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

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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.	樓愛仙, 章友芳. 維持性血液透析患者疲勞狀況的調查分析[J]. 中國高等醫學教育, 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.
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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. 馬祖, 鄭智華, 張滌, 等. 華血液透析患者生存質量的多中心研究[J]. 中國血液凈化, 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. 申海艷, 宋春蓮, 肖玲, 等. 血液透析患者疲倦水平及其影響因素調查分析[J]. 護理學雜志, 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. 樓愛仙, 章友芳. 維持性血液透析患者疲勞狀況的調查分析[J]. 中國高等醫學教育, 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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