Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Concept Analysis of Fatigue in Hemodialysis Patients Based on Hybrid Model

혈액투석환자의 피로에 대한 개념분석 : 혼종모형

  • Received : 2017.05.10
  • Accepted : 2017.07.07
  • Published : 2017.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to identify the conceptual definitions and attributes of fatigue in hemodialysis patients based on the Hybrid Model of concept development. The Hybrid Model was used to investigate the main attributes and indicators of the concept by applying three stages. After a literature review, data were collected through observation and interviews including qualitative research in the field work stage. The participants included 10 patients in hemodialysis center of two hospitals in Gwang-ju, Korea. The attributes of fatigue concept in the hemodialysis patients were divided into four dimensions, physical activity, affective mood, social role, and cognitive reflection. The definition of fatigue by hemodialysis patients was defined as 'subjective feeling usually experienced in four dimensions during the process to recognize and adjust energy deficiency and limited functions caused by uremia and repeated hemodialysis for chronic renal failure'. Considering the dimensions and attributes derived from this study, it may be possible to develop an effective intervention program for fatigue in hemodialysis patients.

본 연구는 개념분석의 혼종모형을 기반으로 혈액투석환자의 피로에 대한 개념적 정의와 특성을 확인하기 위해 수행되었다. 연구방법은 혼종모형의 3가지 단계를 적용하여 문헌고찰을 통한 이론적 단계, 개념의 주 속성과 지표를 조사하는데 사용되는데 현장 작업 단계에서 데이터는 질적 조사를 포함한 관찰 및 인터뷰를 통해 수집한 현장작업 단계, 자료들을 종합적으로 분석하는 최종분석 단계를 적용하여 개념의 주 속성과 지표를 조사하였다. 연구대상은 광주 2개 병원의 혈액투석 센터에서 혈액투석을 받고 있는 환자 10명이었다. 연구결과, 혈액투석환자의 피로 개념은 신체 활동, 정서적 기분, 사회적 역할, 인지적 반영의 네 가지 차원으로 구분되었다. 혈액투석환자의 피로에 대한 정의는 '말기신부전으로 인한 요독증과 반복적인 혈액투석으로 야기되는 에너지 수준의 감소와 제한된 기능에 대해 신체적 활동, 정서적 기분, 사회적 역할, 인지적 반영 차원에서 인식하고 대처하는 과정 중에 일상적으로 경험하는 주관적인 느낌'으로 나타났다. 본 연구에서 혈액투석환자의 피로의 속성 및 정의를 규명함으로서 도출된 혈액투석환자의 피로개념의 네 가지 차원과 특성을 고려하여 효율적인 간호중재 프로그램을 개발하는데 기초자료로 사용되리라 사료된다.

