Tsirigotis Stavros, Polikandrioti Maria, Alikari Victoria, Dousis Evangelos, Koutelekos Ioannis, Toulia Georgia, Pavlatou Niki, Panoutsopoulos Georgios I, Leftheriotis Dionyssios, Gerogianni Georgia
Department of Nursing, Postgraduate Program "Applied Clinical Nursing", University of West Attica, Athens, GRC.
Department of Nutrition and Dietetic Sciences, University of Peloponnese, Kalamata, GRC.
Cureus. 2022 Mar 9;14(3):e22994. doi: 10.7759/cureus.22994. eCollection 2022 Mar.
Background and objective Fatigue is frequently experienced by patients undergoing hemodialysis and it has a negative effect on their quality of life. The aim of this study was to investigate the factors associated with fatigue in patients undergoing hemodialysis. Methods In this quantitative cross-sectional study, 100 patients on hemodialysis participated. Fatigue was evaluated via the Modified Fatigue Impact Scale (MFIS). Participants also completed a questionnaire about demographics and clinical characteristics. The Kruskal-Wallis test, the Mann-Whitney U test, and Spearman's rho criterion were used to assess the association between fatigue score and patient characteristics. Multiple linear regression was performed to assess the effect of the characteristics on patients' fatigue. Results Statistically significant high levels of physical or mental fatigue were found in older patients (p=0.001 and p=0.001), divorced/widowed patients (p=0.001 and p=0.014), those who had children (p=0.019), those who had primary education (p=0.015), those who were not informed about their health problems (p=0.003 and p=0.006), those who had comorbid diseases (p=0.001 and p=0.001), those who believed that regular information did not help to reduce stress (p=0.005 and p=0.004), patients who had insomnia (p=0.001 and p=0.001), patients who felt tired after hemodialysis (p=0.001 and p=0.001), those who thought they had a change in body image (p=0.001 and p=0.001), those who often felt stiffness (p=0.001 and p=0.001), those who sometimes felt nausea (p=0.015 and p=0.038), and those who had limitations in the clothes they could wear (p=0.001 and p=0.001). Conclusions The findings of this study showed that physical or mental fatigue had a strong association with advanced age, comorbidities, marital status, level of education, inadequate information about the disease, insomnia, and change in body appearance. Hence, renal professionals need to properly educate dialysis patients on the complicated nature of fatigue in order to manage it effectively and improve their physical, cognitive, and social wellbeing.
接受血液透析的患者经常感到疲劳，这对他们的生活质量有负面影响。本研究的目的是调查血液透析患者疲劳的相关因素。方法：在这项定量横断面研究中，100名接受血液透析的患者参与其中。通过改良疲劳影响量表（MFIS）评估疲劳程度。参与者还完成了一份关于人口统计学和临床特征的问卷。采用Kruskal-Wallis检验、Mann-Whitney U检验和Spearman秩相关系数法评估疲劳评分与患者特征之间的关联。进行多元线性回归以评估这些特征对患者疲劳的影响。结果：在老年患者（p = 0.001和p = 0.001）、离异/丧偶患者（p = 0.001和p = 0.014）、有子女的患者（p = 0.019）、接受小学教育的患者（p = 0.015）、未被告知自身健康问题的患者（p = 0.003和p = 0.006）、患有合并症的患者（p = 0.001和p = 0.001）、认为定期获取信息无助于减轻压力的患者（p = 0.005和p = 0.004）、有失眠的患者（p = 0.001和p = 0.001）、血液透析后感到疲倦的患者（p = 0.001和p = 0.001）、认为自己身体形象有变化的患者（p = 0.001和p = 0.001）、经常感到僵硬的患者（p = 0.001和p = 0.001）、有时感到恶心的患者（p = 0.015和p = 0.038）以及在穿着衣物方面有限制的患者（p = 0.001和p = 0.001）中，发现了具有统计学意义的高水平身体或精神疲劳。结论：本研究结果表明，身体或精神疲劳与高龄、合并症、婚姻状况、教育程度、对疾病信息了解不足、失眠以及身体外观变化密切相关。因此，肾脏专业人员需要对透析患者进行关于疲劳复杂性的适当教育，以便有效管理疲劳并改善他们的身体、认知和社会福祉。
