居家腹膜透析患者自我调节疲劳影响因素的混合研究OA

Objective To investigate the current status of self-regulatory fatigue in patients undergoing home-based peritoneal dialysis(PD)and analyse its influencing factors.Methods Using convenience sampling,232 home-based PD patients from a tertiary grade-A hospital in Xinxiang City were selected as study subjects between April and July 2024.Participants were assessed using a de-mographic questionnaire,the Self-regulatory Fatigue Scale,and the Chronic Disease Self-Management Self-Efficacy Scale.Multiple linear regression analysis was employed to identify factors influencing self-regulatory fatigue.A purposive sampling was used to select 13 patients for semi-structured in-depth interviews.Interview data were analysed using Colaizzi's method to identify thematic patterns.Results The scores of self-regulatory fatigue,behavioural control,cognitive control,and emotional control were 42.95±8.87,11.78±2.79,17.50±3.94,and 13.67±3.24 in home-based PD patients,and the total self-efficacy score was 6.47±1.49.Multiple linear regression analysis indicated that sex,duration of dialysis,and self-efficacy entered the regression equation(P<0.05),collectively explaining 38.6%of the total variance.Qualitative research identified four themes and six sub-themes:Threats and challenges posed by illness(physical symptoms and decline in quality of life);Psychological burden induced by illness(anxiety,depressive mood,illness-related guilt);Social support(significant financial burden,pivotal role of family support);Multiple self-regulation strategies to enhance intrinsic motivation.Conclusion Home-based PD patients exhibit moderate to high levels of self-regulatory fatigue,with sex,dura-tion of dialysis,and self-efficacy being primary influencing factors.Moreover,pronounced physical symptoms,decreased quality of life,negative emotions such as anxiety and depression,and heavy financial burdens all constitute risk factors.Clinical healthcare profession-als should prioritise monitoring self-regulatory fatigue in home-based PD patients.Personalised interventions targeting influencing factors,accurate disease cognition,and enhanced self-efficacy are beneficial for preventing or reducing self-regulatory fatigue.