Qian You , Ding-xi Bai , Chen-xi Wu , Huan Chen, Chao-ming Hou, Jing Gao
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引用次数: 1
Abstract
Purpose
Despite the high prevalence of postdialysis fatigue (PDF) in maintenance hemodialysis patients, no meta-analysis on the prevalence and risk factors of PDF has yet been published. This study aimed to identify the prevalence of PDF and explore its related factors.
Methods
PubMed, Embase, CENTRAL, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the four Chinese databases (National Knowledge Infrastructure [CNKI], Chinese Biomedical Literature database [SinoMed], Wanfang Digital Periodicals [WANFANG], and Chinese Science and Technology Periodicals [VIP] database) were searched from inception up to July 2022. This study was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The articles were independently searched by two reviewers, and the relevant data were extracted. The Agency for Healthcare Research and Quality was used to assess the quality of the included studies.
Results
Thirteen articles with 2,118 participants were included. The pooled prevalence was 60.0%. The meta-analysis results revealed that the ultrafiltration volume, mean arterial pressure after dialysis, and good sleep quality were potentially associated with PDF, whereas only good sleep quality (odds ratio 0.24, 95% confidence interval 0.19–0.30) was significantly associated with PDF.
Conclusion
PDF is common in maintenance hemodialysis patients, which is related to the ultrafiltration volume, sleep quality, and mean arterial pressure after dialysis. However, the mechanism underlying the risk factors and PDF remains unknown. Further research is warranted to investigate the risk factors, intervention, treatment, and mechanism in maintenance hemodialysis patients.
目的:尽管维持性血液透析患者透析后疲劳(PDF)的患病率很高，但尚未有关于PDF患病率及其危险因素的meta分析发表。本研究旨在确定PDF的患病率并探讨其相关因素。方法检索spubmed、Embase、CENTRAL、Web of Science、护理与相关健康文献累积索引(CINAHL)以及四个中文数据库(国家知识基础设施[CNKI]、中国生物医学文献数据库[SinoMed]、万方数字期刊[Wanfang]和中国科技期刊[VIP]数据库)，检索时间为建库至2022年7月。本研究是根据系统评价和荟萃分析指南的首选报告项目进行的。文章由两位审稿人独立检索，并提取相关数据。采用卫生保健研究与质量机构来评估纳入研究的质量。结果纳入文献13篇，受试者2118人。合并患病率为60.0%。meta分析结果显示，超滤体积、透析后平均动脉压和良好的睡眠质量与PDF有潜在的相关性，而只有良好的睡眠质量(优势比0.24,95%可信区间0.19-0.30)与PDF有显著的相关性。结论维持性血液透析患者普遍存在pdf，其与透析后超滤量、睡眠质量、平均动脉压有关。然而，风险因素和PDF的潜在机制尚不清楚。维持性血液透析患者的危险因素、干预、治疗和机制有待进一步研究。
期刊介绍：
Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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