摘要
目的 探讨老年维持性血液透析患者久坐行为现状,并分析影响因素,为制定针对性护理干预措施提供参考。方法 采用便利抽样法选取规律透析的老年维持性血液透析患者137例为研究对象,采用一般资料调查表、国际体力活动问卷、Piper疲乏修订量表、领悟社会支持量表进行调查。结果 老年维持性血液透析患者每日久坐时间为6.8(5.4,8.7)h,透析日久坐时间为7.7(6.8,9.2)h,非透析日为6.2(4.9,8.4)h,久坐行为总发生率为56.93%(78/137);久坐发生地点首位是家庭,其次是医院。logistic回归分析显示,性别、合并症指数、营养风险、疲劳程度及社会支持是老年维持性血液透析患者久坐行为的独立影响因素(均P<0.05)。结论 老年维持性血液透析患者久坐行为普遍,临床医护人员应重视男性、合并症指数高、营养不良及疲劳严重患者久坐行为的评估和干预,制定以家庭为中心的锻炼计划,鼓励患者积极参加社会活动及体力活动,从而改善老年患者久坐行为。
Objective To explore the status and correlates of sedentary behavior in elderly patients on maintenance hemodialysis(MHD),and to provide a reference for formulating targeted interventions.Methods A total of 137 elderly MHD patients were selected using convenience sampling method and completed a series of questionnaires,including a demographic data questionnaire,the International Physical Activity Questionnaire,Piper Revised Fatigue Scale,and Perceived Social Support Scale.Results The total median time spent sedentary was 6.8 h/day[interquartile range(IQR 5.4-8.7)].The median sedentary time was 7.7 h/day(IQR 6.8-9.2)on dialysis days and 6.2 h/day(IQR 4.9-8.4)on non-dialysis days.The incidence of sedentary behavior was 56.93%(78/137).Participants were likely to spend more time sedentary at home,followed by the hospital.Multivariate logistic regression showed that gender,Charlson comorbidity index score,nutritional risk,fatigue and social support were predictors of sedentary behavior in elderly MHD patients(all P<0.05).Conclusion Sedentary behavior is prevalent in elderly MHD patients.Medical personnel should pay more attention to men and those with high Charlson comorbidity index score,malnutrition and severe fatigue,formulate family-centered exercise regimen,and encourage patients to participate in social activity and physical activity,thus to reduce sedentary behavior of patients.
作者
曹提
陈辉
秦金雪
高宏华
Cao Ti;Chen Hui;Qin Jinxue;Gao Honghua(Department of Nephrology,Nanyang Central Hospital,Nanyang 473000,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第9期35-39,共5页
Journal of Nursing Science
关键词
老年人
维持性血液透析
久坐行为
合并症指数
营养风险
疲劳
社会支持
the elderly
maintenance hemodialysis
sedentary behavior
Charlson comorbidity index
nutritional risk
fatigue
social support
