The Present Status Of Fatigue In Maintenance Hemodialysis Patients And Its Influencing Factors

Objectives:The aim of this study was to analysis the fatigue status of hemodialysis patients in our dialysis center,explore the influencing factors of fatigue in these patients and propose effective intervention measures to the fatigue of maintenance hemodialysis patients.Methods:This study is a observational study.From June 2016 to February 2017,120 maintenance hemodialysis patients were enrolled the research in our center,the researchers completed the questionnaires and collected the blood samples to statistics and analysis.Results:120 questionnaires were distributed and 111 were taken back,and 109(90.8%)were effective among the questionnaires.The incidence of fatigue in maintenance hemodialysis patients was high,63 of 109 patients(57.8%)enrolled in the study assessed of fatigue,especially after hemodialysis treatment,9.2%of patients had a severe fatigue."Time to recover from hemodialysis"(TIRD)is differently from 30 minutes to 24 hours.66.1%of patients need recovery time shorter than 2 hours,29.3%need 2-12 hours,4.6%of patients take longer time to recover from a dialysis session.Most of them required more rest or sleep immediately after dialysis.The result of analysis is that the fatigue of patients was correlated with comorbidities,the levels of lactic acid and the bicarbonate after dialysis.The rate of ultrafiltration,the levels of serum sodium and the levels of lactic acid after dialysis are different to the TIRD,the elevated of lactic acid is associated of more seriously fatigue.Conclusions:The incidence of fatigue patients in our dialysis center is more than a half,9.2%of patients had a heavy fatigue,required more rest or sleep immediately after dialysis.The levels of lactic acid was significant influencing factors of the fatigue of patients,TIRD was correlated with the elevated of lactic acid during the dialysis process,more attention should be paid to their fatigues status.