Analysis of current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis patients_West China Medical Journal

Authors：

LÜ Wenmei , CHEN Pengyu , ZENG Ying ,  YUAN Huaihong

Department of Nephrology, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YUAN Huaihong, Email: yuanhuaihong@wchscu.cn

Keywords：

Maintenance hemodialysis; self-regulatory fatigue; influencing factors

DOI：

10.7507/1002-0179.202205130

Video：

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Objective To explore the current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis (MHD) patients, so as to provide good dialysis treatment for MHD patients, reduce their level of self-regulated fatigue and improve their quality of life. Methods The convenient sampling method was used to select the MHD patients in the Wenjiang Hemodialysis Center of West China Hospital of Sichuan University between April 12 and April 30, 2022. The patients were investigated by self-made basic information scale and self-regulatory fatigue scale. Results A total of 131 patients were included. The average score of self-regulatory fatigue was 53.47±6.45, cognitive dimension was 20.21±2.39, emotional dimension was 20.85±2.85, behavioral dimension was 12.40±3.63. The results of multiple linear stepwise regression analysis showed that age, duration of dialysis and educational background could inversely predict the score of self-regulatory fatigue (P<0.05). Conclusions MHD patients have a high level of self-regulatory fatigue. Clinical nurses can make individual dialysis programs according to the actual situation of MHD patients, improve their self-regulated level and physical and mental health, and improve the quality of life of MHD patients.

Citation： LÜ Wenmei, CHEN Pengyu, ZENG Ying, YUAN Huaihong. Analysis of current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis patients. West China Medical Journal, 2022, 37(7): 1022-1026. doi: 10.7507/1002-0179.202205130 Copy

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13.	Nes LS, Ehlers SL, Whipple MO, et al. Self-regulatory fatigue: a missing link in understanding fibromyalgia and other chronic multisymptom illnesses. Pain Pract, 2017, 17(4): 460-469.
14.	Gao Y, Shan Y, Jiang T, et al. Dietary adherence, self-regulatory fatigue and trait self-control among Chinese patients with peritoneal dialysis: a cross-sectional study. Patient Prefer Adherence, 2021, 15: 443-451.
15.	李佳益. 2 型糖尿病患者自我调节疲劳、自我效能感与自我管理行为的相关性研究. 济南: 山东大学, 2021.
16.	务俊宁. 结直肠癌化疗患者自我调节疲劳状况及其影响因素分析. 现代诊断与治疗, 2022, 33(3): 433-435.
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18.	刘国锋, 吕春晓, 闫红霞, 等. 漯河市维持性血液透析患者睡眠障碍的多中心研究. 中国实用神经疾病杂志, 2016, 19(4): 53-55.
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1. 李艳艳. 基于自我调节模式的血液透析患者疾病感知干预方案的研究. 郑州: 郑州大学, 2019.
2. Higgins ET. The "self digest": self-knowledge serving self-regulatory functions. J Pers Soc Psychol, 1996, 71(6): 1062-1083.
3. Nes LS, Ehlers SL, Whipple MO, et al. Self-regulatory fatigue in chronic multisymptom illnesses: scale development, fatigue, and self-control. J Pain Res, 2013, 6: 181-188.
4. Nes LS, Carlson CR, Crofford LJ, et al. Self-regulatory deficits in fibromyalgia and temporomandibular disorders. Pain, 2010, 151(1): 37-44.
5. Solberg Nes L, Ehlers SL, Patten CA, et al. Self-regulatory fatigue, quality of life, health behaviors, and coping in patients with hematologic malignancies. Ann Behav Med, 2014, 48(3): 411-423.
6. Baumeister RF, Bratslavsky E, Muraven M, et al. Ego depletion: is the active self a limited resource?. J Pers Soc Psychol, 1998, 74(5): 1252-1265.
7. Muraven M, Tice DM, Baumeister RF. Self-control as limited resource: regulatory depletion patterns. J Pers Soc Psychol, 1998, 74(3): 774-789.
8. Solberg Nes L, Roach AR, Segerstrom SC. Executive functions, self-regulation, and chronic pain: a review. Ann Behav Med, 2009, 37(2): 173-183.
9. 程敏琼, 秦嗪, 陈慧, 等. 宫颈癌放疗患者自我调节疲乏与应对方式的研究. 实用临床医药杂志, 2022, 26(6): 63-66, 71.
10. 高倩, 李晓敏, 孙王乐贤, 等. 自我调节疲劳对冠心病患者自我管理行为的影响. 中国慢性病预防与控制, 2019, 27(1): 38-42.
11. Wang L, Yu Y, Tao T, et al. The self-care dilemma of type 2 diabetic patients: the mechanism of self-regulation resource depletion. PLoS One, 2018, 13(12): e0208690.
12. 徐凌霞, 李爱仙. 自我调节疲劳量表用于腹膜透析患者的信度效度分析. 护理学报, 2021, 28(20): 11-15.
13. Nes LS, Ehlers SL, Whipple MO, et al. Self-regulatory fatigue: a missing link in understanding fibromyalgia and other chronic multisymptom illnesses. Pain Pract, 2017, 17(4): 460-469.
14. Gao Y, Shan Y, Jiang T, et al. Dietary adherence, self-regulatory fatigue and trait self-control among Chinese patients with peritoneal dialysis: a cross-sectional study. Patient Prefer Adherence, 2021, 15: 443-451.
15. 李佳益. 2 型糖尿病患者自我调节疲劳、自我效能感与自我管理行为的相关性研究. 济南: 山东大学, 2021.
16. 务俊宁. 结直肠癌化疗患者自我调节疲劳状况及其影响因素分析. 现代诊断与治疗, 2022, 33(3): 433-435.
17. Losso RL, Minhoto GR, Riella MC. Sleep disorders in patients with end-stage renal disease undergoing dialysis: comparison between hemodialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. Int Urol Nephrol, 2015, 47(2): 369-375.
18. 刘国锋, 吕春晓, 闫红霞, 等. 漯河市维持性血液透析患者睡眠障碍的多中心研究. 中国实用神经疾病杂志, 2016, 19(4): 53-55.
19. Pourmotabbed A, Boozari B, Babaei A, et al. Sleep and frailty risk: a systematic review and meta-analysis. Sleep Breath, 2020, 24(3): 1187-1197.
20. 高梦琳, 曾英, 王雪, 等. 维持性血液透析患者衰弱影响因素分析及其与睡眠的相关性研究. 华西医学, 2022, 37(2): 242-247.

West China Medical Journal

Analysis of current situation and influencing factors of self-regulatory fatigue in maintenance hemodialysis patients

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