摘要
目的 探讨社会心理因素对尿毒症患者透析后疲劳的影响.方法 纳入2020年6月-2023年6月82例尿毒症透析患者,选择Piper疲乏量表(Revised piper fatigue scale,RPFS)进行透析后疲乏程度评估.调查患者工作情况、社会支持水平、焦虑抑郁等社会心理学资料并进行分类,对相关资料与疲乏评分进行单因素分析,纳入单因素分析中差异显著的资料进行多元逐步回归分析.结果 82例患者RPFS评分为(5.76±1.28)分;不同工作情况、社会支持、心理弹性水平、是否合并抑郁、焦虑、睡眠障碍患者RPFS评分差异具有统计学意义(P＜0.05);多元逐步回归分析显示,在职、社会支持、心理弹性、抑郁、睡眠障碍是透析后疲劳的影响因素.结论 尿毒症患者透析后普遍具有中等程度的疲劳,在职、社会支持低下、抑郁等社会心理因素可能加重透析后疲劳.
Abstract
Objective To explore the influence of psychosocial factors on post-dialysis fatigue in uremic pa-tients.Methods Eighty-two uremic dialysis patients from June 2020 to June 2023 were included,and the revised piper fatigue scale(RPFS)was selected for post-dialysis fatigue assessment.Psychosocial information such as patients'work situation,social support level,anxiety and depression were investigated and categorized.A one-way analysis of relevant information and fatigue scores was performed,and information with significant differences in the one-way analysis was included in a multiple stepwise regression analysis.Results The RPFS score of 82 patients was(5.76±1.28).The difference in RPFS scores between patients with different working conditions,social support,level of psychological resilience,and whether or not there was a combination of depression,anxiety,and sleep disorders was statistically significant(P＜0.05).Multiple stepwise regression analysis showed that on-the-job,social support,psy-chological elasticity,depression,and sleep disorders were the influencing factors of post-dialysis fatigue.Conclusion Patients with uremia generally have moderate postdialysis fatigue,and psychosocial factors such as being on the job,low social support,and depression may exacerbate postdialysis fatigue.
基金项目
北京市属医院科研培育计划项目(PX2019011)
NETL
NSTL
万方数据