摘要
目的:分析维持性血透治疗慢性肾衰竭(CRF)患者疲惫应对机制与改善策略.方法:回顾性选取 2020年 1月 4日～2023年 11月16日期间收治的在我院行维持性血液透析治疗的 150例CRF患者,根据简明疲惫评估量表(BFI)评分,将患者分为应对疲惫组(n=62)和正常组(n=88),多因素分析CRF维持性血透患者发生应对疲惫的危险因素,初步建立预测,并总结针对性护理对策.结果:家庭成员人均月收入较低、医疗费用承担方式为自费、透析龄≥1 年、睡眠障碍以及自护能力低是 CRF 维持性血液透析患者发生应对疲惫的独立影响因素(P＜0.05).ROC结果显示,联合诊断的AUC为 0.761,灵敏度 51.60%、特异度 87.50%,提示模型预测效能较高.结论:家庭成员人均月收入较低、医疗费用承担方式为自费、透析龄≥1年、睡眠障碍以及自护能力低是CRF维持性血液透析患者发生应对疲惫的独立危险因素,需要重点关注此类患者,并采取相对应的干预措施.
Abstract
Objective:To analyze the mechanism and improvement strategies of fatigue coping in patients with chronic renal failure(CRF)treated with maintenance hemodialysis.Methods:150 CRF patients admitted to our hospital for maintenance hemodialysis treatment between January 4,2020 and November 16,2023 were retrospectively selected,and according to the Brief Fatigue Assessment Inventory(BFI)scores,the patients were divided into the coping fatigue group(n=62)and the normal group(n=88),and multifactorial analysis was performed to analyze the risk factors for the occurrence of coping fatigue in the maintenance hemodialysis patients with CRF,and a preliminary prediction was established,and targeted nursing countermeasures were summarized.Results:lower per capita monthly income of family members,medical cost bearing method of self-payment,dialysis age≥1 years,sleep disorder,and low self-care ability were independent influences on the occurrence of coping with fatigue in maintenance hemodialysis patients with CRF(P＜0.05).The ROC results showed that the co-diagnostic AUC of 0.761,with sensitivity and specificity of 51.60%and 87.50%,respectively,suggesting that it indicates a good discriminant validity.Conclusions:Lower per capita monthly income of family members,medical expenses borne out-of-pocket,dialysis age≥1 year,sleep disorders,and low self-care ability are independent risk factors for coping fatigue in maintenance hemodialysis patients with CRF,and such patients need to be focused on and corresponding interventions need to be taken.
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