腹膜透析患者疲乏状况与应对方式的相关性

Correlation between fatigue and coping strategies among peritoneal dialysis patients

目的调查腹膜透析患者疲乏状况与应对方式的相关性，旨在提高患者健康意识，降低疲乏症状。方法采用一般资料调查表、医学应对方式问卷、中文版多维度疲乏量表对107例腹膜透析患者进行调查。结果患者疲乏状况平均得分为（79．18±1．52）分，处于较高水平，得分由高到低分别是透析≥5年、透析〈1年、1年≤透析〈5年的患者；患者主要采取面对的应对方式；相关性分析发现：面对与PD患者疲乏状况成负相关（r=－0．300，P〈0．05），回避、屈服与疲乏状况成正相关（r=0．227、0．300，均P〈0．05）。结论医护人员应鼓励患者采取面对的应对方式，时刻关注自己的透析状态，提高腹透效果，降低疲乏症状，让身心回复健康状态。

Objective To investigate the correlation between fatigue and coping strategies among peritoneal dialysis patients, to improve their health consciousness and reduce the fatigue. Methods A total 107 patients were surveyed with general data questionnaire, Multidimensional Fatigue Symptom Inventory - Short Form （MFSI - SF）, and Medical Coping Modes Questionnaire,MCMQ. Results The score of fatigue was （83.32 ± 1.54） points, which indicated the fatigue remained in high level. Scores from high to low were dialysis ≥5years, dialysis 〈 l year and 1 year ≤ dialysis 〈 5years. Patients mainly took the coping style with positive face. Pearson correlation analysis showed that fatigue was negatively correlated with ＂face＂ （ r = - 0. 300, P 〈 0.05 ） , while it was positively correlated with ＂withdraw＂ and ＂ yield＂ （ r = 0.227,0. 300, all P 〈 0.05）. Conclusion Patiens should be encouraged to actively face the disease, pay more attention to their own state of dialysis and improve the effect of drain,reduce fatigue ,then to reply for both mind and body health.