Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Aug 28;9(4):391-398.
doi: 10.33546/bnj.2715. eCollection 2023.

Prevalence and influencing factors of fatigue among patients undergoing continuous ambulatory peritoneal dialysis: A cross-sectional study

Surachai Maninet  1 , Bangaorn Nakrit  2 , Phasuk Suttavat  2
Affiliations

Prevalence and influencing factors of fatigue among patients undergoing continuous ambulatory peritoneal dialysis: A cross-sectional study

Surachai Maninet et al. Belitung Nurs J. .

Abstract

Background: Fatigue is one of the most commonly reported symptoms among patients undergoing continuous ambulatory peritoneal dialysis (CAPD). However, only a few studies have addressed the prevalence of fatigue and its influencing factors within this population in Thailand.

Objective: This study aimed to explore the prevalence of fatigue and its influencing factors, including duration of CAPD initiation, body mass index, insomnia, social support, functional status, and depression among patients undergoing CAPD.

Methods: This cross-sectional study involved 136 participants from the outpatient department of a general hospital in Thailand. Data were collected from January to March 2023, utilizing validated self-reported questionnaires, which included the Center for Epidemiologic Study Depression Scale, Insomnia Severity Index, Multidimensional Scale of Perceived Social Support, Functional Status Scale, and Fatigue Severity Scale. Data were analyzed using descriptive statistics, Pearson's product-moment correlation, and Stepwise multiple regressions.

Results: The study achieved a 100% participation rate among the selected participants. The prevalence of fatigue among patients undergoing CAPD was 55.88%, including mild fatigue (20.59%), moderate fatigue (19.85%), and severe fatigue (15.44%). Bivariate analysis indicated that fatigue-related factors were insomnia, depression, body mass index, social support, and functional status. However, the multiple regression analysis revealed that only insomnia (β = 0.399, p <0.001), social support (β = -0.302, p <0.001), depression (β = 0.201, p = 0.003), and functional status (β = -0.149, p = 0.021) jointly influenced fatigue among patients undergoing CAPD, explaining 50.10 percent of the variance (R2 = 0.501, F(4, 131) = 32.871, p <0.001).

Conclusion: The findings indicated that more than half of the participants experienced fatigue. Insomnia, social support, depression, and functional status emerged as significant predictive factors of fatigue. Therefore, it is advisable for nurses and other healthcare providers to evaluate fatigue and its associated factors routinely. Nursing interventions to alleviate fatigue should prioritize improvements in sleep quality, reduction of depression, preservation of functional status, and promotion of family engagement.

Keywords: Thailand; body mass index; continuous ambulatory peritoneal dialysis; depression; fatigue; functional status; insomnia; social support.

PubMed Disclaimer

Conflict of interest statement

The authors declared no potential conflict of interest in this study.

Figures

Figure 1
Figure 1
Conceptual framework of the study
Figure 2
Figure 2
Fatigue prevalence in patients undergoing CAPD (N = 136)
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Abd-Rabouh, M., Abd Elhameed, S., & Shebl, A. (2017). Relationship between fatigue and functional status of the elderly patients on Hemodialysis. Mansoura Nursing Journal, 4(2), 83-96. 10.21608/mnj.2017.149622 - DOI
    1. Al Naamani, Z., Gormley, K., Noble, H., Santin, O., & Al Maqbali, M. (2021). Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC Nephrology, 22(1), 157. 10.1186/s12882-021-02349-3 - DOI - PMC - PubMed
    1. Almutary, H., Bonner, A., & Douglas, C. (2016). Which patients with chronic kidney disease have the greatest symptom burden? A comparative study of advanced CKD stage and dialysis modality. Journal of Renal Care, 42(2), 73-82. 10.1111/jorc.12152 - DOI - PubMed
    1. Avdal, E. U., Ayvaz, İ., Uran, B. N. Ö., Yildirim, J. G., Sofulu, F., & Pamuk, G. (2020). Opinions of hemodialysis and peritoneum patients regarding depression and psychological problems which they experience: A qualitative study. Journal of Infection and Public Health, 13(12), 1988-1992. 10.1016/j.jiph.2020.02.041 - DOI - PubMed
    1. Bagheri-Nesami, M., Shorofi, S. A., Nikkhah, A., Espahbodi, F., & Koolaee, F.-S. G. (2016). The effects of aromatherapy with lavender essential oil on fatigue levels in haemodialysis patients: A randomized clinical trial. Complementary Therapies in Clinical Practice, 22, 33-37. 10.1016/j.ctcp.2015.12.002 - DOI - PubMed

LinkOut - more resources