有氧联合伸展运动对血液透析患者不宁腿综合征及生命质量的影响  

The effect of aerobic combined stretching exercise training on restless legs syndrome,quality of life in hemodialysis patients

作　　者：梁轶岚 何德娇[1] 杨定平[1] 万永慧[2] 吴洪[1] Liang Yilan;He Dejiao;Yang Dingping;Wan Yonghui;Wu Hong(Nephrology Department,Renmin Hospital of Wuhan University,Wuhan 430000,China;Oncology Department,Renmin Hospital of Wuhan University,Wuhan 430000,China)

机构地区：[1]武汉大学人民医院肾内科,430000 [2]武汉大学人民医院肿瘤科,430000

出　　处：《中国实用护理杂志》2021年第29期2280-2287,共8页Chinese Journal of Practical Nursing

摘　　要：目的探讨透析中有氧联合伸展运动对血液透析患者不宁腿综合征(RLS)的严重程度、生命质量、睡眠质量的影响。方法选取2018年3月至2019年3月于武汉大学人民医院血液净化中心行透析治疗合并RLS的63例血液透析患者为研究对象,遵循随机数字表法将患者分为观察组32例和对照组31例。对照组采用常规运动健康教育,观察组在常规教育的基础上接受透析中有氧联合伸展运动。观察2组患者干预后RLS严重程度评估量表(IRLS)评分、肾脏病生命质量问卷(KDQOL-36TM)得分、匹兹堡睡眠质量指数(PSQI)得分以及实验室检查指标(血红蛋白、血钙、血磷、全段甲状旁腺激素)的变化情况。结果干预后观察组IRLS评分为(12.19±4.48)分,低于对照组的(17.87±3.91)分,差异有统计学意义(t值为3.021,P<0.05);观察组KDQOL-36TM生命质量中躯体健康、心理健康、肾脏负担、症状与不适、肾脏疾病的影响评分分别为(44.56±6.64)、(46.12±4.95)、(22.27±15.63)、(87.59±5.65)、(64.55±13.20)分,均高于对照组的(37.43±4.81)、(41.81±4.87)、(15.32±10.68)、(78.83±7.96)、(55.45±15.52)分,差异有统计学意义(t值为-5.027~-2.015,P<0.05);观察组PSQI总分为(8.94±2.54)分,低于对照组的(13.13±1.31)分,差异有统计学意义(t值为8.271,P<0.05);观察组血磷(1.80±0.48)mmol/L低于对照组的(2.04±0.34)mmol/L,血红蛋白(105.31±13.58)g/L、血钙(2.26±0.20)mg/L高于对照组的(99.52±8.21)g/L、(2.05±0.29)mg/L,差异有统计学意义(t值为2.275、-2.042、-3.325,P<0.05)。结论透析中有氧联合伸展运动可改善血液透析患者RLS症状,提高患者的生命质量和睡眠质量。Objective To investigate the effects of aerobic combined stretching exercise during dialysis on the severity of restless legs syndrome(RLS),quality of life and sleep quality in hemodialysis(HD)patients.Methods A total of 63 HD patients with RLS who were admitted to the Hemodialysis Center,Renmin Hospital of Wuhan University from March 2018 to March 2019 were selected as research objects.According to the random number table method,they were divided into the observation group(32 cases)and the control group(31 cases).Patients in the control group were given conventional nursing methods while patients in the observation group were given the aerobic combined stretching exercise during dialysis.The International Restless Legs Syndrome Rating Scale(IRLS)Kidney Disease Quality of Life,(KDQOL-36TM),Pittsburgh Sleep Quality Index(PSQI)and blood chemistry were used to evaluate the effect of exercise on HD patients with RLS.Results After intervention,the observation group′s IRLS scores was 12.19±4.48,lower than the control group(17.87±3.91),the difference was statistically significant(t value was 3.021,P<0.05).The scores of physical health,mental health,kidney burden,symptoms and discomfort,effects of kidney disease in KDQOL-36TM of the observation group were 44.56±6.64,46.12±4.95,19.92±15.91,87.59±5.65,64.55±13.20,higher than the control group(37.43±4.81,41.81±4.87,12.10±14.87,78.83±7.96,55.45±15.52),the differences were statistically significant(t values were-5.027--2.015,P<0.05).The PSQI total score was 8.94±2.54,lower than that of the control group(13.13±1.31),the difference was statistically significant(t value was 8.271,P<0.05).The blood phosphorus was(1.80±0.48)mmol/L in the observation group,lower than(2.04±0.34)mmol/L in the control group,and hemoglobin,blood calcium[(105.31±13.58)g/L,(2.26±0.20)mg/L]were higher than those in the control group[(99.52±8.21)g/L,(2.05±0.29)mg/L],the differences were statistically significant(t values were 2.275,-2.042,-3.325,P<0.05).Conclusions The aerobic combine

关 键 词：血液透析 不宁腿综合征 运动干预 生活质量 睡眠质量 

分 类 号：R473[医药卫生—护理学]