摘要
目的探讨在维持性血液透析过程中运动疗法对患者的运动能力及生命质量的影响。方法便利抽样法选取2020年4—12月在郑州大学人民医院河南省人民医院进行规律透析的90例患者作为研究对象,采用随机数字表法分为试验组和对照组,每组45例。对照组给予常规护理,试验组在常规护理基础上采取智能下肢踏车运动疗法,共干预12周。观察2组患者干预前后的运动能力和生命质量的变化。结果最终,对照组纳入43例患者,试验组41例患者。2组患者干预前运动能力和生命质量比较差异无统计学意义(P>0.05)。干预后,试验组的最大摄氧量、无氧阈值、6MWT距离分别为(15.22 ± 3.08)ml·kg-1·min-1、(620.70 ± 53.56)ml·kg-1·min-1、(475.36 ± 50.51)m,均高于对照组的(12.22 ± 2.46)ml·kg-1·min-1、(590.18 ± 52.07)ml·kg-1·min-1、(444.50± 46.09)m,差异有统计学意义(t=3.32、2.68、2.96,均P<0.05)。干预后,试验组生命质量中的生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康8个维度得分分别为(84.32 ± 18.53)、(84.61 ± 25.80)、(76.40 ± 18.15)、(59.02 ± 15.38)、(52.22 ± 13.68)、(69.56 ± 17.29)、(94.24 ± 29.47)、(73.44 ± 12.86)分,高于对照组的(76.25 ± 17.35)、(66.37 ± 27.63)、(65.68 ± 17.54)、(47.26 ± 15.45)、(44.86 ± 13.14)、(61.82 ± 16.51)、(76.30 ± 26.14)、(64.17 ± 13.36)分,差异有统计学意义(t值为2.08~3.54,均P<0.05)。结论透析过程中的运动疗法可以增强维持性血液透析患者的运动能力,提高生命质量。
Objective To explore the effect of exercise therapy on the exercise capacity and quality of life of maintenance hemodialysis patients.Methods A total of 90 patients who underwent regular dialysis in Henan Provincial People′s Hospital,People′s Hospital of Zhengzhou University from April to December,2020 were selected as the research objects by convienient sampling method.They were divided into experimental group and control group by random number table method,with 45 cases in each group.The control group was given routine nursing,and the experimental group took exercise therapy on the basis of routine nursing.The intervention lasted for 12 weeks.The changes in the exercise capacity and quality of life of the two groups before and after the intervention were observed.Results Finally,43 patients were included in the control group and 41 patients in the experimental group.There was no significant difference in the exercise capacity and quality of life before the intervention between the two groups(P>0.05).After the intervention,the maximum oxygen uptake,anaerobic threshold,6MWT distance were(15.22±3.08)ml·kg-1·min-1,(620.70±53.56)ml·kg-1·min-1,(475.36±50.51)m in the experimental group,and(12.22±2.46)ml·kg-1·min-1,(590.18±52.07)ml·kg-1·min-1,(444.50±46.09)m in the control group,the differences were statistically significant between the two groups(t=3.32,2.68,296,all P<0.05).After the intervention,the scores of physiological function,physiological intelligence,physical pain,overall health,vitality,social function,emotional function and mental health dimensions of the quality of life were(84.32±18.53),(84.61±25.80),(76.40±18.15),(59.02±15.38),(52.22±13.68),(69.56±17.29),(94.24±29.47),(73.44±12.86)points in the experimental group,and(76.25±17.35)(66.37±27.63),(65.68±17.54),(47.26±15.45),(44.86±13.14),(61.82±16.51),(76.30±26.14),(64.17±13.36)points in the control group,the differences were statistically significant between the two groups(t values were 2.08-3.54,all P<0.05).Conclusions Exe
作者
李秀梅
李豪
郭兰英
张腾威
张红梅
Li Xiumei;Li Hao;Guo Lanying;Zhang Tengwei;Zhang Hongmei(Department of Nephrology,Henan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China;Department of Nursing,Henan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处
《中国实用护理杂志》
2022年第28期2178-2183,共6页
Chinese Journal of Practical Nursing
基金
河南省医学科技攻关项目(SBGJ2018062)。
关键词
血液透析
运动疗法
运动能力
生活质量
Hemodialysis
Exercise therapy
Quality of life
Exercise capacity
