透析相关性疲乏状况调查及其与自我管理行为的相关性研究

Relationship between dialysis-related fatigue and self management behavior in patients with maintenance hemodialysis

目的探讨血液透析患者透析相关性疲乏状况及与自我管理行为的关系。方法选取120例维持性血液透析患者,使用基本情况调查表、疲乏评定量表和自我管理行为评估量表进行调查分析。结果透析相关性疲乏(DRF)发生率为80.83%,其中轻度DRF为9例(7.50%),中度DRF为59例(49.17%),重度DRF为29例(24.16%)。多因素Logistic回归分析显示,肾性贫血及矿物质-骨代谢紊乱是DRF的危险因素,自我管理行为是DRF的保护因素。结论维持性血液透析患者会出现不同程度的疲乏感,提高患者的自我管理行为能力,能有效缓解患者的DRF程度,提高患者的生存质量。

Objective To investigate the relationship between dialysis-related fatigue （DRF） and self management behavior in patients with maintenance hemodialysis. Methods A total of 120 patients with maintenance hemodialysis were recruited as research subjects. Basic situation question- naire, fatigue rating scale and self management behavior assessment scale were used to evaluate the conditions of patients. Results Incidence rate of DRF was 80.83%, in which 9 patients got DRF with mild degree, 59 patients with middle degree and 29 patients with severe degree. Logistic regres- sion analysis showed that self management behavior was protective factors for DRF, renal anemia, min- eral and bone metabolism disorder were risk factors for DRF. Conclusion Patients with maintenance hemodialysis have different degrees of DRF. Increasing the patient＇ s self management behavior ability can effectively alleviate the degree of dialysis-related fatigue and improve the quality of life of patients.