Keywords

References

  1. L. J. Carpenito, M.E. Briody, D. A. Jones, J. J. Fitzpatrick, Toward further understanding of nursing diagnosis: an interpretation, Nursing diagnosis, vol. 3, no. 3, pp. 124-128, 1992. DOI: https://doi.org/10.1111/j.1744-618X.1992.tb00217.x
  2. T. Gordon, Fatigue in adapted systems, Overuse and underuse paradigms, In S.C. Gandevia, R. M. Enoka, A. L. Mccoms, D. G. Stuart, and C. K. Tomas(Eds.), Fatigue: Neural and Muscular Mechanisms, Chap.32, pp. 429-456, 1995. DOI: https://doi.org/10.1007/978-1-4899-1016-5_34
  3. Letchmi Santhna, Srijit Das, Hasliza Halim, FaridAzizul Zakariah, Hamidah Hassan, Samsiah Mat, Ruth Packiavathy, Fatigue experienced by patients receiving maintenance dialysis in hemodialysis, Nursing & Health Sciences, vol. 13, no. 1, pp. 60-64, 2011. DOI: https://doi.org/10.1111/j.1442-2018.2011.00579.x
  4. B. Cheema, H. Abas, B. Smith, A. O'Sullivan, M. Chan, A. Patwardhan, J. Kelly, A. Gillin, G. Pang, B. Lloyd, M. Fiatarone Singh, Randomized controlled trial of intradialytic resistance training to target muscle wasting in ESRD: the Progressive Exercise for Anabolism in Kidney Disease (PEAK) study, American Journal of Kidney Disease, vol. 50, no. 4, pp. 574-584, 2007. DOI: https://doi.org/10.1053/j.ajkd.2007.07.005
  5. A. Jablonski, The multidimensional characteristics of symptoms reported by patients on hemodialysis, Nephrology Nursing Journal, vol. 34, no. 1, pp. 29-37, 2007.
  6. F. E. Murtagh, J. Addington-Hall, I. J. Higginson, The prevalence of symptoms in end-stage renal disease: a systematic review, Advances in Chronic Kidney Disease, vol. 14, no. 1, pp. 82-99, 2007. DOI: https://doi.org/10.1053/j.ackd.2006.10.001
  7. A. E. Horigan, Fatigue in hemodialysis patients: a review of current knowledge, Journal of Pain and Symptom Management, vol. 44, no. 5, pp. 715-724, 2012. DOI: https://doi.org/10.1016/j.jpainsymman.2011.10.015
  8. E.Y. Choi, Fatigue Prediction Model for Hemodialysis Patients, Doctoral Degree, Kyung-Hee University Graduate School, p.132, 2005.
  9. D. Schwartz-Barcott, H. S. kim, An expansion and elaboration of the hybrid model of concept development, In B. L. Rogers & K. A. Knafl(Eds), Concept Development in Nursing, Foundations, Techniques and Applications philadelphia, PA: W. B. Saunders Co, pp. 129-159, 2000.
  10. B. B. Tack, Dimensions and correlations of fatigues in older adults with rheumatoid arthritis, University of california, Sanfrancisco, PH. O, 1991.
  11. A. L. Strauss, J. M. Corbin, Basics of qualitative research: Grounded theory, procedures, canons and evaluative criteria, Basic of Qualitative Sociology, vol. 13, no. 1, pp. 3-21, 1990. DOI: https://doi.org/10.1007/BF00988593
  12. J. Barroso, J. G. Voss, Fatigue in HIV and AIDS: An Analysis of Evidence, Journal of the Association of Nurses in AIDS Care, vol. 24, no. 1, pp. 5-14, Jan/Feb. 2013. DOI: https://doi.org/10.1016/j.jana.2012.07.003
  13. B. O. Lee, C. C. Lin, W. Chaboyer, C. L. Chiang, C.C Hung, The fatigue experience of haemodialysis patients in Taiwan, Journal of Clinical Nursing, vol. 16, no. 2, pp. 407-413, 2007. DOI: https://doi.org/10.1111/j.1365-2702.2005.01409.x
  14. G. K. Sakkas, C. Karatzaferi, Hemodialysis fatigue: just "simple" fatigue or a syndrome on its own right? Frontiers in Physiology, 3, pp. 1-4, 2012. DOI: https://doi.org/10.3389/fphys.2012.00306
  15. Y. S. Byeon, J. E. Gu, Correlates of Fatigue with Physiological Factors in Hemodialysis Patients, Journal of Korean Biological Nursing Science, vol. 5, no. 2, pp. 5-12, Dec. 2003.
  16. A. G. Williams, P. B. Crane, D. Kring, Fatigue in African American women on hemodialysis, Nephrology Nursing Journal, vol. 34, no. 6, pp. 610-617, 2007.
  17. M. Jhamb, S. D. Weisbord, J. L. Steel, M. Unruh, Fatigue in patients receiving maintenance dialysis: a review of definitions measures and contributing factors, American Journal of Kidney Diseases, vol. 52, no. 2, pp. 353-365, 2007. DOI: https://doi.org/10.1053/j.ajkd.2008.05.005
  18. L. B. Krupp, N. G. LaRocca, J. Muir-Nash, A. D. Steinberg, The fatigue severity scale, Application to patients with multiple sclerosis and systemic lupus erythematosus, J. of Arch Neurology, vol. 46, no. 10, pp. 1121-1123, Oct. 1988.
  19. S. D. Weisbord, L. F. Fried, R. M. Arnold, A. J. Rotondi, M. J. Fine, D. J. Levenson, G. E. Switzer, Development of a symptom assessment instrument for chronic hemodialysis patients: the Dialysis Symptom Index, J Pain Symptom Manage, vol. 27, no. 3, pp. 226-240, 2004. DOI: https://doi.org/10.1016/j.jpainsymman.2003.07.004
  20. L. O. Walker, K.C. Avant, Strategies for theory construction in nursing, 2nd Ed. Norwalk, conn: Appleton & Lange, pp. 227, 1988. ISBN 0-8385-8680-5.