文章摘要
袁梅.量化体育锻炼对维持性血液透析患者生活质量和疾病转归的影响[J].中国康复,2019,34(6):307-310
量化体育锻炼对维持性血液透析患者生活质量和疾病转归的影响
Effect of quantitative exercise on quality of life and prognosis of maintenance hemodialysis patients
  
DOI:
中文关键词: MHD  量化体育锻炼  生活质量  疾病转归  效果
英文关键词: maintenance hemodialysis  quantified physical exercise  quality of life  disease outcome  effect
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作者单位
袁梅 南通大学附属海安医院血液透析中心江苏 海安 226600 
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中文摘要:
      目的:观察量化体育锻炼对维持性血液透析(MHD)患者的应用效果,探讨临床治疗体会。方法:将64例MHD患者随机分成2组各32例,对照组给予常规健康宣教、干预治疗和自主锻炼,观察组在其基础上给予量化体育锻炼干预治疗;观察2组患者的运动量指标变化情况,比较生活质量和疾病转归等相关指标。结果:干预6个月后,2组的上肢锻炼时间和步行运动量均较干预前明显提高(P<0.01,0.05),观察组的提高幅度更高于对照组(P<0.01);2组的疲乏状态、日常生活活动能力(ADL)、焦虑自评量表(SAS)和睡眠质量评分量表(SPIEGEL)等指标均较干预前明显降低(均P<0.05),改良SGA评分明显提高(P<0.01,0.05),观察组的改善幅度更高于对照组(P<0.01)。治疗后,观察组的内瘘血管良好率和肾功能平稳率高于对照组(均P<0.05),并发症率和再入院率降低(P<0.05)。结论:对MHD患者给予量化体育锻炼干预治疗,能显著提高康复锻炼的运动量和优化锻炼效果,提高患者的生活质量,改善疾病预后。
英文摘要:
      Objective: To observe the effect of quantitative physical exercise on maintenance hemodialysis (MHD) patients, and to explore the clinical treatment experience. Method: Sixty four patients with MHD who were treated in the Hemodialysis Center of Hai'an Hospital Affiliated to Nantong University from January to December 2017 were randomly divided into two groups. The control group and observation group received the routine treatments including health education, interventional therapy and autonomous exercise. The observation group was given quantitative physical exercise intervention additionally. The changes in exercise index of the two groups were compared, and the quality of life and disease prognosis were compared. Results: After 6 months of intervention, the upper limb exercise time and walking amount in both groups were significantly increased as compared with those before intervention (P<0.01, 0.05), and the increase rate in the observation group was higher than that in the control group (P<0.01). Fatigue status, ADL, SAS, SPIEGEL and other indicators in the two groups were significantly reduced as compared with those before the intervention, the improved SGA score was significantly increased (P<0.01, 0.05), and the improvement rate in the observation group was higher than that in the control group (P<0.01). The rate of good fistula and stable renal function in the observation group was higher (P<0.05), and the incidence of complications and readmission was lower than in the control group (P<0.05). Conclusion: Quantitative physical exercise intervention for MHD patients can significantly increase the amount of exercise and optimize the effect of exercise, and improve the quality of life of patients and the prognosis of disease.
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