体力活动水平对维持性血液透析患者死亡率的预测价值分析  

Predictive Values of Physical Activity Level on Mortality among 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,陕西西安710021 [2]中山大学护理学院,广东广州510080 [3]中山大学孙逸仙纪念医院,广东广州510120 [4]中山大学附属第三医院,广东广州510630 [5]广州市第一人民医院,广东广州510180 [6]暨南大学附属第一医院,广东广州510632 [7]广州医学院第二附属医院,广东广州510260

出　　处：《护理学报》2012年第17期47-50,共4页Journal of Nursing（China）

基　　金：广东省科技计划项目(2006B36004018)

摘　　要：目的探讨体力活动水平对维持性血液透析(maintenance hemodialysis,MHD)患者死亡率的预测价值。方法采用方便抽样法,使用7 d体力活动回顾问卷(7-day Physical Activity Recall Questionnaire,PAR)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。结果体力活动水平可以预测MHD患者的死亡率。轻度体力活动时间、中度体力活动时间、7 d体力活动回顾问卷计算值(PAR值)是MHD患者死亡的保护因素,其值越高,死亡风险越低;年龄是危险因素,其值越高,死亡风险越高。结论体力活动水平可以预测MHD患者的死亡率,患者的体力活动水平越高,死亡风险越低。本研究提示医护人员应该加强对MHD患者体力活动水平的评估,并指导患者进行适当的体力活动,从而降低患者死亡率。Objective To explore the predictive values of physical activity level on mortality among maintenance hemodialysis （MHD） patients. Methods A convenience sample of 317 patients from 5 Class 11 Grade I hospitals in Guangzhou was recruited. The 7- day Physical Activity Recall Questionnaire （PAR） was used to assess physical activity level among MHD patients. Results Physical activity level can predict the mortality among MHD patients. Mild physical activity time, moderate physical activity time and the value of PAR were protective factors of mortality. The patients with higher physical activity level had lower mortality and age was the risk factor of mortality. Conclusion Physical activity level can predict the mortality among MHD patients. The patients with higher physical activity level have lower mortality. The findings suggest that in order to lower the mortality of MHD patients, it is necessary to assess their physical activity level and provide health instructions on physical activities to them.

关 键 词：维持性血液透析 体力活动水平 死亡率 生存分析 

分 类 号：R459.5[医药卫生—治疗学]