坐位脚踏车运动疗法在血液透析患者透析过程中应用的效果评价  

Effects of seated bicycle crunches in patients during hemodialysis

作　　者：薄文婷 蔡鲁青 牛国丽 Bo Wenting;Cai Luqing;Niu Guoli(Department of Rehabilitation Medicine,the Seventh Affiliated Hospital of Xinjiang Medical University,Uramqi 830028,China)

机构地区：[1]新疆医科大学第七附属医院康复医学科,乌鲁木齐830028

出　　处：《中华现代护理杂志》2020年第22期3081-3084,共4页Chinese Journal of Modern Nursing

摘　　要：目的:探讨坐位脚踏车运动对维持性血液透析患者透析相关低血压发生率和生活质量的影响。方法:采用便利抽样法,选取2018年6月—2019年3月在新疆医科大学第二附属医院七道湾院区进行血液透析的患者为研究对象。根据透析时间分为观察组和对照组。最终共完成研究73例,观察组36例,对照组37例。对照组给予常规护理。观察组在此基础上,每次透析的前2 h进行坐位脚踏车运动。共干预16周。比较两组患者干预后透析相关低血压发生率。干预前后采用健康调查简表(SF-36)调查两组患者生活质量并进行比较。结果:干预后,观察组患者低血压发生率9.57%(170/1776),对照组7.41%(128/1728),两组比较差异有统计学意义(P<0.05)。干预前两组SF-36得分差异无统计学意义(P>0.05)。干预后观察组患者生理机能、精力、精神健康维度得分高于对照组,差异有统计学意义(P<0.05),其余维度两组比较差异无统计学意义(P<0.05)。结论:坐位脚踏车运动能够降低血液透析患者透析过程中低血压的发生率,提高生活质量。Objective:To explore the effects of seated bicycle crunches on intradialytic hypotension(IDH)incidence and quality of life in patients receiving maintenance hemodialysis.Methods:The patients receiving hemodialysis in Qidaowan Campus,the Second Affiliated Hospital of Xinjiang Medical University from June 2018 to March 2019 were selected by convenient sampling and divided into the observation group and the control group according to the time of hemodialysis.Finally,73 patients completed the study,including 36 in the observation group and 37 in the control group.Patients in the control group received routine care,while patients in the observation group performed seated bicycle crunches 2 h prior to hemodialysis on this basis.Both groups received interventions for 16 weeks.The incidence of IDH after intervention was compared between the two groups.The 36-Item Short Form Survey(SF-36)was used to investigate and compare the quality of life of the two groups before and after intervention.Results:After intervention,the incidence of IDH was 9.57%(170/1776)in the observation group and 7.41%(128/1728)in the control group,and the difference between the two groups was statistically significant(P<0.05).There was no statistically significant difference in SF-36 scores between the two groups before intervention(P>0.05).After intervention,the scores of the physiological function,energy and mental health of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05);there was no statistically significant difference in other dimensions between the two groups(P<0.05).Conclusions:Seated bicycle crunches can reduce the incidence of IDH during hemodialysis and improve the quality of life in patients receiving hemodialysis.

关 键 词：透析 透析相关低血压 坐位脚踏车运动 生活质量 

分 类 号：R473.5[医药卫生—护理学]