Volume 19 Issue 2
Feb.  2021
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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
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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.

     

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