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作 者:丁梅梅[1] 丁媛媛 王晓宇[1] 周轶鹏 张庆庆[1] DING Meimei;DING Yuanyuan;WANG Xiaoyu;ZHOU Yipeng;ZHANG Qingqing(Xinjiang Uygur Autonomous Region People's Hospital,Urumqi,830001,China)
机构地区:[1]新疆维吾尔自治区人民医院肾病科,新疆乌鲁木齐市830001 [2]新疆体育科学研究所
出 处:《护理实践与研究》2023年第17期2562-2567,共6页Nursing Practice and Research
基 金:新疆维吾尔自治区人民医院院内项目(编号:20210238)。
摘 要:目的了解维持性血液透析患者锻炼自我效能水平现状及分析其影响因素,为临床实施肾脏康复提供参考。方法选取2021年10月—2022年3月在新疆2所血液净化中心进行维持性透析的患者202名为调查对象。采用一般资料调查表、锻炼自我效能量表、PHQ-9问卷、衰弱量表对202例维持性血液透析患者进行调查。结果维持性血液透析患者锻炼自我效能得分为45.02±18.91分。单因素分析显示,不同工作状态、BMI、透析龄、跌倒史、衰弱及对运动知识的了解程度的患者之间,锻炼自我效能得分差异有统计学意义(P<0.05)。多元线性回归结果显示,透析龄、对运动康复知识了解程度、一年内发生跌倒、抑郁水平是维持性透析患者锻炼自我效能的影响因素(P<0.05)。结论维持性血液透析患者锻炼自我效能处于偏低水平,透析龄短、有跌倒史、抑郁水平高及对运动知识掌握度低的患者,锻炼自我效能水平相对较低。Objective To understand the current status of exercise self-efficacy level of maintenance haemodialysis patients and analyse their influencing factors,in order to provide reference for clinical implementation of renal rehabilitation.Methods 202 patients who underwent maintenance dialysis in 2 haemodialysis centres in Xinjiang from October 2021 to March 2022 were selected as survey subjects.General information questionnaire,exercise self-efficacy scale,PHQ-9 questionnaire,and debilitation scale were used to investigate 202 maintenance haemodialysis patients.Results The exercise self-efficacy score of maintenance haemodialysis patients was 45.02±18.91 points.Univariate analysis of variance showed statistically significant differences in exercise self-efficacy scores between patients with different work status,BMI,age on dialysis,history of falls,frailty,and knowledge of exercise(P<0.05).The results of multiple linear regression showed that dialysis age,knowledge of exercise rehabilitation,occurrence of falls within one year,and level of depression were influential factors of exercise self-efficacy in maintenance dialysis patients(P<0.05).Conclusion Exercise self-efficacy of maintenance haemodialysis patients was at a low level,and the level of exercise self-efficacy was relatively low in patients with short dialysis age,history of fall,high level of depression and low knowledge of exercise.
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