血流速度增加对血液透析患者疲劳的影响

Q3 Medicine

Evidence Based Care Journal Pub Date : 2020-07-01 DOI:10.22038/EBCJ.2020.50043.2348

Hossein Kakhki Jaghargh, M. Bagheri, N. Aghebati, H. Esmaily

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引用次数: 1

摘要

背景:疲劳是血液透析(HD)患者透析充分性(DA)降低的结果之一。因此，增加血流量速度(BFV)可以作为提高DA和减少疲劳的策略之一。目的:本研究旨在确定增加BFV对HD患者疲劳的影响。方法:对2018年在伊朗马什哈德17-Shahrivar医院和Shafa透析中心就诊的74例HD患者进行两组随机临床试验。干预组分别进行25轮和50轮透析，将其与透析机速度计算的平均值相加。考虑到对照组，机器的回合数被设置为前两个回合的平均值。使用标准化多维疲劳量表测量疲劳。分别于第1、8、14次疗程后测定血尿素氮(BUN)和DA水平。采用SPSS软件(version 16)进行独立t检验、重复测量方差分析(ANOVA)、Mann-Whitney U检验和卡方检验。结果:对照组和干预组的平均年龄分别为57.16±13.81岁和55.86±13.56岁。重复测量方差分析的结果显示，与对照组相比，干预组的疲劳在HD会议期间显着下降。此外，这些患者获得了更好的DA (P小于0.001)。实践意义:提高透析机的BFV可改善血透患者的DA、BUN去除和疲劳程度，这可以作为一种有效的策略推荐给护士。

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Effect of Increased Blood Flow Velocity on Fatigue in Hemodialysis Patients

Background: Fatigue is one of the outcomes of reduced dialysis adequacy (DA) in patients undergoing hemodialysis (HD). Accordingly, increased blood flow velocity (BFV) can be one of the strategies to enhance DA and reduce fatigue. Aim: This study aimed to determine the effect of increased BFV on fatigue in HD patients. Method: This two-group randomized clinical trial was conducted on 74 HD patients attending 17-Shahrivar Hospital and Shafa Dialysis Center, Mashhad, Iran, during 2018. The intervention group was subjected to 25 and 50 rounds, which were added to the mean value calculated for dialysis machine velocity. Considering the control group, the rounds of the machine were set as those mean of the first two sessions. Fatigue was measured using the standardized Multidimensional Fatigue Inventory. The blood urea nitrogen (BUN) level and DA were analyzed after the 1st, 8th, and 14th sessions. The data were analyzed in SPSS software (version 16) through independent t-test, repeated measures analysis of variance (ANOVA), Mann-Whitney U test, and Chi-square test. Results: The mean ages of the control and intervention groups were 57.16±13.81 and 55.86±13.56 years, respectively. The results of repeated measures ANOVA showed that fatigue in the intervention group had significantly dropped during HD sessions, compared to the control group. Moreover, these patients obtained better DA (P˂0.001). Implications for Practice: Increased BFV of the dialysis machine leads to improved DA, BUN removal, and reduced fatigue in HD patients, which can be recommended to nurses as an effective strategy.

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.