透析中关节活动度运动对维持性血液透析患者疲乏症状和运动能力的影响研究  

The effect of joint mobility exercises in dialysis on fatigue symptoms and exercise capacity in maintenance hemodialysis patients

作　　者：李露 王丽梅[2] 齐佳红 叶立卉 郑园华 张翀旎 LI Lu;WANG Li-mei;QI Jia-hong;YE Li-hui;ZHENG Yuan-hua;ZHANGChong-ni(Department of Nephrology,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Nursing School,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院肾内科血液透析中心,南昌330006 [2]南昌大学护理学院,南昌330006

出　　处：《中国血液净化》2024年第7期552-556,共5页Chinese Journal of Blood Purification

基　　金：江西省教育厅科学技术研究项目(GJJ210166)。

摘　　要：目的探讨透析中关节活动度运动对维持性血液透析(maintenance hemodialysis,MHD)患者的影响。方法选取2023年4月─10月南昌大学第一附属医院血液透析中心的MHD患者为研究对象,由研究者随机投掷硬币将东湖院区和象湖院区随机分为试验组和对照组,对照组患者给予常规护理,试验组患者在常规护理的基础上实施透析中关节活动度运动。比较2组患者干预前后的疲乏量表-14(fatigue scale-14,FS-14)得分、6分钟步行试验(6 minutes walk test,6MWT)、30秒坐立试验(30-second sit-to-stand test,30s-STS)和简短生活质量量表得分(36-item short form health survey,SF-36)差异。结果透析中关节活动度运动干预后试验组患者的FS-14得分低于对照组(Z=-7.782,P<0.001),6MWT(t=5.812,P<0.001)、30s-STS(t=6.111,P<0.001)、SF-36得分(t=2.583,P=0.012)高于对照组。结论透析中关节活动度运动可有效缓解患者的疲乏症状,提高运动能力、生活质量。Objective To investigate the effects of joint mobility exercises in hemodialysis on maintenance hemodialysis(MHD)patients.Methods The MHD patients in the Hemodialysis Center of the First Affiliated Hospital of Nanchang University from April to October 2023 were selected as the research subjects,and patients in Donghu Hospital District and patients in Xianghu Hospital District were randomly selected as the experimental group and the control group.The patients in the control group were given routine care,and the patients in the experimental group were implemented the exercise of joint mobility in dialysis on the basis of routine care.Differences in fatigue scale-14(FS-14)score,6-minute walk test(6MWT),30-second sit-tostand test(30s-STS),and 36-item short form health survey(SF-36)score before and after the intervention were compared between the two groups.Results Before intervention,general information,FS-14 scores,6MWT,30s-TST and SF-36 scores had no statistical differences between the two groups(Z=-0.199,t=0.501,0.278 and 0.484 respectively;P=0.842,0.618,0.782 and 0.629 respectively).Compared with the control group,FS-14 scores were significantly lower(Z=-7.782,P<0.001),and 6MWT,30s-STS,and SF-36 scores were significantly higher(t=5.812,6.111 and 2.583 respectively;P<0.001,<0.001 and=0.012 respectively)after the intervention in the test group.Conclusion Joint mobility exercises in dialysis can effectively relieve fatigue symptoms and improve exercise capacity and quality of life in MHD patients.

关 键 词：维持性血液透析患者 透析中运动 关节活动度 疲乏 运动能力 

分 类 号：R473[医药卫生—护理学]