Status quo and influencing factors of self-regulating fatigue in aged patients undergoing maintenance hemodialysis
孙洁 1鹿笑寒 1宋洁 1吕凯丽 1蒲可心 1李晓飞
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作者信息
1. 山东中医药大学护理学院，济南 250355
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摘要
目的 了解老年维持性血液透析患者自我调节疲劳现状并分析其影响因素。 方法 本研究为横断面研究。于2022年1—6月采用便利抽样法选取山东省济南市3所三级甲等医院血液净化中心的310例老年维持性血液透析患者作为研究对象，采用一般资料调查表、简易精神状态检查量表、自我调节疲劳量表、医学应对方式问卷、一般自我效能量表、简明老年抑郁量表进行调查，采用单因素分析及多重逐步回归分析老年维持性血液透析患者自我调节疲劳的影响因素。 结果 老年维持性血液透析患者的自我调节疲劳量表得分为（42.26±7.86）分。多因素分析结果显示，家庭人均月收入、抑郁、面对应对方式、自我效能感是老年维持性血液透析患者自我调节疲劳的影响因素（P<0.05）。 结论 亟需关注老年维持性血液透析患者的自我调节疲劳现状，采取有效措施提升其自我效能感、促进积极应对方式，改善抑郁状况，以降低其自我调节疲劳水平。 Objective To understand the status quo of self-regulating fatigue (SRF) in aged patients undergoing maintenance hemodialysis (MHD) and analyze its influencing factors. Methods This study is a cross-sectional study. From January to June 2022, 310 aged patients undergoing MHD from the blood purification centers of three ClassⅢ Grade A hospitals in Jinan, Shandong Province, were selected by convenience sampling. Various questionnaires, including the general information questionnaire, Mini-Mental State Examination (MMSE), Self-Regulatory Fatigue Scale (SRF-S), Medical Coping Modes Questionnaire (MCMQ), General Self-Efficacy Scale (GSES), and 5-Item Geriatric Depression Scale (GDS-5), were used to investigate and analyze the factors influencing self-regulation of fatigue in aged patients undergoing MHD through univariate and multiple stepwise regression analysis. Results The SRF-S score for the aged patients undergoing MHD was (42.26±7.86). The results of the multiple factor analysis showed that family average monthly income, depression, coping style, and self-efficacy were factors influencing SRF in these patients (P<0.05) . Conclusions It is urgent to pay attention to the current status of self-regulation of fatigue in aged patients undergoing MHD and take effective measures to improve their self-efficacy, promote positive coping strategies, alleviate depression, and reduce their level of SRF.
Abstract
Objective To understand the status quo of self-regulating fatigue (SRF) in aged patients undergoing maintenance hemodialysis (MHD) and analyze its influencing factors. Methods This study is a cross-sectional study. From January to June 2022, 310 aged patients undergoing MHD from the blood purification centers of three ClassⅢ Grade A hospitals in Jinan, Shandong Province, were selected by convenience sampling. Various questionnaires, including the general information questionnaire, Mini-Mental State Examination (MMSE), Self-Regulatory Fatigue Scale (SRF-S), Medical Coping Modes Questionnaire (MCMQ), General Self-Efficacy Scale (GSES), and 5-Item Geriatric Depression Scale (GDS-5), were used to investigate and analyze the factors influencing self-regulation of fatigue in aged patients undergoing MHD through univariate and multiple stepwise regression analysis. Results The SRF-S score for the aged patients undergoing MHD was (42.26±7.86). The results of the multiple factor analysis showed that family average monthly income, depression, coping style, and self-efficacy were factors influencing SRF in these patients (P<0.05) . Conclusions It is urgent to pay attention to the current status of self-regulation of fatigue in aged patients undergoing MHD and take effective measures to improve their self-efficacy, promote positive coping strategies, alleviate depression, and reduce their level of SRF.
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