维持性血透治疗慢性肾衰患者疲惫应对机制与改善策略  

Exploring the Mechanism and Improvement Strategies of Fatigue Response in Chronic Renal Failure Patients with Maintenance Hemodialysis Treatment

作　　者：张漫漫 刘玉洁 史梦洁 张丽 Zhang Manman;Liu Yujie;Shi Mengjie;Zhang Li(Department of Nephrology,Taihe County People's Hospital,Fuyang,Anhui 236600)

机构地区：[1]太和县人民医院肾脏内科,安徽阜阳236600

出　　处：《现代科学仪器》2024年第4期128-132,142,共6页Modern Scientific Instruments

摘　　要：目的:分析维持性血透治疗慢性肾衰竭(CRF)患者疲惫应对机制与改善策略。方法:回顾性选取2020年1月4日~2023年11月16日期间收治的在我院行维持性血液透析治疗的150例CRF患者,根据简明疲惫评估量表(BFI)评分,将患者分为应对疲惫组(n=62)和正常组(n=88),多因素分析CRF维持性血透患者发生应对疲惫的危险因素,初步建立预测,并总结针对性护理对策。结果:家庭成员人均月收入较低、医疗费用承担方式为自费、透析龄≥1年、睡眠障碍以及自护能力低是CRF维持性血液透析患者发生应对疲惫的独立影响因素(P<0.05)。ROC结果显示,联合诊断的AUC为0.761,灵敏度51.60%、特异度87.50%,提示模型预测效能较高。结论:家庭成员人均月收入较低、医疗费用承担方式为自费、透析龄≥1年、睡眠障碍以及自护能力低是CRF维持性血液透析患者发生应对疲惫的独立危险因素,需要重点关注此类患者,并采取相对应的干预措施。Objective:To analyze the mechanism and improvement strategies of fatigue coping in patients with chronic renal failure(CRF)treated with maintenance hemodialysis.Methods:150 CRF patients admitted to our hospital for maintenance hemodialysis treatment between January 4,2020 and November 16,2023 were retrospectively selected,and according to the Brief Fatigue Assessment Inventory(BFI)scores,the patients were divided into the coping fatigue group(n=62)and the normal group(n=88),and multifactorial analysis was performed to analyze the risk factors for the occurrence of coping fatigue in the maintenance hemodialysis patients with CRF,and a preliminary prediction was established,and targeted nursing countermeasures were summarized.Results:lower per capita monthly income of family members,medical cost bearing method of self-payment,dialysis age≥1 years,sleep disorder,and low self-care ability were independent influences on the occurrence of coping with fatigue in maintenance hemodialysis patients with CRF(P<0.05).The ROC results showed that the co-diagnostic AUC of 0.761,with sensitivity and specificity of 51.60%and 87.50%,respectively,suggesting that it indicates a good discriminant validity.Conclusions:Lower per capita monthly income of family members,medical expenses borne out-of-pocket,dialysis age≥1 year,sleep disorders,and low self-care ability are independent risk factors for coping fatigue in maintenance hemodialysis patients with CRF,and such patients need to be focused on and corresponding interventions need to be taken.

关 键 词：慢性肾衰竭 维持性血透 应对疲惫 影响因素 

分 类 号：R781.63[医药卫生—口腔医学] R246.1[医药卫生—临床医学]