earticle

영어

The purpose of this study was to measure post-dialysis fatigue in patients on hemodialysis and identifies clinical variables that are associated with post-dialysis fatigue. The subjects for this study were 103 patients who were receiving chronic hemodialysis in outpatient dialysis clinics in Seoul between April 12th and April 23th, 2010 and consented to participate in the study. The collected data were analyzed by the SPSS WIN 12.0 program. The mean score of fatigue were 63.4, 86.8 and 60.8 before hemodialysis, after hemodialysis and next day, respectively. There was a statistically significant (F=5.16, p<.001). All these indicators but ‘tired’, ‘not energetic’, ‘difficult to move’, ‘would like to lie’ did not significantly differ over time after hemodilaysis. ‘Would like to lie’ was strongest after hemodialysis (F=12.52, p<.001). There were significantly positive correlations between post-dialysis fatigue and weight gain (r=.18, p=.038). There were significantly positive correlations between weight gain and ‘tired’, ‘ difficult to move’, and ‘would like to lie’. There were also significantly positive correlations between post-dialysis fatigue and age (r=.19, p=.035), comorbidities (r=.14, p=.031), post dialysis blood pressure (r=-.17, p =.024), weight change (r=.14, p=.034), and hemoglobin (r=-.27, p=.005). Also, Age, comorbidities post-dialysis blood pressure, weight change, and hemoglobin predicted value accounted for 16.8% of the variance on post-dialysis fatigue (F=13.08, p<.001). It is considered that dialysis providers care to recognize post-dialysis fatigue as an important nursing issue for hemodialysis patients. It is also necessary to develop a nursing intervention for improving their post-dialysis fatigue.