强制性运动疗法预防血液透析患者相关性低血压的效果观察  

Effect observation of preventive effect of constraint-induced movement therapy in hemodialysis-related hypotension

作　　者：王妍[1] 孙雪[1] 裴淑桥[1] 

机构地区：[1]哈尔滨医科大学附属第一医院血液净化中心,150000

出　　处：《中华现代护理杂志》2017年第2期220-223,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨强制性运动疗法预防血液透析患者相关性低血压的作用效果.方法 将2015年4月—2016年3月80例血液透析患者按时间段分为观察组与对照组,各40例,观察组采取强制性运动疗法,内容包括体位适应训练、呼吸控制训练、定时翻身训练、五指握力训练、床上坐起训练及床边站起训练;对照组采用常规血液透析护理措施.结果 观察组低血压发生率为12.50%,对照组低血压发生率为25.00%,组间比较差异均具有统计意义（χ2=2.885,P〈0.05）;观察组平均完成时间（3.44±0.71）h,全部患者均顺利完成治疗,对照组平均完成时间（2.39±0.58）h,80.0%患者顺利完成治疗,组间比较差异具有统计学意义（χ2=7.520,P〈0.05）;观察组透析适应度、护理满意度明显高于对照组,差异有统计学意义（P〈0.05）.结论 采取强制性运动疗法可有效降低透析相关性低血压,保证血液透析顺利完成.Objective To explore the relation between constraint-induced movement therapy （CIMT） and hemodialysis-relative hypotension.Methods From April 2015 to March 2016,80 patients with hemodialysis therapy were divided into the control group （n=40） and the observation group （n=40）. The observation group adopted CIMT, including position adaption training,respiratory control training,regular turning-over training,griping training,sitting up training,and standingup training. While patients in the control group received common hemodialysis nursing. Results The incidence rates of hypotension were 12.50% and 25.00% in the observation group and the control group respectively （χ2=2.885,P〈0. 05）. The average duration of hemodialysis in the observation group was （3.44±0.71） h,and it was （2.39±0.58） h in the control group （P〈0.05）. All patients in the observation group completed hemodialysis,and 80.0% patients in the control group completed hemodialysis （χ2=7.520,P〈0.05）. The adaptation of hemodialysis and degree of satisfaction in the observation group was significantly higher than those in the control group （P〈0.05）.Conclusions CIMT was effective in reducing hemodialysis-related hypotension,and it can ensure the procedure of hemodialysis.

关 键 词：肾透析 运动疗法 透析相关性低血压 

分 类 号：R473.5[医药卫生—护理学]