長期血液透析婦女基本屬性、疾病特性與疲憊感之相關性探討

A Correlative Study of Demographic Profile, Disease Characteristics and Fatigue among Female Patient in Long-term Hemodialysis

S 17.0中文版進行資料統計分析。結果發現：（1）血液透析婦女呈現中度整體疲憊感受（M＝109.35±38.62，Range＝31～185）；其中以「感受／知覺」層面之疲憊感受單題平均得分最高（5.13±2.05，Range＝0～10）、「行為／嚴重度層面」層面之疲憊感受單題平均得分最低（4.53±1.58，Range＝0～10）。（2）血液透析婦女整體疲憊感因年齡、教育程度、職業、月經狀態、自覺睡眠障礙、動靜脈手術次數、有無慢性病及血清白蛋白不同而具顯著相關（p＜.05）。（3）整體疲憊感重要預測因子為自覺睡眠障礙、年齡、教育程度（F＝2.59, p＜.01），可解釋總變異量的35％。本研究結果可提供醫護人員暸解透析婦女疲憊狀況及重要影響因素，作為未來設計介入措施的指引及相關研究之參考。

Aim: The aim of this cross-sectional study was to investigate the relationship between the demographic profile, disease characteristics and fatigue among women in long-term hemodialysis.Methods: The convenience sampling method and structured questionnaires were adopted to investigate fatigue among 130 women receiving hemodialysis at a regional teaching hospital in northern Taiwan. The structured questionnaires included demographic profile, disease characteristics, and Revised-PFS-Chinese Version. Statistical analyses consisted of descriptive and inferential statistics using SPSS 17.0 statistical software.Results: The study subjects showed a moderate level of fatigue (M=109.35+38.62, Range=31-185); PFS of these women receiving dialysis differed by age, education, occupation, menstrual status, sleep disorders, the number of arteriovenous operations, with or without chronic disease and serum albumin (p＜ .05); Predictors of higher PFS were having sleep disorders, older age, and lower educational level (F= 2.59, p＜ .01). Higher PFS predictors explained 35% of the total variance.Conclusions: The results of this study can help healthcare workers understand the level of fatigue in women receiving dialysis and the important predictors of fatigue. The knowledge can be used as a guide for designing interventions and related research in the future.