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血液透析病人的疲憊及其相關因素探討
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血液透析病人的疲憊及其相關因素探討
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Journal Article
血液透析病人的疲憊及其相關因素探討
2025
Overview
背景：疲憊是血液透析病人非常常見且嚴重的症狀之一，影響病人的生活品質，也增加死亡風險。國內對透析病人疲憊相關因素之研究，不但極少且年代久遠，臺灣洗腎的醫療品質更是優於過往，故值得針對此議題持續探究。目的：探討血液透析病人的疲憊及其相關因素。方法：採橫斷式、相關性研究設計，以血液透析病患疲憊量表、臺灣人憂鬱症量表，採結構式問卷訪談及病歷查詢收集資料。運用獨立樣本t檢定、單因子變異數分析、皮爾森積差相關分析、多元迴歸分析進行推論性統計。結果：本研究以女性、無工作者居多，平均年齡63.59歲（SD = 10.29），透析時間平均為83.70個月（SD =63.46）。疲憊分數平均為22.74分（SD = 12.34）。年齡（r = .185, p = .024）、白蛋白數值（r = -.245, p =.003）與疲憊程度呈現顯著相關，慢性疾病數（F = 7.48, p = .001）與疲憊程度具顯著差異。憂鬱情緒及白蛋白數值為與疲憊程度之顯著預測因素，可解釋68.5%的總變異量（F = 157.308, p = .001），且憂鬱情緒為主要預測變項。結論／實務應用：可提供臨床醫護人員對評估血液透析疲憊高風險病人瞭解及照護依據，透過專業教育訓練，提供心理支持與資源應用於臨床照護中，並關注個案營養指標，提供個別性護理指導，以期研究結果作為臨床教學、研究及照護之參考。
Publisher
台灣護理學會,社團法人臺灣護理學會
Subject
