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Relationships between Fatigue, Sleep Disturbance, Stress, Self-efficacy and Depression in Hemodialysis Patients

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KMID : 1004620130190020285
¼­³²¼÷ ( Seo Nam-Sook ) - µ¿½Å´ëÇб³ °£È£Çаú

°­½ÂÀÚ ( Kang Seung-Ja ) - È£³²º´¿ø
±èÀçÈñ ( Kim Jae-Hee ) - µ¿½Å´ëÇб³ ¼øõÇѹ溴¿ø
±è¼¼ÀÚ ( Kim Sea-Ja ) - ±¤ÁÖ´ëÇб³ °£È£Çаú

Abstract

Purpose: This study was conducted to investigate the differences in sleep disturbance, stress, self-efficacy and
depression by fatigue level and to identify the factors influencing fatigue in hemodialysis patients.

Methods: This study used a cross-sectional design and the subjects were 195 patients undergoing hemodialysis in a local unit. Data were collected using a structured questionnaire and medical records from June to August 2012. The data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Scheffe test, and Pearson¡¯s correlation coefficients. Also a multiple regression analysis was used to assess the independent association between fatigue status and indices of sleep disturbance, stress, self-efficacy and depression.

Results: A total of 99 (50.8%) subjects experienced a high level of fatigue and 96 (49.2%) experienced a low level of fatigue. There were significant differences in the levels of sleep disturbance, stress, self-efficacy and depression between the two groups. Fatigue was significantly correlated to sleep disturbance, stress, self-efficacy and depression. The most important factor related to fatigue was stress, followed by sleep disturbance. These factors explained about 37% of fatigue of the respondents.

Conclusion: The results of this study showed that sleep disturbance and stress were significant predictors of fatigue in hemodialysis patients. Possible interventions for minimizing fatigue in patients undergoing long-term hemodialysis should be aimed to manage the known contributing factors.
KeyWords
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Hemodialysis, Fatigue, Sleep, Stress, Depression
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