有氧运动联合渐进性肌肉放松训练在腹膜透析患者中的应用研究  

Application of aerobic exercise combined with progressive muscle relaxation training in patients undergoing peritoneal dialysis

作　　者：蒋亚 蔡文琴 闫桂兰 Jiang Ya;Cai Wenqin;Yan Guilan(Blood Purification Room,Yancheng Third People's Hospital,Jiangsu Province,Yancheng 224001,China;Department of Oncology,Yancheng Third People's Hospital,Jiangsu Province,Yancheng 224001,China)

机构地区：[1]江苏省盐城市第三人民医院血液净化室,224001 [2]江苏省盐城市第三人民医院肿瘤科,224001

出　　处：《中华现代护理杂志》2021年第34期4721-4726,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨有氧运动联合渐进性肌肉放松训练在腹膜透析患者中的应用效果。方法采用方便抽样法,选取2020年7—12月于江苏省盐城市第三人民医院腹膜透析中心规律随访的腹膜透析患者90例,根据随机数字表法将其分为干预组和对照组,各45例。对照组采用常规护理方式,干预组在常规护理的基础上给予12周有氧运动联合渐进性肌肉放松训练。采用胃肠道症状分级评分量表(GSRS)、胃食管反流病调查问卷(GerdQ)、尿素清除指数(Kt/V)评估两组的干预效果。结果干预12周后,干预组的消化不良、便秘、反流、腹泻、腹痛、进食障碍及GerdQ得分>8分发生率低于对照组,差异有统计学意义(χ^(2)值分别为6.429、5.421、6.403、6.559、3.986、7.647、5.789;P<0.05)。干预组的GSRS总分及各维度得分低于对照组,差异有统计学意义(Z值分别为-5.829、-2.637、-2.434、-2.812、-2.547、-2.027、-2.958;P<0.05);干预组的Kt/V达标比例高于对照组,差异有统计学意义(χ^(2)=5.683,P<0.05)。结论与常规护理方式相比,有氧运动联合渐进性肌肉放松训练能降低腹膜透析患者消化道症状群的发生率,有效缓解胃肠道症状,提高透析充分性。Objective To explore the application effect of aerobic exercise combined with progressive muscle relaxation training in patients undergoing peritoneal dialysis.Methods Using the convenient sampling method,a total of 90 patients undergoing peritoneal dialysis who were regularly followed up in Peritoneal Dialysis Center of Yancheng Third People's Hospital in Jiangsu Province were selected from July to December of 2020.According to the random number table method,they were divided into the intervention group and the control group,with 45 cases in each group.Patients in the control group were given routine nursing,while patients in the intervention group were given aerobic exercise combined with progressive muscle relaxation training for 12 weeks on the basis of routine nursing.Gastrointestinal Symptom Rating Scale(GSRS),Gastroesophageal Reflux Disease Questionnaire(GerdQ)and urea clearance index(Kt/V)were used to evaluate the intervention effects of the two groups.Results After 12 weeks of intervention,the incidence of dyspepsia,constipation,reflux,diarrhea,abdominal pain,eating disorder and GerdQ score greater than 8 in the intervention group were lower than those in the control group,and the differences were statistically significant(χ^(2)=6.429,5.421,6.403,6.559,3.986,7.647,5.789;P<0.05).The total score of GSRS and the scores of each dimension of the intervention group were lower than those of the control group,and the differences were statistically significant(Z=-5.829,-2.637,-2.434,-2.812,-2.447,-2.027,-2.9958;P<0.05).The Kt/V compliance ratio of the intervention group was higher than that of the control group,and the difference was statistically significant(χ^(2)=5.683,P<0.05).Conclusions Compared with conventional nursing methods,aerobic exercise combined with progressive muscle relaxation training can reduce the incidence of gastrointestinal symptoms in peritoneal dialysis patients,effectively alleviate gastrointestinal symptoms and improve adequacy of dialysis.

关 键 词：透析 腹膜透析 有氧运动 渐进性肌肉放松训练 消化道症状群 

分 类 号：R473.5[医药卫生—护理学]