AIM:To measure fatigue and physical functioning in patients with end stage renal disease (ESRD) receiving haemodialysis and to investigate the relationships between fatigue and physical functioning. BACKGROUND:Fatigue and reduced physical functioning are among the most bothersome symptoms experienced by individuals receiving haemodialysis for ESRD. Research has shown that increasing activity levels has resulted in decreased fatigue levels and improved physical functioning in individuals with cancer. Establishing whether or not a relationship exists between both concepts in haemodialysis patients is a preliminary step in identifying potential fatigue reducing strategies necessary for improved wellbeing. METHOD:A quantitative exploratory correlational design was used with 46 individuals completing the Multi-dimensional Fatigue Inventory, the Medical Outcomes Study Short-Form 36-item questionnaire and a Demographic Questionnaire. RESULTS:Results indicated fatigue was prevalent with highest scores achieved for physical fatigue; reduced activity and general fatigue. Substantial limitations in physical functioning were found. A significant moderate negative relationship between general fatigue and physical functioning indicated that, as physical functioning levels increased, fatigue levels decreased. A significant difference was also found between general fatigue scores for males and females. Significant relationships were found between overall physical functioning, older age and employment status. CONCLUSION:The research indicates the prevalence of fatigue and limitations in physical functioning in individuals with ESRD. However, as physical functioning increased fatigue decreased; a finding relevant to clinical nursing. RELEVANCE TO CLINICAL PRACTICE:Understanding the levels of fatigue and the value of exercise is of relevance to clinical practice thus assessment of fatigue and physical functioning ability in the clinical setting is necessary.

译文

目的:测量接受血液透析的终末期肾病(ESRD)患者的疲劳和身体机能,并研究疲劳与身体机能之间的关系。
背景:疲劳和身体机能减退是接受ESRD血液透析的人最容易感到不适的症状之一。研究表明,增加活动水平可降低癌症患者的疲劳程度并改善其身体机能。建立血液透析患者的两个概念之间是否存在联系是确定改善健康所必需的潜在疲劳减轻策略的第一步。
方法:采用定量探索性相关设计,对46位个体完成多维疲劳量表,医学成果研究简短形式36项问卷和人口统计学调查表。
结果:结果表明疲劳普遍存在,身体疲劳得分最高。减少活动和全身疲劳。发现在身体机能上有很大的局限性。一般疲劳与身体机能之间存在显着的中等程度的负相关关系,表明随着身体机能水平的提高,疲劳程度降低。男性和女性的总体疲劳评分之间也发现了显着差异。发现总体身体机能,年龄和就业状况之间存在重要关系。
结论:该研究表明ESRD患者普遍存在疲劳和身体机能障碍。但是,随着身体机能的增强,疲劳程度降低;与临床护理有关的发现。
与临床实践的关系:了解疲劳程度和运动价值与临床实践有关,因此有必要在临床环境中评估疲劳和身体机能。

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