Factors influencing fatigue among patients undergoing hemodialysis: a multi-center cross-sectional study.

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Libyan Journal of Medicine Pub Date : 2024-12-31 Epub Date: 2024-01-09 DOI:10.1080/19932820.2023.2301142
Bushra Alshammari, Sameer A Alkubati, Awatif Alrasheeday, Eddieson Pasay-An, J Silvia Edison, Norah Madkhali, Ahmed K Al-Sadi, Maha Salem Altamimi, Sahar Obeid Alshammari, Areej A Alshammari, Farhan Alshammari
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Abstract

Fatigue has been reported to be the most common symptom experienced by patients receiving hemodialysis (HD) therapy. Fatigue can lead to a reduction in their ability to engage in both routine and self-care activities, which can negatively affect their self-confidence and quality of life. This study aimed to determine the level of fatigue and the factors that affecting its level among patients receiving uHD.

Methods: A cross-sectional design was utilized to explore the level of fatigue among patients receiving maintenance HD using the Mul-tidimensional Assessment of Fatigue (MAF) scale. Data were collected from four dialysis centers in two Saudi Arabia cities, Hail and Al-Qassim, between January 2022 and October 2022.

Results: The questionnaire was completed by 236 patients. Older patients, male patients, and retired pa-tients reported significantly higher levels of fatigue (p < 0.001). In contrast, marital status, educational level, and financial status did not significantly affect the level of fatigue among patients (p = 0.193, 0.285, and 0.126, respectively). Patients who had seven or more dependents reported more fatigue than those who had lower levels of fatigue or who did not have dependents (p = 0.004). In addition, patients who had a regular exercise regimen reported significantly lower fatigue than those who did not have an exercise regimen (p = 0.011). Multiple linear regression demonstrated that employment status (student), comorbidity condition (one chronic disease), dialysis duration, satisfaction with dialysis time, and dialysis time were found to affect the fatigue scores (R2 = 0.302, p ˂ 0.001).

Conclusion: The findings of this study gives a broader understanding of factors influencing fatigue among patients with HD that will help to develop strategies of more focused interventions to reduce fatigue among patients with HD.

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影响血液透析患者疲劳的因素:一项多中心横断面研究。
据报道,疲劳是接受血液透析(HD)治疗的患者最常见的症状。疲劳会导致他们参与日常活动和自我护理活动的能力下降,从而对他们的自信心和生活质量产生负面影响。本研究旨在确定接受尿透析患者的疲劳程度以及影响疲劳程度的因素:方法:采用横断面设计,使用多维疲劳评估量表(MAF)探讨维持性血液透析患者的疲劳程度。数据收集于 2022 年 1 月至 2022 年 10 月期间在沙特阿拉伯海尔和卡西姆两个城市的四个透析中心进行:236 名患者完成了问卷调查。老年患者、男性患者和退休患者的疲劳程度明显更高(p p = 0.193、0.285 和 0.126)。与疲劳程度较低或没有家属的患者相比,有七名或七名以上家属的患者报告的疲劳程度更高(P = 0.004)。此外,有定期锻炼习惯的患者的疲劳程度明显低于没有锻炼习惯的患者(p = 0.011)。多元线性回归表明,就业状况(学生)、合并症(一种慢性病)、透析时间、对透析时间的满意度和透析时间都会影响疲劳评分(R2 = 0.302,p ˂0.001):本研究的结果使人们对影响血液透析患者疲劳的因素有了更广泛的了解,有助于制定更有针对性的干预策略,减轻血液透析患者的疲劳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Libyan Journal of Medicine
Libyan Journal of Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.20%
发文量
20
审稿时长
>12 weeks
期刊介绍: Libyan Journal of Medicine (LJM) is a peer-reviewed, Open Access, international medical journal aiming to promote heath and health education by publishing high-quality medical research in the different disciplines of medicine. LJM was founded in 2006 by a group of enthusiastic Libyan medical scientists who looked at the contribution of Libyan publications to the international medical literature and saw that a publication outlet was missing. To fill this gap they launched LJM as a tool for transferring current medical knowledge to and from colleagues in developing countries, particularly African countries, as well as internationally.The journal is still led by a group of Libyan physicians inside and outside Libya, but it also enjoys support and recognition from the international medical community.
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