Objective To systematically evaluate and integrate the qualitative studies on fatigue experience and management in hemodialysis patients. Methods Cochrane Library, Web of Science, PubMed, CINAHL, Embase, Scopus, CBM, CNKI, Wanfang, and VIP databases were searched for qualitative studies on the experience and management of fatigue in hemodialysis patients from their inception to December 2023. Results A total of 9 articles were included, 38 results were extracted, 10 categories were formed, and 4 integrated results were summarized: hemodialysis patients' cognition of fatigue, the impact of fatigue, patient self-management strategies, fatigue management needs and challenges. Conclusion There are obstacles in the management of fatigue in hemodialysis patients, such as cognitive deficiency, negative emotional influence, incomplete self-management strategies, and imprecise interventions. Medical institutions should build diversified management strategies and provide comprehensive support to improve self-management strategies, survival cycle, and quality of life in hemodialysis patients.
[1] Thurlow JS, Joshi M, Yan G, et al. Global Epidemiology of End-Stage Kidney Disease and Disparities in Kidney Replacement Therapy[J]. Am J Nephrol,2021,52(2):98-107.
[2] Yang C, Gao B, Zhao X, et al. Executive summary for China Kidney Disease Network (CK-NET) 2016 Annual Data Report[J]. Kidney Int,2020 ,98(6):1419-1423.
[3] Natale P, Ju A, Strippoli GF, et al. Interventions for fatigue in people with kidney failure requiring dialysis[J]. Cochrane Database Syst Rev,2023,31;8(8):CD013074.
[4] Dou J, Liu H, Ma Y, et al. Prevalence of post-dialysis fatigue: a systematic review and meta-analysis[J]. BMJ Open,2023,13(6):e064174.
[5] Bossola M, Tazza L. Postdialysis Fatigue: A Frequent and Debilitating Symptom[J]. Semin Dial,2016 ,29(3):222-7.
[6] Bossola M, Hedayati SS, Brys ADH, Gregg LP. Fatigue in Patients Receiving Maintenance Hemodialysis: A Review[J]. Am J Kidney Dis,2023,82(4):464-480.
[7] Lockwood C, Munn Z, Porritt K. Qualitative research synthesis: methodological guidance for systematic reviewers utilizing meta-aggregation[J]. Int J Evid Based Healthc, 2015,13(3):179-187.
[8] 胡雁.如何开展质性研究的系统评价和Meta整合[J].上海护理,2020,20(7):1-5.
[9] 胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018:78-79.
[10] Tao Y,Liu T,Li P,et al. Self-management experiences of haemodialysis patients with self-regulatory fatigue: A phenomenological study[J]. J Adv Nurs,2023,79(6):2250-2258.
[11] Young HML,Ruddock N,Harrison M,et al. Living with frailty and haemodialysis: a qualitative study[J]. BMC Nephrol,2022,23(1):260.
[12] van der Borg WE, Verdonk P, de Jong-Camerik JG, et al. A continuous juggle of invisible forces: How fatigued dialysis patients manage daily life[J]. J Health Psychol,2021 ,26(6):917-934.
[13] Rezaei Z,Jalali A,Jalali R,et al. Haemodialysis patients' experience with fatigue: a phenomenological study[J]. Br J Nurs,2020,29(12):684-690.
[14] T. R, Ezhilarasu PV. Lived Experience of Haemodialysis-Related Fatigue: A Phenomenological Study[J]. Nursing Journal of India,2019,110(3):99-103.
[15] Rezaei Z, Jalali A, Jalali R, et al. Psychological problems as the major cause of fatigue in clients undergoing hemodialysis: A qualitative study[J]. Int J Nurs Sci,2018,5(3):262-267.
[16] Picariello F, Moss-Morris R, Macdougall IC, et al. 'It's when you're not doing too much you feel tired': A qualitative exploration of fatigue in end-stage kidney disease[J]. Br J Health Psychol,2018 ,23(2):311-333.
[17] Horigan AE, Schneider SM, Docherty S, Barroso J. The experience and self-management of fatigue in patients on hemodialysis[J]. Nephrol Nurs J. 2013 Mar-Apr;40(2):113-22; quiz 123.
[18] 敖漫,王惠明,梁伟,等.腹膜透析患者疲乏的影响因素、评估方法及干预措施的研究进展[J].中国医药导报,2023,20(33):48-51.
[19] 曲畅,郭海玲,魏宇,等.维持性血液透析后疲乏管理最佳证据总结[J].护理研究,2021,28(5):43-48.
[20] Lee B,Liu C,Chaboyer W, et al.The fatigue experience of hemodialysis patients in Taiwan[J].J Clin Nurs.2007 Feb;16(2):407-13.
[21] 张彤彤.赋能教育模式对早期腹膜透析患者自我管理模式及自我调节疲劳的影响[D].郑州大学,2022.
[22] 范炯同,苏醒,秦殿菊.认知行为疗法对血液透析患者治疗效果的Meta分析[J].吉林医学,2021,42(04):991-994.
[23] 何恩晓,宋蓉蓉,李娜娜.医院—社区—家庭三元联动护理模式在尿毒症维持性血液透析患者中的应用[J].青岛医药卫生,2022,54(04):307-310.
[24] Zhang k,Hannan E,Nicole SR, et al.patients, perspectives of pain in dialysis:systematic review and thematic synthesis of qualitative studies[J].Pain.2020sep1;161(9):1983-1994.
[25] 郑旭彤,林晓忆,秦朱珠,等.慢性肾病患者及其照护者家庭血液透析体验质性研究的Meta整合[J].中华护理杂志,2023,58(11):1365-70.
[26] 乔勤,顾波.我国与全球终末期肾脏病的流行现状[J].中国血液净化,2014,13(10):729-732.
[27] 李蕊,宋红,吴越,等.围透析期患者疲劳发展轨迹及其影响因素的纵向研究[J/OL]．护士进修杂志. https://link.cnki.net/urlid/52.1063.R.202309,5.1528.002
[28] 张颖,刘晓辉. 血液透析后疲乏的概念分析[J].护理研究,2023,37(19):3423-3427.
[29] 张颖,刘雪琴,刘晓辉,等.血液透析疲乏患者报告结局评估工具临床应用的研究进展[J].护理学报,2023,30(13):38-41.
[30] 周晓蕊,冷英杰,傅小蓉,等.透析期间适当运动训练对血液透析患者充分性和疲劳的影响[J].中国医学创新,2023,20(20):102-106.
