交互式健康教育联合运动疗法对腹膜透析患者运动功能、自护能力及生活质量的影响  

Effects of interactive health education combined with exercise therapy on motor function,self-care ability and quality of life of peritoneal dialysis patients

作　　者：熊文 赵娜[1] XIONG Wen;ZHAO Na(Department of Nephrology,Qianjiang Central Hospital,Hubei,Qianjiang 433100,China)

机构地区：[1]湖北省潜江市中心医院肾病内科,湖北潜江433100

出　　处：《中国医药科学》2024年第15期135-138,共4页China Medicine And Pharmacy

基　　金：湖北省潜江市公益性行业科研计划立项项目(2023GYX005)。

摘　　要：目的探讨交互式健康教育联合运动疗法对腹膜透析患者运动功能、自护能力及生活质量的影响。方法选取2021年6月至2023年6月潜江市中心医院收治的80例行腹膜透析治疗患者为研究对象,采用随机数表法将其分为对照组、观察组,每组各40例,对照组予以常规护理措施,观察组在上述护理基础上加用交互式健康教育联合运动疗法,比较两组患者干预前后运动功能[6 min步行试验(6MWT)、10次坐立秒数]、自护能力(ESCA)及生活质量(SF-36)评分。结果干预后,两组患者6MWT、10次坐立秒数显著改善,且观察组6MWT高于对照组,10次坐立秒数少于对照组,差异有统计学意义(P<0.05)。干预前后,两组ESCA、SF-36量表各维度评分及总分评分显著改善,且观察组上述指标高于对照组,差异有统计学意义(P<0.05)。结论交互式健康教育联合运动疗法有助于改善腹膜透析患者运动功能,提高自我护理能力,提升生活质量,值得临床推广应用。Objective To investigate the effects of interactive health education combined with exercise therapy on the motor function,self-care ability,and quality of life of peritoneal dialysis patients.Methods A total of 80 patients treated with peritoneal dialysis at Qianjiang Central Hospital from June 2021 to June 2023 were selected as the study subjects.They were divided into a control group and an observation group using a random number table method,with 40 cases in each group.The control group received routine nursing measures,while the observation group received interactive health education combined with exercise therapy on the basis of the above nursing measures.The motor function(6-minute walk test[6MWT],seconds of 10 times of sit-to-stand),selfcare ability(exercise of self-care agency scale[ESCA]),and quality of life(MOS item short from health survey[SF-36])scores of the two groups of patients before and after intervention were compared.Results After the intervention,the 6MWT and seconds of 10 times of sit-to-stand of the two groups were significantly improved,and the 6MWT of the observation group was higher than that of the control group,and the seconds of 10 times of sit-to-stand were less than that of the control group,with statistically significant differences(P<0.05).After the intervention,the scores of each dimension and the total score of ESCA and SF-36 in the two groups were significantly improved,and the above indexes in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The combination of interactive health education and exercise therapy can improve the motor function,self-care ability,and quality of life of peritoneal dialysis patients,and is worthy of clinical promotion and application.

关 键 词：交互式健康教育 运动疗法 腹膜透析 运动功能 自护能力 

分 类 号：R473.5[医药卫生—护理学]