活动能力对维持性血液透析患者死亡率的预测价值  

The value of physical fitness for the prediction of mortality in maintenance hemodialysis patients

作　　者：张璐[1] 尤黎明[2] 郑晶[2] 梁艳仪[3] 陈念嫦[4] 李英娜[5] 李佛兰[6] 吕少芬[7] 

机构地区：[1]西安医学院护理学院,西安710021 [2]中山大学护理学院,广州510080 [3]中山大学孙逸仙纪念医院,广州510120 [4]中山大学附属第三医院,广州510630 [5]广州市第一人民医院,广州510080 [6]暨南大学附属第一医院,广州510632 [7]广州医学院第二附属医院,广州510260

出　　处：《中国血液净化》2012年第4期184-188,共5页Chinese Journal of Blood Purification

基　　金：广东省科技计划项目编号:2006B36004018

摘　　要：目的探讨活动能力对维持性血液透析(maintenance hemodialysis,MHD)患者死亡率的预测价值。方法采用方便抽样法,使用人类活动概况量表(Human Activity Profile,HAP),于2007年2月～2009年12月对广州市5家三级甲等医院维持性血液透析的317例患者进行追踪调查。结果活动能力可以预测MHD患者的死亡率。HAP的最大活动得分(maximum activity score,MAS)和校正活动得分(adjusted activity score,AAS)是MHD患者的保护因素,其值越高,死亡率越低;年龄是MHD患者的危险因素,其值越高,死亡率越高。结论活动能力可以预测MHD患者的死亡率,患者的活动能力越高,死亡率越低。本研究提示医护人员应该加强对MHD患者活动能力的评估,并指导患者进行适当的体力活动,从而降低MHD患者的死亡率。Objective To explore the predictive value of physical fitness to mortality among MHD patients. Methods We used the convenience sampling method to recruit 317 patients from 5 major hospitals in Guangzhou city. The Human Activity Profile (HAP) was used to assess physical fitness among MHD patients. Results Physical fitness was valuable for the prediction of mortality in MHD patients. Higher Maximum Activity Score (MAS) and Adjusted Activity Score (AAS) were two protective factors. The more the two scores, the lower the mortality was in MHD patients. On the other hand, older age was the risk factor, and the mortality increased in patients with older age. Conclusion Physical fitness can be used to predict the mortality among MHD patients. Patients with higher physical fitness will have higher survival rate. Accordingly, it is necessary to assess physical fitness and provide health instructions about physical activities to lower the mortality in MHD patients.

关 键 词：维持性血液透析 活动能力 死亡率 生存分析 

分 类 号：R318.16[医药卫生—生物医学工程]