Maninet Surachai, Nakrit Bangaorn, Suttavat Phasuk
Faculty of Nursing, Ubon Ratchathani University, Thailand.
Nakhon Nayok Hospital, Nakhon Nayok, Thailand.
Belitung Nurs J. 2023 Aug 28;9(4):391-398. doi: 10.33546/bnj.2715. eCollection 2023.
Fatigue is one of the most commonly reported symptoms among patients undergoing continuous ambulatory peritoneal dialysis (CAPD). However, only a few studies have addressed the prevalence of fatigue and its influencing factors within this population in Thailand.
This study aimed to explore the prevalence of fatigue and its influencing factors, including duration of CAPD initiation, body mass index, insomnia, social support, functional status, and depression among patients undergoing CAPD.
This cross-sectional study involved 136 participants from the outpatient department of a general hospital in Thailand. Data were collected from January to March 2023, utilizing validated self-reported questionnaires, which included the Center for Epidemiologic Study Depression Scale, Insomnia Severity Index, Multidimensional Scale of Perceived Social Support, Functional Status Scale, and Fatigue Severity Scale. Data were analyzed using descriptive statistics, Pearson's product-moment correlation, and Stepwise multiple regressions.
The study achieved a 100% participation rate among the selected participants. The prevalence of fatigue among patients undergoing CAPD was 55.88%, including mild fatigue (20.59%), moderate fatigue (19.85%), and severe fatigue (15.44%). Bivariate analysis indicated that fatigue-related factors were insomnia, depression, body mass index, social support, and functional status. However, the multiple regression analysis revealed that only insomnia (β = 0.399, <0.001), social support (β = -0.302, <0.001), depression (β = 0.201, = 0.003), and functional status (β = -0.149, = 0.021) jointly influenced fatigue among patients undergoing CAPD, explaining 50.10 percent of the variance (R = 0.501, F = 32.871, <0.001).
The findings indicated that more than half of the participants experienced fatigue. Insomnia, social support, depression, and functional status emerged as significant predictive factors of fatigue. Therefore, it is advisable for nurses and other healthcare providers to evaluate fatigue and its associated factors routinely. Nursing interventions to alleviate fatigue should prioritize improvements in sleep quality, reduction of depression, preservation of functional status, and promotion of family engagement.
疲劳是持续非卧床腹膜透析（CAPD）患者中最常报告的症状之一。然而，在泰国，只有少数研究探讨了该人群中疲劳的患病率及其影响因素。
本研究旨在探讨CAPD患者疲劳的患病率及其影响因素，包括CAPD开始时间、体重指数、失眠、社会支持、功能状态和抑郁。
这项横断面研究涉及泰国一家综合医院门诊部的136名参与者。数据于2023年1月至3月收集，使用经过验证的自我报告问卷，包括流行病学研究中心抑郁量表、失眠严重程度指数、多维感知社会支持量表、功能状态量表和疲劳严重程度量表。数据采用描述性统计、Pearson积差相关和逐步多元回归进行分析。
该研究在选定参与者中的参与率达到100%。CAPD患者中疲劳的患病率为55.88%，包括轻度疲劳（20.59%）、中度疲劳（19.85%）和重度疲劳（15.44%）。双变量分析表明，与疲劳相关的因素是失眠、抑郁、体重指数、社会支持和功能状态。然而，多元回归分析显示，只有失眠（β = 0.399，<0.001）、社会支持（β = -0.302，<0.001）、抑郁（β = 0.201，= 0.003）和功能状态（β = -0.149，= 0.021）共同影响CAPD患者的疲劳，解释了50.10%的方差（R = 0.501，F = 32.871，<0.001）。
研究结果表明，超过一半的参与者经历了疲劳。失眠、社会支持、抑郁和功能状态是疲劳的重要预测因素。因此，护士和其他医疗服务提供者应常规评估疲劳及其相关因素。减轻疲劳的护理干预应优先改善睡眠质量、减轻抑郁、保持功能状态和促进家庭参与。
