Progressive Evaluation of Determinants of Fatigue in Patients Undergoing Haemodialysis

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2025-05-30 DOI:10.1111/jorc.70022

Tuğba Aydemir, Rabiye Çirpan

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引用次数: 0

Abstract

Background

Fatigue is a subjective and complex issue that commonly occurs in patients undergoing haemodialysis and significantly affects quality of life. A wide range of factors, including demographic, physiological, and psychological variables, influence the experience of fatigue in patients receiving haemodialysis.

Objective

This study was conducted to determine the level of fatigue in patients receiving haemodialysis and to hierarchically evaluate the effects of demographic, physiological, and psychological variables that contribute to fatigue.

Design

It is a descriptive cross-sectional study.

Participants

The study recruited 165 patients undergoing haemodialysis, and it was carried out at three local general hospitals in Turkey that offer maintenance haemodialysis.

Measurements

Data was collected using Piper Fatigue Scale, Pittsburgh Sleep Quality Index and Hospital Anxiety and Depression Scale. Additionally, a descriptive information form comprising questions derived from the literature and expert opinions was utilised to identify the demographic and laboratory markers of individuals. A form consisting of validated questionnaires was used for sociodemographic data. Stepwise multiple regression analysis was used to assess the extent to which demographic, physiological, and psychological variables predict fatigue.

Results

The individuals included in the study (n = 165) had a mean age of 60.9 ± 14.43 years, 55.4% were male, and 62.4% had received primary school education. The study identified high levels of fatigue, anxiety, depression, and poor sleep quality in patients undergoing haemodialysis. Our study revealed that a combination of age, gender, anxiety and depression levels, albumin levels, and sleep quality accounted for 39.1% of the variance in fatigue levels. Specifically, demographic and laboratory variables explained 18.6% of the variance, anxiety and depression levels contributed 14.5%, and sleep quality accounted for 6%. These results underscore the substantial impact of psychological factors in fatigue among patients receiving haemodialysis.

Conclusion

Mood and sleep quality are associated with fatigue in patients undergoing haemodialysis. Comprehensive interventions targeting these factors may help reduce the severity of fatigue and its associated functional impairment.

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血液透析患者疲劳因素的渐进式评价

疲劳是血液透析患者常见的主观和复杂的问题，严重影响患者的生活质量。多种因素，包括人口统计学、生理和心理变量，都会影响血液透析患者的疲劳体验。目的本研究旨在确定血液透析患者的疲劳水平，并分层评估导致疲劳的人口统计学、生理和心理变量的影响。这是一个描述性的横断面研究。该研究招募了165名接受血液透析的患者，并在土耳其三家提供维护性血液透析的当地综合医院进行。采用Piper疲劳量表、匹兹堡睡眠质量指数和医院焦虑抑郁量表收集数据。此外，还使用了一种描述性信息表格，其中包括来自文献和专家意见的问题，以确定个人的人口统计学和实验室标记。社会人口统计数据采用了一种由有效问卷组成的表格。采用逐步多元回归分析来评估人口统计学、生理和心理变量对疲劳的预测程度。结果165人平均年龄（60.9±14.43岁），男性55.4%，小学文化程度62.4%。该研究发现，接受血液透析的患者会出现高度疲劳、焦虑、抑郁和睡眠质量差的情况。我们的研究表明，年龄、性别、焦虑和抑郁水平、白蛋白水平和睡眠质量的组合占疲劳水平差异的39.1%。具体来说，人口统计和实验室变量解释了18.6%的差异，焦虑和抑郁水平贡献了14.5%，睡眠质量占6%。这些结果强调了心理因素对血液透析患者疲劳的实质性影响。结论血液透析患者的情绪和睡眠质量与疲劳有关。针对这些因素的综合干预可能有助于减轻疲劳的严重程度及其相关的功能损害。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.