Analysis of current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis patients_West China Medical Journal

Authors：

Lü Wenmei , CHEN Pengyu , ZENG Ying ,  YUAN Huaihong

Department of Nephrology, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YUAN Huaihong, Email: yuanhuaihong@wchscu.cn

Keywords：

Maintenance hemodialysis; self-regulatory fatigue; influencing factors

DOI：

10.7507/1002-0179.202205130

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis (MHD) patients, so as to provide good dialysis treatment for MHD patients, reduce their level of self-regulated fatigue and improve their quality of life. Methods The convenient sampling method was used to select the MHD patients in the Wenjiang Hemodialysis Center of West China Hospital of Sichuan University between April 12 and April 30, 2022. The patients were investigated by self-made basic information scale and self-regulatory fatigue scale. Results A total of 131 patients were included. The average score of self-regulatory fatigue was 53.47±6.45, cognitive dimension was 20.21±2.39, emotional dimension was 20.85±2.85, behavioral dimension was 12.40±3.63. The results of multiple linear stepwise regression analysis showed that age, duration of dialysis and educational background could inversely predict the score of self-regulatory fatigue (P<0.05). Conclusions MHD patients have a high level of self-regulatory fatigue. Clinical nurses can make individual dialysis programs according to the actual situation of MHD patients, improve their self-regulated level and physical and mental health, and improve the quality of life of MHD patients.

Citation： Lü Wenmei, CHEN Pengyu, ZENG Ying, YUAN Huaihong. Analysis of current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis patients. West China Medical Journal, 2022, 37(7): 1022-1026. doi: 10.7507/1002-0179.202205130 Copy

1.	李艷艷. 基于自我調節模式的血液透析患者疾病感知干預方案的研究. 鄭州: 鄭州大學, 2019.
2.	Higgins ET. The "self digest": self-knowledge serving self-regulatory functions. J Pers Soc Psychol, 1996, 71(6): 1062-1083.
3.	Nes LS, Ehlers SL, Whipple MO, et al. Self-regulatory fatigue in chronic multisymptom illnesses: scale development, fatigue, and self-control. J Pain Res, 2013, 6: 181-188.
4.	Nes LS, Carlson CR, Crofford LJ, et al. Self-regulatory deficits in fibromyalgia and temporomandibular disorders. Pain, 2010, 151(1): 37-44.
5.	Solberg Nes L, Ehlers SL, Patten CA, et al. Self-regulatory fatigue, quality of life, health behaviors, and coping in patients with hematologic malignancies. Ann Behav Med, 2014, 48(3): 411-423.
6.	Baumeister RF, Bratslavsky E, Muraven M, et al. Ego depletion: is the active self a limited resource?. J Pers Soc Psychol, 1998, 74(5): 1252-1265.
7.	Muraven M, Tice DM, Baumeister RF. Self-control as limited resource: regulatory depletion patterns. J Pers Soc Psychol, 1998, 74(3): 774-789.
8.	Solberg Nes L, Roach AR, Segerstrom SC. Executive functions, self-regulation, and chronic pain: a review. Ann Behav Med, 2009, 37(2): 173-183.
9.	程敏瓊, 秦嗪, 陳慧, 等. 宮頸癌放療患者自我調節疲乏與應對方式的研究. 實用臨床醫藥雜志, 2022, 26(6): 63-66, 71.
10.	高倩, 李曉敏, 孫王樂賢, 等. 自我調節疲勞對冠心病患者自我管理行為的影響. 中國慢性病預防與控制, 2019, 27(1): 38-42.
11.	Wang L, Yu Y, Tao T, et al. The self-care dilemma of type 2 diabetic patients: the mechanism of self-regulation resource depletion. PLoS One, 2018, 13(12): e0208690.
12.	徐凌霞, 李愛仙. 自我調節疲勞量表用于腹膜透析患者的信度效度分析. 護理學報, 2021, 28(20): 11-15.
13.	Nes LS, Ehlers SL, Whipple MO, et al. Self-regulatory fatigue: a missing link in understanding fibromyalgia and other chronic multisymptom illnesses. Pain Pract, 2017, 17(4): 460-469.
14.	Gao Y, Shan Y, Jiang T, et al. Dietary adherence, self-regulatory fatigue and trait self-control among Chinese patients with peritoneal dialysis: a cross-sectional study. Patient Prefer Adherence, 2021, 15: 443-451.
15.	李佳益. 2 型糖尿病患者自我調節疲勞、自我效能感與自我管理行為的相關性研究. 濟南: 山東大學, 2021.
16.	務俊寧. 結直腸癌化療患者自我調節疲勞狀況及其影響因素分析. 現代診斷與治療, 2022, 33(3): 433-435.
17.	Losso RL, Minhoto GR, Riella MC. Sleep disorders in patients with end-stage renal disease undergoing dialysis: comparison between hemodialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. Int Urol Nephrol, 2015, 47(2): 369-375.
18.	劉國鋒, 呂春曉, 閆紅霞, 等. 漯河市維持性血液透析患者睡眠障礙的多中心研究. 中國實用神經疾病雜志, 2016, 19(4): 53-55.
19.	Pourmotabbed A, Boozari B, Babaei A, et al. Sleep and frailty risk: a systematic review and meta-analysis. Sleep Breath, 2020, 24(3): 1187-1197.
20.	高夢琳, 曾英, 王雪, 等. 維持性血液透析患者衰弱影響因素分析及其與睡眠的相關性研究. 華西醫學, 2022, 37(2): 242-247.

