HE. Fatigue and associated factors in hemodialysis patients in Taiwan[J]. Res Nurs Health, 2006, 29(1):40-50.
10. 申海艳, 宋春莲, 肖玲, 等. 血液透析患者疲倦水平及其影响因素调查分析[J]. 护理学杂志, 2011, 26(13):34-36.
11. Bonner A, Wellard S, Caltabiano M. Levels of fatigue in people with ESRD living in far North Queensland[J]. J Clin Nurs, 2008, 17(1):90-98.
12. Masoumi M, Naini AE, Aghaghazvini R, et al. Sleepquality in patients on maintenance hemodialysis and peritoneal dialysis[J]. Int J Prev Med, 2013, 4(2):165-172.
13. 楼爱仙, 章友芳. 维持性血液透析患者疲劳状况的调查分析[J]. 中国高等医学教育, 2013, 6:124-125.
14. Bossola M, Di Stasio E, Giungi S, et al. Fatigue is associated with serum interleukin-6 levels and symptoms of depression in patients on chronichemodialysis[J]. Pain Symptom Manage, 2015, 49(3):578-585.
15. Kutner NG, Zhang R, Huang Y, et al. Risk factors for frailty in a large prevalent cohort of hemodialysis patients.[J]. Am J Med Sci, 2014, 348(4):277-282.

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Fatigue and Its Related Factors in Patients with Maintenance Hemodialysis

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