Exploring the Mechanism and Improvement Strategies of Fatigue Response in Chronic Renal Failure Patients with Maintenance Hemodialysis Treatment
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.
Chronic renal failuremaintenance hemodialysiscoping with fatigueinfluencing factors
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