递增式抗阻运动训练联合微信健康教育平台在慢性肾衰竭维持性血液透析患者护理中的应用  

Application of incremental resistance exercise training combined with WeChat health education platform in the nursing of patients with chronic renal failure after maintenance hemodialysis

作　　者：刘芳[1] 吴邯[1] 张莹莹[1] 程丽[1] LIU Fang;WU Han;ZHANG Yingying;CHENG Li(Blood Purification Center,Bozhou People’s Hospital,Anhui Province,Bozhou 236800,China)

机构地区：[1]安徽省亳州市人民医院血液净化中心,安徽亳州236800

出　　处：《中国医药导报》2022年第3期162-165,181,共5页China Medical Herald

摘　　要：目的探讨递增式抗阻运动训练联合微信健康教育平台在慢性肾衰竭维持性血液透析(MHD)患者护理中的应用效果。方法选取2019年1月至2021年1月安徽省亳州市人民医院就诊的100例慢性肾衰竭MHD患者,依据随机数字表法将其分为对照组和观察组,各50例。对照组实施常规干预,观察组实施递增式抗阻运动训练联合微信健康教育平台干预。于干预前及干预3个月时,检测并比较两组心肺耐力和疲乏状况。使用自制知识问卷评估比较两组疾病知识掌握情况。使用一般自我效能感量表(GSES)和慢性肾脏病患者自我管理量表评估比较两组自我效能和自我管理能力情况。结果干预3个月时,两组最大摄氧量、代谢当量和疲劳量表14评分均较干预前降低,且观察组低于对照组(P<0.05)。两组疾病知识、服药知识、饮食知识、相关行为知识等各个维度评分及总分均较干预前升高,且观察组高于对照组(P<0.05)。两组GSES评分和自我管理量表评分均较干预前升高,且观察组高于对照组(P<0.05)。结论递增式抗阻运动训练联合微信健康教育平台更有利于改善慢性肾衰竭MHD患者的心肺耐力和疲劳情况,提高患者疾病认知和自我管理能力。Objective To explore the application effect of incremental resistance exercise training combined with WeChat health education platform in the nursing of patients with chronic renal failure after maintenance hemodialysis(MHD).Methods A total of 100 MHD patients with chronic renal failure admitted to Bozhou People’s Hospital from January 2019 to January 2021 were selected,according to the random number table method,they were divided into control group and observation group,with 50 cases in each group.The control group received routine intervention,and the observation group received incremental resistance exercise training combined with WeChat health education platform intervention.Cardiopulmonary endurance and fatigue were measured and compared before and three months after intervention.The self-made knowledge questionnaire was used to evaluate and compare the knowledge of disease between the two groups.General self-efficacy scale(GSES)and chronic kidney disease patients self-management scale were used to evaluate and compare the self-efficacy and self-management ability of the two groups.Results After three months of intervention,the scores of maximal oxygen uptake,metabolic equivalent,and fatigue scale 14 in both groups were lower than before intervention(P<0.05).The scores of each dimension of disease knowledge,medication knowledge,diet knowledge,and related behavior knowledge and total scores of both groups were increased than before intervention,and the observation group was higher than the control group(P<0.05).The general self-efficacy scale score and self-management scale score of both groups were increased than before intervention,and the observation group was higher than the control group(P<0.05).Conclusion Incremental resistance exercise training combined with WeChat health education platform is more conducive to improving the cardiopulmonary endurance and fatigue of MHD patients with chronic renal failure,and improving their disease cognition and self-management ability.

关 键 词：慢性肾衰竭 维持性血液透析 递增式抗阻运动训练 微信健康教育平台 

分 类 号：R47[医药卫生—护理学]