Study on correlation between fatigue,frailty and sleep in hemodialysis patients
Objective:To explore and analyze the correlation between symptoms of fatigue and frailty in hemo-dialysis patients and their sleep situation,in order to provide theoretical basis for targeted nursing in clinical practice,improve patients'sleep quality,and enhance their self-care ability.Methods:A total of 268 patients undergoing maintenance hemodialysis in our hospital were investigated and statistically analyzed using the fa-tigue scale-14(FS-14),weakness screening scale,self-care ability Barthel index assessment scale,and Pitts-burgh sleep quality index(pSQI).Results:According to the total score of FS-14,there were 26 non-fatigue pa-tients and 242 fatigue patients in this study.Fatigue patients had higher scores in terms of frailty,sleep quali-ty,sleep latency,sleep efficiency,sleep disorders,and daytime dysfunction compared to non-fatigue patients,with statistical significance(P<0.05).The Spearman correlation analysis results showed that each fatigue factor in hemodialysis patients was positively correlated with the total score of weakness,total score of self-care ability,Pittsburgh sleep quality,sleep latency,sleep efficiency,sleep disorders,and daytime dysfunction scores(P<0.05).Conclusion:Hemodialysis patients generally experience fatigue.which can reduce their self-care abili-ty,exacerbate their frailty,and lower their sleep status,leading to a decrease in quality of life.