1. 李艷艷. 基于自我調節模式的血液透析患者疾病感知干預方案的研究. 鄭州: 鄭州大學, 2019.
2. Higgins ET. The "self digest": self-knowledge serving self-regulatory functions. J Pers Soc Psychol, 1996, 71(6): 1062-1083.
3. Nes LS, Ehlers SL, Whipple MO, et al. Self-regulatory fatigue in chronic multisymptom illnesses: scale development, fatigue, and self-control. J Pain Res, 2013, 6: 181-188.
4. Nes LS, Carlson CR, Crofford LJ, et al. Self-regulatory deficits in fibromyalgia and temporomandibular disorders. Pain, 2010, 151(1): 37-44.
5. Solberg Nes L, Ehlers SL, Patten CA, et al. Self-regulatory fatigue, quality of life, health behaviors, and coping in patients with hematologic malignancies. Ann Behav Med, 2014, 48(3): 411-423.
6. Baumeister RF, Bratslavsky E, Muraven M, et al. Ego depletion: is the active self a limited resource?. J Pers Soc Psychol, 1998, 74(5): 1252-1265.
7. Muraven M, Tice DM, Baumeister RF. Self-control as limited resource: regulatory depletion patterns. J Pers Soc Psychol, 1998, 74(3): 774-789.
8. Solberg Nes L, Roach AR, Segerstrom SC. Executive functions, self-regulation, and chronic pain: a review. Ann Behav Med, 2009, 37(2): 173-183.
9. 程敏瓊, 秦嗪, 陳慧, 等. 宮頸癌放療患者自我調節疲乏與應對方式的研究. 實用臨床醫藥雜志, 2022, 26(6): 63-66, 71.
10. 高倩, 李曉敏, 孫王樂賢, 等. 自我調節疲勞對冠心病患者自我管理行為的影響. 中國慢性病預防與控制, 2019, 27(1): 38-42.
11. Wang L, Yu Y, Tao T, et al. The self-care dilemma of type 2 diabetic patients: the mechanism of self-regulation resource depletion. PLoS One, 2018, 13(12): e0208690.
12. 徐凌霞, 李愛仙. 自我調節疲勞量表用于腹膜透析患者的信度效度分析. 護理學報, 2021, 28(20): 11-15.
13. Nes LS, Ehlers SL, Whipple MO, et al. Self-regulatory fatigue: a missing link in understanding fibromyalgia and other chronic multisymptom illnesses. Pain Pract, 2017, 17(4): 460-469.
14. Gao Y, Shan Y, Jiang T, et al. Dietary adherence, self-regulatory fatigue and trait self-control among Chinese patients with peritoneal dialysis: a cross-sectional study. Patient Prefer Adherence, 2021, 15: 443-451.
15. 李佳益. 2 型糖尿病患者自我調節疲勞、自我效能感與自我管理行為的相關性研究. 濟南: 山東大學, 2021.
16. 務俊寧. 結直腸癌化療患者自我調節疲勞狀況及其影響因素分析. 現代診斷與治療, 2022, 33(3): 433-435.
17. Losso RL, Minhoto GR, Riella MC. Sleep disorders in patients with end-stage renal disease undergoing dialysis: comparison between hemodialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. Int Urol Nephrol, 2015, 47(2): 369-375.
18. 劉國鋒, 呂春曉, 閆紅霞, 等. 漯河市維持性血液透析患者睡眠障礙的多中心研究. 中國實用神經疾病雜志, 2016, 19(4): 53-55.
19. Pourmotabbed A, Boozari B, Babaei A, et al. Sleep and frailty risk: a systematic review and meta-analysis. Sleep Breath, 2020, 24(3): 1187-1197.
20. 高夢琳, 曾英, 王雪, 等. 維持性血液透析患者衰弱影響因素分析及其與睡眠的相關性研究. 華西醫學, 2022, 37(2): 242-247.

West China Medical Journal

Analysis of current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content