低-中度有氧运动对维持性血液透析患者疲劳及睡眠质量的影响  

Effect of low moderate aerobic exercise on fatigue and sleep quality in patients with maintenance hemodialysis

作　　者：黄若[1] 林小敏[1] 林晓霞[1] 梅晓蓉[1] 

机构地区：[1]温州医科大学附属第一医院血透室,浙江省温州325000

出　　处：《中国基层医药》2016年第23期3569-3572,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省温州市科技计划项目（Y2013S0147）

摘　　要：目的：探讨低-中度有氧运动干预对维持性血液透析患者的疲劳及睡眠质量的影响。方法选取温州医科大学附属第一医院血液透析室进行维持性透析的患者97例为研究对象，采用数字表法随机分为对照组48例、干预组49例，对照组接受血液透析的常规护理，干预组在对照组的基础上接受规范、简单、个体化的低-中度有氧运动锻炼，比较两组干预前、干预后的疲劳和睡眠质量状况。结果干预前，两组疲劳量表评分、匹兹堡睡眠质量指数评分差异均无统计学意义（均 P ＞0．05）；干预后，干预组疲劳量表评分、匹兹堡睡眠质量指数评分分别为（42．98±6．12）分、（7．98±1．85）分，对照组疲劳量表评分、匹兹堡睡眠质量指数评分分别为（37．04±9．89）分、（10．22±4．24）分，两组差异均有统计学意义（t ＝4．409、7．467，均 P ＜0．05）。结论规范、简单、个体化的低-中度有氧运动锻炼能够有效改善血液透析患者的疲劳、睡眠障碍，提高患者的生活质量。Objective To explore the influence of low -to -moderate -intensity aerobic exercise to reducing fatigue and improving sleep disorders among maintenance hemodialysis patients.Methods 97 patients with maintenance hemodialysis in our hospital were selected as the research subjects.The patients were randomly divided into control group（48 cases）and intervention group （49 cases）.The control group received hemodialysis routine nursing care.The intervention group accepted standard,simple,low -to -moderate -intensity aerobic exercise on the basis of the control group.The fatigue and sleep disorder levels were assessed in two groups.Results Before intervention,the fatigue rating scale,Pittsburgh sleep quality index score between the two groups had no statistically significant differences （all P 〉0.05）.After intervention,the fatigue rating scale score,Pittsburgh sleep quality index of the intervention group were （42.98 ±6.12）points,（7.98 ±1.85）points,which of the control group were （37.04 ± 9.89）points,（10.22 ±4.24）points,there were statistically significant differences between the two groups（t =4.409, 7.467,all P 〈0.05 ）.Conclusion Specification,simple,low -to -moderate -intensity aerobic exercise can effectively improve the fatigue and sleep disorder of hemodialysis patients,and improve the quality of life of the patients.

关 键 词：运动 疲劳 睡眠障碍 血液透析 

分 类 号：R473.5[医药卫生—护理学]