Post-Dialysis Fatigue Is Not Associated With Perceived Stress in Patients on Hemodialysis

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY Hemodialysis International Pub Date : 2025-02-18 DOI:10.1111/hdi.13209

Maurizio Bossola, Marta Di Giovanni, Ilaria Mariani, Enrico Di Stasio, Laura Angioletti, Michela Balconi

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Abstract

Introduction

This study explored the relationship between post dialysis fatigue (PDF) and dialysis recovery time (DRT) with perceived stress and depression.

Methods

A cross-sectional study was conducted on 223 patients on hemodialysis (HD). We collected demographic, laboratory and clinical variables [including depression and perceived stress levels measured with the Perceived Stress Scale (PSS) and Beck Depression Inventory (BDI-II)] to explore their association with PDF and DRT.

Findings

Of the total, 120 patients suffered PDF and 103 did not. Groups differed in Charlson comorbidity index, dialysate sodium concentration, dialysate temperature, and BDI score, but had similar perceived stress levels. Logistic regression identified BDI and Charlson scores as independently associated with PDF. Of 130 patients, DRT was ≤ 120 min, and in 73, it was > 120 min, with higher BDI scores in the latter. Stratifying by perceived stress levels showed no significant differences in PDF or DRT. However, PDF and DRT were higher in patients with BDI > 17, and perceived stress levels strongly correlated with BDI.

Conclusion

While PDF and DRT are not significantly linked to perceived stress, they are strongly associated with depression levels in HD patients.

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透析后疲劳与血液透析患者感知压力无关。

前言：本研究探讨透析后疲劳（PDF）和透析恢复时间（DRT）与感知应激和抑郁的关系。方法：对223例血液透析患者进行横断面研究。我们收集了人口学、实验室和临床变量[包括用感知压力量表（PSS）和贝克抑郁量表（BDI-II）测量的抑郁和感知压力水平]来探讨它们与PDF和DRT的关系。结果：其中120例患者患有PDF， 103例患者没有。各组在Charlson合并症指数、透析液钠浓度、透析液温度和BDI评分方面存在差异，但感知应激水平相似。逻辑回归发现BDI和Charlson分数与PDF独立相关。130例患者DRT≤120 min， 73例患者DRT≤120 min，后者BDI评分较高。感知压力水平分层显示PDF和DRT无显著差异。然而，BDI患者的PDF和DRT更高[17]，感知压力水平与BDI密切相关。结论：虽然PDF和DRT与感知压力没有显著相关性，但它们与HD患者的抑郁水平密切相关。

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

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.