慢性病患者疲劳水平评估：从实习护士和患者的角度

Evaluation of fatigue levels of individuals with chronic diseases: from the perspective of student nurses and patients.

作者信息

Aytaç Sema, Ovayolu Özlem, Serçe Sibel, Ovayolu Nimet

机构信息

Department of Nursing, Gaziantep University, Gaziantep, Turkey.

Department of Nursing, Sanko University, Gaziantep, Turkey.

出版信息

BMC Nurs. 2025 Jul 21;24(1):954. doi: 10.1186/s12912-025-03513-y.

DOI:10.1186/s12912-025-03513-y

PMID:40691825

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12278557/

Abstract

BACKGROUND

The evaluation of fatigue experienced by individuals with chronic diseases by nursing students and patients is very important in terms of improving the quality of care.

METHOD

The study was conducted in a descriptive cross-sectional manner between November and December 2022 with students in the nursing department of the Faculty of Health Sciences of a state university located in a province, and patients receiving treatment in the clinic with a diagnosis of chronic disease to which these students cared during their clinical practice. The study population consisted of all nursing students at the specified faculty and individuals diagnosed with chronic diseases hospitalized in relevant clinics, and the sample consisted of 221 students and 442 patients, in line with the power analysis. Necessary permissions were obtained from the institution, ethics committee, student nurses, and patients before the study. A questionnaire and visual analog scale for fatigue were used to collect the data. Scores that can be obtained from visual analog scale range between 0 and 10, and a high score indicates high fatigue.

RESULTS

The average age of the student nurses was 20.28 ± 1.05 years and 83.7% practiced in internal clinics. 26.2% of the students thought that patients diagnosed with cancer experienced fatigue the most, and 35.3% stated that sleep should be supported as a nursing intervention to reduce patients' fatigue. The average age of the individuals with chronic diseases was 53.44 ± 16.83 years, 53.8% were male, and 36.9% were primary school graduates. The mean fatigue score was found as 6.08 ± 2.06 according to patient evaluation and 5.95 ± 1.83 according to student nurses (p˃0.05). In addition, it was determined that patients who were female, single, illiterate, had a poor income, did not work, and did not smoke or drink alcohol experienced more severe fatigue (p˃0.05).

CONCLUSION

It was determined that the average fatigue score of the patients cared for by student nurses was very close to the average fatigue score evaluated by the patients themselves. In this context, it is recommended that nursing students should evaluate the fatigue level of patients and support them with appropriate nursing interventions under the guidance of clinical nurses and instructors.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

护理专业学生和患者对慢性病患者疲劳状况的评估对于提高护理质量非常重要。

方法

本研究于2022年11月至12月采用描述性横断面研究方法，对某省一所国立大学健康科学学院护理系的学生以及这些学生在临床实习期间护理的、在诊所接受慢性病诊断治疗的患者进行研究。研究人群包括指定学院的所有护理专业学生以及在相关诊所住院的被诊断患有慢性病的个体，根据功效分析，样本包括221名学生和442名患者。在研究前，已从机构、伦理委员会、实习护士和患者处获得必要许可。使用一份关于疲劳的问卷和视觉模拟量表收集数据。视觉模拟量表可获得的分数范围在0到10之间，高分表示疲劳程度高。

结果

实习护士的平均年龄为20.28±1.05岁，83.7%在内部诊所实习。26.2%的学生认为被诊断患有癌症的患者疲劳感最强，35.3%的学生表示应支持睡眠作为减少患者疲劳的护理干预措施。慢性病患者的平均年龄为53.44±16.83岁，53.8%为男性，36.9%为小学毕业生。根据患者评估，平均疲劳评分为6.08±2.06，根据实习护士评估为5.95±1.83（p>0.05）。此外，还确定女性、单身、文盲、收入低、不工作且不吸烟或不饮酒的患者经历更严重的疲劳（p>0.05）。