Ozen Nurten, Eyileten Tayfun, Teles Paulo, Seloglu Baris, Gurel Ayse, Ocuk Aysegul, Ozen Volkan, Fernandes Filipa, Campos Luís, Coutinho Sara, Teixeira Joana, Moura Sandra Cristina Mendo, Ribeiro Olga, Sousa Clemente Neves
Department of Internal Medicine Nursing, Faculty of Nursing, Istanbul University, Istanbul, Turkey.
Department of Nephrology, Guven Hospital, Ankara, Turkey.
BMC Nephrol. 2025 Jan 8;26(1):13. doi: 10.1186/s12882-024-03937-9.
Dialysis recovery time (DRT) refers to the period during which fatigue and weakness subside following hemodialysis treatment, allowing patients to resume their daily routines. This study aimed to identify the factors influencing DRT in hemodialysis patients in Turkey and Portugal, where the prevalence of chronic kidney disease is notably high.
A cross-sectional observational study was conducted in a private dialysis center in Turkey and three dialysis centers in Portugal. The study included hemodialysis patients aged 18 years or older who had been undergoing four-hour hemodialysis sessions three times a week for at least six months. Participants had no communication barriers and voluntarily agreed to take part in the study. Data were collected using a semi-structured questionnaire to gather descriptive characteristics and the Hospital Anxiety and Depression Scale. Logistic regression analysis was employed to identify independent variables influencing DRT.
A total of 294 patients participated in the study, including 187 from Turkey and 107 from Portugal. In Turkey, increased interdialytic weight gain (P = 0.043) was associated with prolonged recovery time, while the use of high-flux dialyzers (P = 0.026) was linked to shorter recovery times. In Portugal, older age (P = 0.020) was found to extend recovery time.
Recovery time after dialysis is influenced by varying factors across different countries. Further research with larger sample sizes is needed to deepen understanding of these factors and their implications.
NCT04667741.
透析恢复时间（DRT）是指血液透析治疗后疲劳和虚弱症状消退，使患者能够恢复日常生活的时间段。本研究旨在确定影响土耳其和葡萄牙血液透析患者DRT的因素，这两个国家的慢性肾脏病患病率显著较高。
在土耳其的一家私立透析中心和葡萄牙的三家透析中心进行了一项横断面观察性研究。该研究纳入了年龄在18岁及以上、每周进行三次四小时血液透析治疗至少六个月的血液透析患者。参与者没有沟通障碍，并自愿同意参与研究。使用半结构化问卷收集描述性特征和医院焦虑抑郁量表的数据。采用逻辑回归分析来确定影响DRT的独立变量。
共有294名患者参与了研究，其中187名来自土耳其，107名来自葡萄牙。在土耳其，透析间期体重增加（P = 0.043）增加与恢复时间延长有关，而使用高通量透析器（P = 0.026）与较短的恢复时间有关。在葡萄牙，年龄较大（P = 0.020）被发现会延长恢复时间。
透析后的恢复时间受不同国家多种因素的影响。需要进行更大样本量的进一步研究，以加深对这些因素及其影响的理解。
NCT04667741。
