维持性血液透析患者疲劳状况与生存质量相关性分析

Correlation between fatigue and quality of life in patients with maintenance hemodialysis

目的了解维持性血液透析患者疲劳状况与生存质量相关性。方法 150例维持性血液透析患者采用一般情况调查表、疲劳评定量表(FAI)和世界卫生组织生存质量量表简表(WHOQOL-BREF)中文版进行调查。结果疲劳发生率为77.3%,疲劳总分为(4.82±1.61)分,疲劳状况主要影响因素为性别、年龄、病程、合并症;生存质量评分中,生理、心理领域、社会关系和环境领域评分分别为(59.12±14.05)、(58.71±13.16)、(63.67±14.99)、(53.14±14.55)。疲劳状况与生存质量各领域评分均呈显著负相关(P<0.01)。结论维持性血液透析患者普遍处于疲劳状况,严重影响患者身心功能。

Objective To study the relationship between fatigue and quality of life （QOL） in patients with maintenance hemodialysis （MH）. Methods General situation questionnaire, fatigue assessment instrument （FAI）, and Chinese version of World Health Organization Quality of Life BREF （WHOQOL-BREF） were used to survey the 150 patients with MH. Results The fatigue incidence was 77.3%, and overall scores were （4.82±1.61）. The major influencing factors for fatigue were gender, age, course of disease, and complications. WHOQOL-BREF showed that physical health, psychological domain, social relationship, and environment domain scores were （59.12±14.05）, （58.71±13.16）, （63.67±14.99）, and （53.14±14.55）, respectively. The fatigue was negatively correlated with each domain of QOL （P〈0.01）. Conclusion Fatigue is universal in patients with MH, and seriously impact their physical and psychological function.