腹膜透析患者自我调节疲劳与生活质量的纵向研究  

Longitudinal study of self-regulatory fatigue and quality of life in patients with peritoneal dialysis

作　　者：张彤彤 娄小平[2] 杜文婷[3] 陈婕 王澍晨 Zhang Tongtong;Lou Xiaoping;Du Wenting;Chen Jie;Wang Shuchen(The First Affiliated Clinical Medical College of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学附属第一临床医学院,河南郑州450052 [2]郑州大学第一附属医院护理部 [3]郑州大学第一附属医院肾内科

出　　处：《护理学杂志》2022年第20期87-89,109,共4页Journal of Nursing Science

基　　金：河南省医学科技攻关计划项目(LHGJ190070)。

摘　　要：目的探讨腹膜透析患者不同阶段自我调节疲劳及生活质量的动态变化,并分析二者相关性。方法采用便利抽样法,使用自行设计的患者一般资料调查表、自我调节疲劳量表、肾脏病专用生活质量简表对150例腹膜透析患者在置管后1、3、6、12个月时对其开展追踪调查。结果患者生活质量处于中等偏低水平且呈逐步下降趋势,自我调节疲劳程度处于中等偏高且呈逐渐上升趋势。置管后1、3、6、12个月患者自我调节疲劳与生活质量呈负相关(均P<0.05)。结论腹膜透析患者自我调节疲劳及生活质量呈动态变化,自我调节疲劳水平越低时,其生活质量越高。医护人员应重视患者不同阶段的自我调节疲劳水平,实施个性化的干预指导,降低自我控制资源损耗程度,以提高患者生活质量。Objective To investigate the dynamic changes of self-regulatory fatigue and quality of life(QOL)in patients at different stages of peritoneal dialysis(PD)therapy,and to analyze the correlation between the 2 variables.Methods A total of 150 patients on PD therapy were selected by convenience sampling method.They were surveyed 4 waves(namely at 1,3,6 and 12 months after cannulization for PD)with a self-designed patient demographic data questionnaire,the Self-regulatory Fatigue Scale and the Kidney Disease Special Quality of Life Questionnaire.Results QOL scores of the patients were slightly below medium level and gradually trending down over time,while self-regulatory fatigue scores were slightly above medium level and gradually trending up.There was a negative correlation between self-regulatory fatigue and quality of life 1,3,6 and 12 months after cannulization(all P<0.05).Conclusion Self-regulatory fatigue and QOL of patients on PD therapy showed dynamic changes.The lower the level of self-regulatory fatigue,the better the QOL.Medical staff should pay attention to patients′self-regulatory fatigue levels at different stages,implement personalized intervention and guidance,reduce the loss of self-control resources,in an attempt to improve QOL of patients.

关 键 词：腹膜透析 自我调节疲劳 自我控制 自我管理 生活质量 纵向研究 

分 类 号：R473.5[医药卫生—护理学] R395.6[医药卫生—临床医学]