Volume 19 Issue 2
Feb.  2021
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(2): 266-269
HOU Rui, SONG Ming-fen, KANG Jun-jun, GUO Yan-xiang. Influencing factors of fatigue in in maintenance hemodialysis patients and their correlation with psychological resilience and hope[J]. Chinese Journal of General Practice, 2021, 19(2): 266-269. doi: 10.16766/j.cnki.issn.1674-4152.001784
Citation: HOU Rui, SONG Ming-fen, KANG Jun-jun, GUO Yan-xiang. Influencing factors of fatigue in in maintenance hemodialysis patients and their correlation with psychological resilience and hope[J]. Chinese Journal of General Practice, 2021, 19(2): 266-269. doi: 10.16766/j.cnki.issn.1674-4152.001784
shu

Influencing factors of fatigue in in maintenance hemodialysis patients and their correlation with psychological resilience and hope

doi: 10.16766/j.cnki.issn.1674-4152.001784
  • 1.

    Department of Psychosomatic Medicine, the Seventh People's Hospital in Hangzhou, Hangzhou, Zhejiang 310000, China

Funds:

 81601183

  • Received Date: 2020-04-05
    Available Online: 2022-02-19
    Abstract
  •   Objective  To understand the psychological resilience, hope and fatigue of maintenance hemodialysis (MHD) patients, and to analyze the role of psychological resilience in patients' hope and fatigue.  Methods  Using convenient sampling technique, 120 maintenance hemodialysis patients who met the inclusion exclusion criteria in department of nephrology of Hospital of Traditional Chinese Medicine of Hangzhou City were selected for the questionnaire survey from September to October 2019. The questionnaire included patients' general information questionnaire, Revised Piper Fatigue Scale (RPFS), Herth Hope Index (HHI), Connor-Davidson Resilience Scale (CD-RISC). The investigators conducted one-to-one survey with unified guidance, and finally obtained 114 valid questionnaires were returned, Statistical software was used to analyze the survey result.  Results  Fatigue scores of the MHD patients was (5.74±0.84), which is at medium level. The hope score is (33.97±3.45), which is on the high side of the medium level. The psychological resilience score was (51.48±7.71), which was at a low level. The fatigue scores of patients with different ages and hemoglobin level were statistically significant (all P < 0.01). Among them, patients aged >65 years old had the highest the highest fatigue score, and patients with hemoglobin level < 100 g/L had the highest fatigue score. Hope score was negatively correlated with fatigue score (r=-0.374, P < 0.01). Resilience score was positively correlated with hope score (r=0.342, P < 0.01) and negatively correlated with fatigue score (r=-0.624, P < 0.01). psychological resilience played a mediating role between hope and fatigue (P < 0.01), and the ratio of mediating effect to total effect was 13.4%.  Conclusion  The fatigue status of MHD patients needs to be improved urgently. The hope is an important factor affecting fatigue, and the mental resilience plays a mediating role.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    王海燕. 肾脏病学[M]. 2版. 北京: 人民卫生出版社, 2001: 1445-1446.
    [2]
    殷贵兰. 维持性血液透析患者疲乏与生活质量的影响因素及其相关性研究[D]. 南京: 南京中医药大学, 2017.
