摘要
目的 总结维持性血液透析患者疲劳的研究现状、评估工具、影响因素,为维持性血液透析患者的疲劳管理提供参考.方法 检索PubMed、Web of Science、ProQuest、Cochrane Library、Science Direct、Embase、CINAHL、中国知网、万方数据库、维普网、中国生物医学文献等数据库中维持性血液透析患者疲劳的相关研究,检索时限为建库至2024年1月23日.结果 共纳入46篇文献.维持性血液透析患者疲劳的评估工具种类较多,但特异性工具较少,最常用的评估工具为简表36活力分量表(SF-36 VS);维持性血液透析患者疲劳的主要影响因素包括社会人口学因素、透析相关因素、疾病相关因素、躯体因素、营养因素及心理因素.结论 疲劳是维持性血液透析患者的重要症状,医护人员须研制准确评估维持性血液透析患者疲劳的特异性工具,并探究规范化的疲劳管理方案.
Abstract
Objective To summarize the current research status,assessment tools,and influencing factors of fatigue in patients receiving maintenance hemodialysis(MHD)and provide a reference for the management of fatigue in this patient population.Methods A literature search was conducted in databases including PubMed,Web of Science,ProQuest,Cochrane Library,Science Direct,Embase,CINAHL,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biology Medicine disc for studies related to fatigue in patients receiving MHD.The search timeframe was from establishing the databases to January 23,2024.Results A total of 46 studies were included.Various assessment tools for fatigue in patients receiving MHD were identified,though specific tools were limited.The Short Form 36 Vitality Subscale(SF-36 VS)was the most commonly used assessment tool.The main factors influencing fatigue in these patients included sociodemographic,dialysis-related,disease-related,physical,nutritional,and psychological factors.Conclusions Fatigue is a significant symptom in patients receiving MHD.Healthcare professionals must develop specific tools for accurately assessing fatigue in this population and explore standardized management plans.
维普
万方数据