血液透析后疲乏的概念分析

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Concept analysis of post dialysis fatigue

ZHANG Ying， LIU Xiaohui

School of Nursing， Henan University of Traditional Chinese Medicine， Henan 450046 China

Corresponding Author  LIU Xiaohui， E⁃mail： 1173652033@qq.com

Abstract  Objective：To systematically analyze the alternative terms，defining attributes，antecedent variables，consequences，related concepts and typical cases of Post dialysis fatigue through literature，in order to provide reference for nursing practice.Method：PubMed，Web of Science，the Cochrane Library，CINAHL，China Biology Medicine Disc，China National Knowledge Infrastructure（CNKI），VIP Journal Network and Wanfang Database were searched from the establishment of the databases to October 31 2022.According to the inclusion criteria，50 literature were selected and analyzed with the Rodgers evolution concept analysis method.Results：Post dialysis fatigue involved four defining attributes，individual subjective experience with objective performance，unpleasant symptom experience，multi⁃dimensional fatigue experience and intermittent fatigue state after dialysis.The related factors included treatment related factors，personal factors and laboratory tests.Outcome measures included increased risk of adverse events，limitations in life participation，psychological and cognitive impairment.Conlusion：The concept of post dialysis fatigue is constantly being updated and refined.The analysis of the concept of post dialysis fatigue is helpful for medical staff to build effective fatigue management strategies，reduce the level of post dialysis fatigue and improve the quality of life of patients.

Keywords  post dialysis fatigue； hemodialysis； concept analysis； nursing

摘要  目的：通过文献对透析后疲乏的替代术语、定义属性、前因变量、后果、相关概念及典型案例进行系统分析，以期为护理实践提供参考。（剩余11479字）