血液透析患者自我调节疲劳现状及影响因素分析

Status quo and Its Influencing Factors of Self-Regulating Fatigue in Hemodialysis Patients

摘要: 目的：调查血液透析患者自我调节疲劳现状，探讨影响血液透析患者自我调节疲劳的主要因素。方法：采用横断面研究、一般资料调查表、自我调节疲劳量表、知觉压力量表，对111例血液透析患者进行调查研究。结果：血液透析患者自我调节疲劳总分为(39.35 ± 5.879)分，知觉压力总分为(12.22 ± 5.396)分，血液透析患者自我调节疲劳水平受透析龄、原发疾病、合并疾病个数、生活自理情况的影响(P < 0.05)差异有统计学意义。多元线性回归分析显示血液透析患者透析龄、生活自理情况、知觉压力是影响患者自我调节疲劳水平的主要因素。结论：护理人员应了解血液透析患者自我调节疲劳水平及其主要影响因素，以此为依据制定符合血液透析患者特点的优质护理方案，从而减轻患者自我调节疲劳水平，提高生活质量。

Abstract: Objective: To explore the status quo and its influencing factors of self-regulating fatigue in hemodialysis patients. Methods: A cross-sectional study was conducted. The self-designed demographic questionnaire, the self-regulating fatigue scale (SRFS) and the perceived stress scale were delivered to 111 hemodialysis patients. Results: The self-regulating fatigue score of hemodialysis patients was (39.35 ± 5.879) and the perceived stress score was (12.22 ± 5.396). The level of self-regulating fatigue of hemodialysis patients was affected by long dialysis age, primary disease, number of complicated diseases, self-care condition. The results of multiple linear regression analysis showed that long dialysis age, self-care condition and the perceived stress were the main influencing factors self-regulating fatigue in hemodialysis patients. Conclusions: Medical staff should pay attention to the states quo of patients’ self-regulation fatigue and its influencing factors, nursing process to the influencing factors as the point to implement the nursing plan, by reducing the patient’s self-regulation fatigue to improve their quality of life.