[[alternative]]A Study of Fatigue and Related Factors among Female Patient with Long-term Hemodialysis

[[abstract]]中文摘要論文中文名稱：長期血液透析婦女疲憊感及其相關因素之探討論文英文名稱：A Study of Fatigue and Related Factors among Female Patient with Long-term Hemodialysis.指導教授：盧玉嬴 博士研 究 生：楊碧枝本研究目的在探討長期血液透析婦女的人口學屬性、疾病特性及壓力與疲憊感之相關性。採橫斷式相關性研究設計，以方便取樣方式，選取北部某區域教學醫院之長期血液透析婦女為研究對象，收案條件為：經醫師診斷為末期腎臟疾病之女性病患，持續3個月以上血液透析治療、18歲以上有自主能力並同意參與研究者、意識清楚無精神方面障礙者、識字或具國、台語表達能力，能以溝通完成問卷訪談並簽署書面同意書者。收案時間自民國100年11月至101年1月，使用結構式問卷以面對面訪談收集資料，共取得130份有效樣本。研究工具採結構式問卷，包含：基本屬性資料表、壓力量表、疲憊量表三部分。所得資料使用SPSS 17.0中文版統計軟體進行資料分析，以描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關及逐步迴歸進行資料分析。研究結果發現：研究對象平均年齡為66.95歲，「整體壓力」平均分數為0.86，以「身體不適壓力」（M = 1.07, SD = 0.50）得分最高，疲憊感「整體疲憊感」平均為4.80，以「感受/知覺」（M = 5.13, SD = 2.05）之各題平均得分最高。統計分析後發現與疲憊感呈顯著相關因子包括：年齡、教育、職業、月經狀態、自覺睡眠障礙、動靜脈手術次數、有無慢性病、血蛋白、肌酸酐、身體不適、心理負荷及社會角色功能，重要預測疲憊感因子為：身體不適壓力、年齡與心理負荷壓力，共可解釋整體疲憊感63%變異量。建議：針對研究的結果及過程中得到之經驗，在護理教育、臨床實務及護理研究上做改善，降低患者的壓力、加強護理人員對患者疲憊感的瞭解，作為臨床照護上介入措施的指引，及未來研究之參考。關鍵字：血液透析、疲憊感、婦女、壓力[[abstract]]AbstractA Study of Fatigue and Related Factors among Female Patient with Long-term Hemodialysis The purpose of this study is designed to explore the demographic data, the disease characteristics, and the corelation between pressure and fatigue among women with long-term hemodialysis. Women who were diagnosed as end-stage renal disease and had underwent hemodialysis sessions for more than three months, who were older than 18 years, who were not mentally handicapped, who were competence of Chinese and Taiwanese and capable of communicating to fill in the questionnaire, and who were received hemodialysis treatment in a teaching hospital located in North part of Taiwan were enrolled in this cross-sectional study. All participants gave their informed consent. The time of retrieving cases dated from Nov. 2011 to Jan. 2012, and the structured questionnaires were used to collect information through face-to-face interviews in which we achieved 130 copies of valid samples in general. The research instruments which adopted the structured questionnaires include 3 parts of job data sheets of basic attributes, pressure scale, and fatigue scale. The data collected was analysed by using the Chinese version of statistical software SPSS 17.0, and descriptive statistics, independent sample t-test, single-factor analysis of variance, Pearson product moment correlation, and stepwise regression were applied in this stiudy.The research results shows: the average age of the research objects is 66.95 years old and the average score of the “general pressure” is 0.86 with the highest scores that belongs to “the physical discomfort pressure”（M = 1.07, SD = 0.50）while the average score of “the general sense of fatigue” of the sense of fatigue is 4.80 with the highest scores of each question that belongs to “feeling/consciousness”（M = 5.13, SD = 2.05）. Statistical analysis found that fatigue was significantly related to factors including: age, education, occupation, menstrual status, conscious sleep disorders, arteriovenous number of operations, with or without chronic diseases, blood protein, creatininephysical discomfort, psychological load and social role function, The important factors that makes predictions of are: physical discomfort pressure, age, mental load pressure, that can account for 63% variance measurement of the whole sense of fatigue as a whole. Suggestions: It is suggested that the our findings may intrigue an attempt to re-program the nursing education, to delineate clinical nursing practice and research, to reinforce health care workers’ knowledge of understanding the sense of fatigue, and to emphasize the importance of lowering the pressure of these patinets. Keywords: hemodialysis, fatigue, female, pressur