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维持性血液透析患者透析后疲劳现状及影响因素分析
李密,潘红,谢席胜,刘峥,夏梦迪
0
(川北医学院第二临床医学院·南充市中心医院肾内科)
摘要:
目的 了解单中心维持性血液透析患者透析后疲劳感的发生情况,并对其相关因素进行分析,为临床开展干预性研究提供依据。方法 采用piper疲劳量表对我院148例维持性血透患者进行问卷调查,就与疲劳感相关的因素进行分析。结果 透析后出现不同程度疲劳感者占54.7%,其中轻度、中度、重度疲劳患者分别为25%、23%和6.7%;相关性分析发现,透析后疲劳感的发生与年龄、透析龄、超滤量、透析中急性并发症、血色素水平和微炎症状态相关(P<0.05)。发生透析后疲劳者有26.4%的患者在4h内恢复,有19.6%的患者需要12h及以上的恢复时间。结论 维持性透析患者发生透后疲劳具有广泛性和严重性,与多种因素相关,需要针对不同原因加以预防与处理。
关键词:  血液透析  疲乏  相关分析
DOI:
基金项目:四川省教育厅科研课题(16ZA0240)
Analysis of fatigue status and influencing factors of maintenance hemodialysis patients after dialysis
LI Mi,PAN Hong,XIE Xisheng,LIU Zheng,XIA Mengdi
(Department of Urology, The Second Clinical Medical College of North Sichuan Medical College)
Abstract:
Objective To learn about the occurrence of fatigue of the maintenance hemodialysis (MHD) patients after hemodialysis, and analyze the related factors to provide basis for the clinical intervention studies. Methods 148 patients of maintenance hemodialysis in our hospital were investigated by Piper fatigue scale. Factors related to fatigue were analyzed. Results After hemodialysis, the patients with different levels of fatigue accounted for 54.7%, among which the patients with mild, moderate and severe fatigue were 25%, 23% and 6.7%, respectively. According to the correlation analysis, the occurrence of feeling of fatigue after hemodialysis was relevant to the patients age, dialysis age, ultrafiltration volume, acute complications during hemodialysis, hemoglobin level and micro-inflammatory state (P<0.05). After hemodialysis, 26.4% of patients with fatigue could recover within 4 hours, and 19.6% of patients need at least 12 hours to recover. Conclusion, The phenomenon of fatigue of maintenance hemodialysis (MHD) patients after hemodialysis is extensive and serious, and related to a variety of factors which needs to be prevented and dealt with according to the specific reasons.
Key words:  Hemodialysis  Fatigue  Correlation analysis

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