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综述

维持性血液透析患者透析后疲劳的范围综述

  • 李柏媚 ,
  • 张明月 ,
  • 刘智源 ,
  • 贾美丽 ,
  • 王秀岚 ,
  • 李思钰 ,
  • 郎延梅
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  • 133002 延边,1延边大学护理学院

收稿日期: 2024-11-11

  修回日期: 2025-05-04

  网络出版日期: 2025-08-12

A review of  the scope of post-dialysis fatigue in maintenance hemodialysis patients

  • LI Bai-Mei ,
  • ZHANG Ming-Yue ,
  • LIU Zhi-Yuan ,
  • JIA Mei-Li ,
  • WANG Xiu-Lan ,
  • LI Si-Yu ,
  • LANG Yan-Mei
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  • College of Nursing, Yanbian University, Yanbian 133002, China

Received date: 2024-11-11

  Revised date: 2025-05-04

  Online published: 2025-08-12

摘要

目的  对国内外透析后疲劳的研究现状、评估工具、影响因素研究进行综述,旨在为临床工作者改善维持性血液透析患者的生活质量和预后提供参考依据。 方法  检索PubMed、Web of science、Cochrane library、Science Direct、Embase、CINAHL、中国知网、万方数据知识服务平台、维普网、中国生物医学数据库中维持性血液透析患者透析后疲劳的相关研究,检索时限为建库至2024年9月。 结果  共纳入22篇文献,最常用的评估工具为透析后疲劳开放式评估问卷;透析后疲劳发生率、严重程度在不同研究结果之间存在一定差异,主要影响因素包括社会人口学因素、透析相关因素、疾病相关因素、躯体因素及心理因素。 结论  血液透析患者透析后疲劳发生率高,评估工具种类繁多,但目前缺乏多维度特异性的评估工具,影响因素复杂多样。

本文引用格式

李柏媚 , 张明月 , 刘智源 , 贾美丽 , 王秀岚 , 李思钰 , 郎延梅 . 维持性血液透析患者透析后疲劳的范围综述[J]. 中国血液净化, 2025 , 24(08) : 675 -679 . DOI: 10.3969/j.issn.1671-4091.2025.08.011

Abstract

Objective To review the research status, evaluation tools, and influencing factors of post-dialysis fatigue in maintenance hemodialysis (MHD) patients, aiming to provide references for clinical workers to improve their prognosis and quality of life.  Methods  We searched the databases of PubMed, Web of science, Cochrane library, Science Direct, Embase, CINAHL, CNKI, Wanfang, VIP and SinoMed for post-dialysis fatigue in MHD patients from inception to September 2024.  Results  A total of 22 articles were included. The commonly used evaluation tool was the open-ended assessment questionnaire for post-dialysis fatigue. The incidence and severity of post-dialysis fatigue were different among the research series. The main influencing factors included sociodemographic factors, dialysis related factors, disease-related factors, physical factors, and psychological factors.  Conclusions  The incidence of post-dialysis fatigue is high in MHD patients. Various tools were available for the assessment of post-dialysis fatigue, but multidimensional and specific assessment tools are yet absent. A diverse of influencing factors are present for the post-dialysis fatigue in MHD patients.

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