{"title":"血液透析患者疲劳因素的渐进式评价","authors":"Tuğba Aydemir, Rabiye Çirpan","doi":"10.1111/jorc.70022","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>It is a descriptive cross-sectional study.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>The study recruited 165 patients undergoing haemodialysis, and it was carried out at three local general hospitals in Turkey that offer maintenance haemodialysis.</p>\n </section>\n \n <section>\n \n <h3> Measurements</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The individuals included in the study (<i>n</i> = 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.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"51 2","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Progressive Evaluation of Determinants of Fatigue in Patients Undergoing Haemodialysis\",\"authors\":\"Tuğba Aydemir, Rabiye Çirpan\",\"doi\":\"10.1111/jorc.70022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>It is a descriptive cross-sectional study.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>The study recruited 165 patients undergoing haemodialysis, and it was carried out at three local general hospitals in Turkey that offer maintenance haemodialysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Measurements</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The individuals included in the study (<i>n</i> = 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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>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.</p>\\n </section>\\n </div>\",\"PeriodicalId\":16947,\"journal\":{\"name\":\"Journal of renal care\",\"volume\":\"51 2\",\"pages\":\"\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-05-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of renal care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jorc.70022\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of renal care","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jorc.70022","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Progressive Evaluation of Determinants of Fatigue in Patients Undergoing Haemodialysis
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.
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.
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