Fatigue in hemodialysis patients: A single-center cross-sectional study

医学 血液透析 透析 生活质量(医疗保健) 心理干预 横断面研究 物理疗法 肾病科 匹兹堡睡眠质量指数 移植 疾病 日常生活活动 内科学 重症监护医学 认知 精神科 护理部 病理 睡眠质量
作者
Laura Gobbi,Enrico Baruzzo,Luca Iodice,Giuseppe Comunian,Franco Martinello,Massimiliano Marigo,Giovanni Carretta,Barbara Rossi,Lorenzo A. Calò
出处
期刊:Clinical Nephrology [Dustri-Verlag]
卷期号:96 (5): 281-288 被引量:7
标识
DOI:10.5414/cn110305
摘要

Fatigue is a highly prevalent condition among people affected by chronic disease, with consequent poor health-related quality of life and lower survival rates. Fatigue is one of the most common and debilitating symptoms also experienced by hemodialysis (HD) patients after HD sessions, and given the non-specific manifestations and its invisible nature, it is under-recognized and under-treated by healthcare professionals. The complexity of fatigue's pathogenesis and the lack of measurement tools make the development of nursing interventions and practices specifically targeted at its recognition and therapy difficult. We aimed to investigate the prevalence and severity of fatigue, identify predictor variables in HD patients, and promote healthcare professionals' awareness and recognition of fatigue.A single-center, cross-sectional study was conducted among 140 patients treated at the HD unit between August 2019 and March 2020 at the Nephrology, Dialysis, and Transplantation Unit of Padova University Hospital. We assessed patient's fatigue by Chalder's Fatigue Questionnaire, pain by Numeric Rating Scale and activities of daily living by Barthel Index. Demographic and clinical characteristics were taken from medical records.The findings of this study indicate that age, dialysis vintage, inter-dialysis weight gain, and ultra-filtration rate are proportionally related to reported levels of fatigue. Hemoglobin, iron, ferritin, and number of sleep hours before HD session present a significant inverse correlation to fatigue.The complexity of fatigue's pathogenesis makes a better understanding of this phenomenon difficult, nevertheless, healthcare professionals should develop interventions and practices targeted at its identification and management.
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