血液透析を受けている人の疲労の多次元的側面と相関関係

Multiple Dimensions and Correlates of Fatigue in Individuals on Hemodialysis.

• Bincy Joshwa
• Rosalind M Peters
• Moh H Malek
• Hossein N Yarandi
• Margaret L Campbell

抄録

この研究では、血液透析を受けている成人の疲労の重症度、パターン、および相関関係を調べた。測定項目には、Piper Fatigue Scale（PFS-12）、Patient-Reported Outcomes Measurement Information System（PROMIS） - Fatigue、Charlson Comorbidity Index、および6分間歩行テスト（6MWT）が含まれた。運動性または心血管系の問題により6MWTの実施が困難な場合は、患者を除外した。参加者は認知的に無傷の成人86人（M = 61.7歳、SD = 13.81）、男性（58.1％）、アフリカ系アメリカ人（48.8％）で、80％が透析前1週間の疲労を報告していた。透析前から透析後にかけて感覚疲労と認知疲労が有意に増加し、6MWT距離は透析前から透析後にかけて有意に減少した。透析前の疲労と有意に関連する因子には、低ヘモグロビン、若年性、同居者が含まれていたが、併存疾患や透析不足は疲労と有意に関連する傾向にあった。

This study examined the severity, pattern, and correlates of fatigue among adults undergoing hemodialysis. Measures included the Piper Fatigue Scale (PFS-12), Patient-Reported Outcomes Measurement Information System (PROMIS) - Fatigue, Charlson Comorbidity Index, and Six-Minute Walk Test (6MWT). Patients were excluded if mobility or cardiovascular issues prevented conducting the 6MWT. Participants were 86 cognitively intact adults (M = 61.7 years, SD = 13.81), predominantly male (58.1%), and African American (48.8%), with 80% reporting fatigue in the week prior to hemodialysis. Significant increases were noted in sensory and cognitive fatigue from pre- to post-dialysis, while the 6MWT distance decreased significantly pre- to post-dialysis. Factors significantly associated with pre-dialysis fatigue included low hemoglobin, younger age, and living with someone else, while comorbidities and dialysis inadequacy were trending to significant associations with fatigue.

Copyright© by the American Nephrology Nurses Association.