维持性血液透析患者体力活动水平的追踪研究  

Follow-up Study on Physical Activity Level in Maintenance Hemodialysis Patients

作　　者：董钊扬[1] 尤黎明[2] 郑晶[2] 颜君[2] 

机构地区：[1]广州中医药大学护理学院,广东广州510006 [2]中山大学护理学院,广东广州510080

出　　处：《护理学报》2011年第8期14-16,共3页Journal of Nursing（China）

基　　金：广东省科技计划项目(2006B36004018)

摘　　要：目的探讨维持性血液透析患者3个时点历时共1年的体力活动水平变化情况。方法采用纵向研究设计,使用7 d体力活动回顾问卷(7-day Physical Activity Recall Questionnaire,PAR)对维持性血液透析患者每半年进行体力活动水平追踪调查,历时1年共3次。取维持性血液透析患者3个时点中每日能量消耗值最高的时点二,与既往研究中健康人群每日能量消耗值相比较。结果完整进行了3次调查的患者共155例。1年时间中,维持性血液透析患者的体力活动水平与健康人群相比显著降低,并在1年时间中维持这一较低的水平,没有明显线性变化趋势,3个时点的每日能量消耗值分别为(141.13±8.25)、(142.94±10.09)、(141.40±7.90)kJ/(kg.d);患者参与的体力活动种类以轻度体力活动为主,重度、极重度体力活动参与率均低于3%。结论维持性血液透析患者的体力活动水平在1年时间中相对较稳定,但是较健康人群显著降低,而且种类单一。今后有必要对此类患者开展体力活动方面的健康教育,以提高维持性血液透析患者体力活动水平,改善其生活质量。Objective To describe the changes in physical activity in maintenance hemodialysis（MHD） patients.Methods A longitudinal design was used in this study.7-day Physical Activity Recall Questionnaire（PAR） was applied to assess the changes of physical activity level in 155 maintenance hemodialysis patients over 1 year.Results The scores of PAR were（141.13±8.25）（142.94±10.09）（141.40±7.90）kJ/（kg·d） respectively,which were stable but significantly lower than those of healthy people.The physical activity intensity for dialysis patients were mainly light and only less than 3% of the patients participated in heavy or extremely heavy activities.Conclusion Regarding the low level and the limited types of physical activity,it is necessary to provide health education on physical activity to MHD patients in order to maintain and improve the level of physical activity,as well as their life quality.

关 键 词：维持性血液透析 体力活动 7d体力活动回顾问卷 

分 类 号：R473.5[医药卫生—护理学]