The current status and influencing factors analysis of frailty in peritoneal dialysis patients at home
10.3761/j.issn.0254-1769.2025.11.013
- VernacularTitle:居家腹膜透析患者衰弱现状及影响因素研究
- Author:
Lei ZHANG
1
;
Fang NIE
;
Wenjun PENG
;
Liqun GUO
;
Shan LIU
;
Xinyue HUANG
;
Zhifen FENG
Author Information
1. 475000 开封市 河南大学护理与健康学院
- Publication Type:Journal Article
- Keywords:
Home Peritoneal Dialysis;
Frailty;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(11):1366-1372
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current situation of frailty in patients with home peritoneal dialysis and analyze its influencing factors,so as to provide bases for early identification of high-risk groups and targeted clinical intervention.Methods From October to December 2024,205 home-based peritoneal dialysis patients under long-term follow-up at a tertiary A hospital in Zhongshan,Guangdong Province,were selected by convenience sampling.The General Information Questionnaire,Fried Phenotype Scale,Nutritional Risk Screening Tool,Exercise Self-Efficacy Scale,and Social Support Rating Scale were used to investigate the influencing factors of frailty in home-based peritoneal dialysis patients by ordinal logistic regression analysis.Results A total of 201 valid questionnaires were collected.The prevalence of frailty among home-based peritoneal dialysis patients was 24.3％,while 39.3％were in the pre-frailty stage,and 36.3％showed no frailty.0rdinal logistic regression analysis revealed that age,residence location,primary disease,sleep status,serum albumin concentration,and exercise self-efficacy level were influencing factors of frailty in the home peritoneal dialysis patients(P＜0.05).Conclusion The incidence of frailty in patients with home peritoneal dialysis is higher,and patients with advanced age,living in rural areas,other types of primary diseases,insomnia,low serum albumin concentration and low exercise self-efficacy are more likely to develop frailty.Specialist doctors and nurses of peritoneal dialysis should pay attention to the early screening of frailty in patients with peritoneal dialysis at home,and take personalized intervention measures to prevent or delay the occurrence of frailty according to the relevant risk factors.
