อาการอ่อนล้าในผู้ป่วยที่ได้รับการล้างไตทางช่องท้องแบบต่อเนื่อง: บทบาทพยาบาล

Ratana  Charuwanno; Patiwat  Kadeelok

Authors

Ratana Charuwanno Faculty of Nursing, Nakhon Pathom Rajabhat University, Nakhon Pathom
Patiwat Kadeelok Study Nurse, M.N.S. (Adult Nursing), The HIV Netherlands Australia Thailand Research Collaboration, Bangkok

Keywords:

fatigue, continuous ambulatory peritoneal dialysis (CAPD), nurse’s role

Abstract

Continuous Ambulatory Peritoneal Dialysis (CAPD) is an effective way to remove waste fluids from the body, thus allowing patients to have a better quality of life. However, the treatment may cause certain side effects which can impact their well-being in different ways. One of them is fatigue, which involves the feeling of discomfort, tiredness, lack of energy, and exhaustion, and leads to decreased activity. Indeed, fatigue is the most persistent side effect and takes the greatest toll on the patients’ physical, mental, spiritual, social and economic well-being. It is therefore crucial for the nurses who care for CAPD patients to be able to assess the symptoms of fatigue quickly, precisely, and comprehensively, with regards to all the four aspects, that is, the person and behavior, CAPD, the body, and the mind. This is to formulate a plan to deal with fatigue and improve the patients’ quality of life in line with the nurses’ independent functions in the five following areas: nutrition, sleep, exercise, energy conservation, and mental and spiritual care. As there has been no specific instrument to assess fatigue in this group of patients, research to develop fatigue-related instruments and nursing guidelines is urgently needed to support the role of the nurse in dealing with the patients’ fatigue symptoms in order to improve their well-being.

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