Lee Bih-O, Lin Chiu-Chu, Chaboyer Wendy, Chiang Chiu-Ling, Hung Chuan-Chuan
Nursing Department, Chung-hwa College of Medical Technology, Taiwan.
J Clin Nurs. 2007 Feb;16(2):407-13. doi: 10.1111/j.1365-2702.2005.01409.x.
To expand the theoretical understanding of fatigue, this study used in-depth interview to explore the fatigue experience from haemodialysis patients' perspectives.
Fatigue is a common symptom experienced by the people with chronic diseases including those with renal failure requiring haemodialysis.
Data were collected in a haemodialysis unit of a hospital in South Taiwan. Purposive samples of 14 participants were interviewed in-depth. Colaizzi's methods were used to analyse transcripts of the interviews.
Ten themes were delineated and classified into three domains. The first domain 'physical fatigue' consists of four themes: (1) habitual fatigue, (2) experiencing the uraemic symptoms (3) suffering from sleeping disturbance, (4) insufficient physical energy. The second domain 'affective fatigue' contains three themes: (5) detesting long-term treatment, (6) perceiving depression (7) and feeling exhausted. The third domain 'cognitive fatigue' includes three themes: (8) regretting lost cognition, (9) intentional isolation and (10) coping with fatigue.
The findings identify that fatigue is a multi-dimensional concept. By understanding the various aspects of fatigue, nurses may be better able to plan and provide fatigue-relieving strategies for haemodialysis patients.
The results can provide a direction for interventional studies designed to reduce the patients' fatigue.
为了拓展对疲劳的理论认识，本研究采用深度访谈从血液透析患者的角度探索疲劳体验。
疲劳是包括需要血液透析的肾衰竭患者在内的慢性病患者常见的症状。
在台湾南部一家医院的血液透析科收集数据。对14名参与者进行了有目的的抽样深度访谈。采用柯莱齐的方法分析访谈记录。
确定了10个主题并分为三个领域。第一个领域“身体疲劳”包括四个主题：（1）习惯性疲劳，（2）经历尿毒症症状，（3）遭受睡眠障碍，（4）身体能量不足。第二个领域“情感疲劳”包含三个主题：（5）厌恶长期治疗，（6）感知抑郁，（7）感到疲惫。第三个领域“认知疲劳”包括三个主题：（8）对认知丧失感到遗憾，（9）有意孤立，（10）应对疲劳。
研究结果表明疲劳是一个多维度的概念。通过了解疲劳的各个方面，护士可能能够更好地为血液透析患者规划和提供缓解疲劳的策略。
研究结果可为旨在减轻患者疲劳的干预性研究提供方向。
