社会心理因素对尿毒症患者透析后疲劳的影响

Influence of Psychosocial Factors on Postdialysis Fatigue in Uremic Patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(3)
作者
作者单位

首都医科大学附属北京朝阳医院 肾内科透析室 ;

摘要
摘要 目的:探讨社会心理因素对尿毒症患者透析后疲劳的影响。方法:纳入2020年6月-2023年6月82例尿毒症透析患者,选择Piper疲乏量表(Revised piper fatigue scale, RPFS)进行透析后疲乏程度评估。调查患者工作情况、社会支持水平、焦虑抑郁等社会心理学资料并进行分类,对相关资料与疲乏评分进行单因素分析,纳入单因素分析中差异显著的资料进行多元逐步回归分析。结果:82例患者RPFS评分为(5.76±1.28)分;不同工作情况、社会支持、心理弹性水平、是否合并抑郁、焦虑、睡眠障碍患者RPFS评分差异具有统计学意义(P<0.05);多元逐步回归分析显示,在职、社会支持、心理弹性、抑郁、睡眠障碍是透析后疲劳的影响因素。结论:尿毒症患者透析后普遍具有中等程度的疲劳,在职、社会支持低下、抑郁等社会心理因素可能加重透析后疲劳。
Abstract
[Abstract] Objective To explore the influence of psychosocial factors on post-dialysis fatigue in uremic patients. Methods Eighty-two uremic dialysis patients from June 2020 to June 2023 were included, and the revised piper fatigue scale (RPFS) was selected for post-dialysis fatigue assessment. Psychosocial information such as patients work situation, social support level, anxiety and depression were investigated and categorized. A one-way analysis of relevant information and fatigue scores was performed, and information with significant differences in the one-way analysis was included in a multiple stepwise regression analysis. Results The RPFS score of 82 patients was (5.76±1.28). The difference in RPFS scores between patients with different working conditions, social support, level of psychological resilience, and whether or not there was a combination of depression, anxiety, and sleep disorders was statistically significant (P<0.05). Multiple stepwise regression analysis showed that on-the-job, social support, psychological elasticity, depression, and sleep disorders were the influencing factors of post-dialysis fatigue. Conclusion Patients with uremia generally have moderate postdialysis fatigue, and psychosocial factors such as being on the job, low social support, and depression may exacerbate postdialysis fatigue.
关键词
关键词:社会心理;尿毒症;透析;疲劳
KeyWord
Key words Psychosocial; Uremia; Dialysis; Fatigue
基金项目
页码 945-947
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任超*. 社会心理因素对尿毒症患者透析后疲劳的影响 [J]. 国际精神病学杂志. 2024; 51; (3). 945 - 947.

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