维持性血液透析患者透析后疲乏现状与影响因素  

Analysis of fatigue status and influencing factors in maintenance hemodialysis patients after dialysis

作　　者：张祥 汪秦 陶明芬 刘欢 ZHANG Xiang;WANG Qin;TAO Mingfen;LIU Huan(Graduate College of Wannan Medical College,Wuhu 241002,China;Blood Purification Center,Yijishan Hospital,the First Affiliated Hospital of Wannan Medical College,Wuhu 241002,China)

机构地区：[1]皖南医学院研究生学院,芜湖241002 [2]皖南医学院第一附属医院弋矶山医院血液净化中心,芜湖241002

出　　处：《济宁医学院学报》2024年第6期485-489,共5页Journal of Jining Medical University

基　　金：2020年安徽省教育厅新文科、新医科研究与改革实践项目(2020wyxm186)。

摘　　要：目的了解安徽省芜湖市血液透析患者的透析后疲劳现状并分析其影响因素。方法采用方便抽样法,选取2023年1月至2023年8月于芜湖市2家三级综合医院的血液透析中心治疗的519例患者作为研究对象。采用一般资料调查问卷、FACIT疲乏量表、FRAIL衰弱量表、SARC-F肌少症量表、PARS-3量表收集患者的资料。结果519名血液透析患者的透析后疲劳状况得分为(32.60±10.65)分。相关性分析显示,衰弱得分和肌少症得分与疲劳得分呈负相关(r=-0.703,P<0.05;r=-0.638,P<0.05);运动量得分与疲乏得分呈正相关(均P<0.05)。多元线性回归分析结果显示,年龄、贫血、衰弱、肌少症和运动量是维持性血液透析患者透析后疲乏的主要影响因素(P<0.05)。结论年龄、贫血、衰弱、肌少症和运动量情况均可影响患者透析后疲劳的严重程度,医护人员应从多角度制定相应的措施改善患者透析后疲劳的状况。Objective The aim is to investigate the current status of post dialysis fatigue among hemodialysis patients in Wuhu City,Anhui Province,and analyze its influencing factors.Methods With the convenience sampling method,519 patients who were treated at the hemodialysis centers of two tertiary comprehensive hospitals in Wuhu City from January 2023 to August 2023 were selected as the study subjects.Collect patient data using a general information survey questionnaire,FACIT scale,FRAIL scale,SARC-F scale,and PARS-3 scale.Results The average fatigue score of 519 hemodialysis patients was(32.60±10.65)points.Correlation analysis showed that there was a negative correlation between the scores of the asthenia scale and the sarcopenia scale,and the scores of the fatigue scale(r=-0.703,P<0.05;r=-0.638,P<0.05);There is a positive correlation between the scores of the exercise scale and the fatigue scale(all P<0.05).The results of multiple linear regression analysis showed that age,anemia,frailty,sarcopenia,and exercise were the main influencing factors for post-dialysis fatigue in maintenance hemodialysis patients(P<0.05).Conclusion Age,anemia,frailty,sarcopenia,and exercise can all affect the severity of Post-dialysis fatigue in patients.Medical staff should develop corresponding measures from multiple perspectives to improve the Post-dialysis fatigue status of patients.

关 键 词：血液透析 透析后疲劳 衰弱 肌少症 

分 类 号：R55[医药卫生—血液循环系统疾病]