腹膜透析患者自我护理能力与疲劳、孤独的相关性研究

Corelation research between self-care ability and fatigue and loneliness in peritoneal dialysis patients

目的描述腹膜透析患者的自我护理能力与疲劳、孤独的状况；探讨腹膜透析患者的自我护理能力与疲劳、孤独之间的关系。方法选取郑州大学第一附属医院肾内科随访的237例腹膜透析患者，进行问卷调查。调查工具包括一般资料调查表、自我护理能力测定量表（ESCA）、多维度疲劳量表（MFI-20）和中文版UCLA孤独量表。结果腹膜透析患者自我护理能力总分为（92.18±15.23）分，处于中上水平。腹膜透析患者疲劳得分为（61.24±11.72）分、孤独感得分为（46.28±5.34）分，均高于常模（P〈0.01）。腹膜透析患者自我护理能力与疲劳、孤独呈负相关（P〈0.01）。多元逐步回归分析显示，综合性疲劳、活动减少、体力疲劳和孤独感为腹膜透析患者自我护理能力的影响因素。结论制定护理措施时，应对患者的疲劳和孤独感提前评估，进行护理干预时，也建议着手于消除患者疲劳、降低孤独感，提高自我护理能力，从而帮助患者提升生存质量。

Objective To explore self-care abilities and current status of fatigue and loneliness in peritoneal dialysis patients, and to determine the correlation between their self-care and fatigue ＆ loneliness. Methods Totals of 237 cases with peritoneal dialysis followed up by Nephrology Department in the First Affiliated Hospital of Zhengzhou University were selected and surveyed by General patient information questionnaire, Exercise of Self-Care Agency Scale （ESCA） , Multidimensional Fatigue Inventory-20 （MFI-20） , and UCLA Loneliness Scale （Chinese version）. Results Scores of self-care ability in peritoneal dialysis patients were （92.18± 15.23） points, in the level above the average. Scores of fatigue in peritoneal dialysis patients were （61.24±11.72） points, and of loneliness （46.28±5.34）, both higher than norm （P〈0.01）. Selfcare ability of peritoneal dialysis patients showed a negative correlation with level of fatigue and loneliness （ P〈 0.01 ）. It was revealed in multiple stepwise regression analysis that influencing factors of self-care abilities in peritoneal dialysis patients included comprehensive fatigue, less activity, physical fatigue and loneliness. Conclusions When making nursing measures for peritoneal dialysis patients, their fatigue and loneliness should be assessed. Targeting measures should be intervened to eliminate their fatigue and loneliness, so as to improve their self-care ability and quality of life.