    [3]
    ZHANG W, LIU H, SILENZIO V, et al. Machine learning models for the prediction of postpartum depression: application and comparison based on a cohort study[J]. JMIR Med Inform, 2020, 8(4): e15516. doi: 10.2196/15516
    [4]
    麻杰, 石文娟, 徐莉. 肺癌患者癌因性疲乏影响因素及其与希望水平的相关性[J]. 海南医学, 2018, 29(18): 2659-2661. doi: 10.3969/j.issn.1003-6350.2018.18.044
    [5]
    李艳, 张海波, 刘译鸿, 等. 经皮穴位电刺激治疗化疗后癌因性疲乏的临床效果[J]. 中国医药导报, 2020, 17(12): 149-152, 168.
    [6]
    AMENEH Y, SAEED P S, FON S O, et al. Cross-Cultural adaptation and psychometric evaluation of the Herth Hope Index within a sample of Iranian older peoples[J]. Int J Aging Hum Dev, 2019, 89(4): 356-371. doi: 10.1177/0091415018815239
    [7]
    史春丽, 罗红英. 心理弹性支持结合时效激励干预对老年脑梗死后偏瘫患者的影响[J]. 海南医学, 2019, 30(23): 3125-3128. doi: 10.3969/j.issn.1003-6350.2019.23.041
    [8]
    周玲, 孔红武. 微信平台延续性护理干预对乳腺癌患者术后心理弹性及病耻感的影响[J]. 中华全科医学, 2019, 17(10): 1773-1776. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201910044.htm
    [9]
    王翠, 聂立婷, 郭敏, 等. 肺癌患者希望与生活质量的关系——社会支持的中介效应[J]. 护士进修杂志, 2018, 33(22): 2038-2042. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201822006.htm
    [10]
    温忠麟, 范息涛, 叶宝娟, 等. 从效应量应有的性质看中介效应量的合理性[J]. 心理学报, 2016, 48(4): 435-443. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB201604010.htm
    [11]
    刘洋, 沙丽艳, 张嵘之, 等. 医学应对方式在血液透析病人希望水平和心理弹性中的中介效应[J]. 护理研究, 2016, 30(34): 4347-4350. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201634041.htm
    [12]
    孙凌, 李小妹, 姚静, 等. 护士心理弹性与职业倦怠相关性的Meta分析[J]. 护理管理杂志, 2019, 19(3): 167-171. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL201903008.htm
    [13]
    李密, 潘红, 谢席胜, 等. 维持性血液透析患者透析后疲劳现状及影响因素分析[J]. 西部医学, 2018, 30(11): 1646-1648, 1653. https://www.cnki.com.cn/Article/CJFDTOTAL-XIBU201811022.htm
    [14]
    董丽平, 石元洪, 童萍, 等. 维持性血液透析患者抑郁情绪对疲劳状况的影响[J]. 中国中西医结合肾病杂志, 2016, 17(10): 901-904. https://www.cnki.com.cn/Article/CJFDTOTAL-JXSB201610023.htm
    [15]
    李梦婷, 李国宏, 张留平. 维持性血液透析患者衰弱现状及影响因素[J]. 齐鲁护理杂志, 2019, 25(7): 28-30. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL201907009.htm
    [16]
    HIRSCH J K, SIROIS F M, Hope and fatigue in chronic illness: the role of perceived stress[J]. J Health Psychol, 2016, 21(4): 451-6. http://faculty.etsu.edu/hirsch/hopefatigue.pdf
    [17]
    TADAYON M, DABIRIZADEH S, ZAREA K, et al. Investigating the relationship between psychological hardiness and resilience with depression in women with breast cancer[J]. Gulf J Oncolog, 2018, 1(28): 23-30. http://www.ncbi.nlm.nih.gov/pubmed/30344130
    [18]
    葛蓓, 赵晶, 韩小阳. 直肠癌术后患者心理弹性与癌因性疲乏调查分析[J]. 癌症进展, 2018, 16(10): 1310-1313. https://www.cnki.com.cn/Article/CJFDTOTAL-AZJZ201810032.htm
    [19]
    RUEEGG C S, KRIEMLER S, ZUERCHER S J, et al. A partially supervised physical activity program for adult and adolescent survivors of childhood cancer (SURfit): study design of a randomized controlled trial [NCT02730767] [J]. BMC Cancer, 2017, 17(1): 822. http://europepmc.org/articles/PMC5717834/
    [20]
    马超群. 慢性心衰患者希望、乐观特质、心理弹性与情绪状态的相关性[D]. 济南: 山东大学, 2016.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (364) PDF downloads(2) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return