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血液透析患者疲劳与社会支持之间的关系。

Relationship between fatigue and social support in hemodialysis patients.

作者信息

Karadag Ezgi, Kilic Serap Parlar, Metin Ozgur

机构信息

Department of Internal Medicine Nursing, Tunceli University Health High School, Tunceli.

Department of Internal Medicine Nursing, Gaziantep University Faculty of Health Sciences, Gaziantep.

出版信息

Nurs Health Sci. 2013 Jun;15(2):164-71. doi: 10.1111/nhs.12008. Epub 2013 Apr 3.

Abstract

The aim of this study was to evaluate the relationship between fatigue and social support in hemodialysis patients in Turkey. This study was conducted on 73 patients receiving hemodialysis treatment in a hemodialysis unit in the province of Malatya between July and November 2011. A questionnaire consisting of 16 questions for sociodemographic and disease data was used together with the Multidimensional Scale of Perceived Social Support (MSPSS) and the Fatigue Severity Scale (FSS). In statistical evaluation, the Mann-Whitney U-test, independent t-test, Kruskal-Wallis test, and Pearson's correlation analysis were used. Correlation analysis between severity of fatigue in hemodialysis patients and social support revealed a significant relationship in the negative direction between fatigue severity and support from family (r = -0.404, P < 0.05), support from friends (r = -0.635, P < 0.05), support from a special person (r = -0.638, P < 0.05) and overall support (r = -0.643, P < 0.05). Patients with severe fatigue had low mean scores for support from family, friends, a special person and overall, whereas a high level of social support decreased the level of fatigue. When giving care to patients on hemodialysis, nurses should consider the effect of social support on fatigue and approach their patients from this perspective.

摘要

本研究的目的是评估土耳其血液透析患者疲劳与社会支持之间的关系。本研究于2011年7月至11月在马拉蒂亚省一家血液透析单位对73例接受血液透析治疗的患者进行。一份包含16个关于社会人口学和疾病数据问题的问卷与多维感知社会支持量表(MSPSS)和疲劳严重程度量表(FSS)一起使用。在统计评估中,使用了曼-惠特尼U检验、独立t检验、克鲁斯卡尔-沃利斯检验和皮尔逊相关分析。血液透析患者疲劳严重程度与社会支持之间的相关分析显示,疲劳严重程度与来自家人的支持(r = -0.404,P < 0.05)、来自朋友的支持(r = -0.635,P < 0.05)、来自特定人物的支持(r = -0.638,P < 0.05)和总体支持(r = -0.643,P < 0.05)之间存在显著的负向关系。疲劳严重的患者在来自家人、朋友、特定人物的支持以及总体支持方面的平均得分较低,而高水平的社会支持会降低疲劳程度。在护理血液透析患者时,护士应考虑社会支持对疲劳的影响,并从这一角度对待患者。

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