渐进性肌肉放松训练对维持性血液透析患者疲乏感与生活质量的影响  

Effect of Progressive Muscle Relaxation Training on Fatigue and Quality of Life in Maintenance Hemodialysis Patients

作　　者：易丽华[1] 陈芳 YI Lihua;CHEN Fang(Hemodialysis Room of Shanggao County People's Hospital,Shanggao 336400,Jiangxi,China)

机构地区：[1]上高县人民医院血透室,江西上高336400

出　　处：《医学信息》2025年第1期164-167,共4页Journal of Medical Information

摘　　要：目的研究渐进性肌肉放松训练对维持性血液透析(MHD)患者疲乏感与生活质量的影响。方法以2020年1月-2022年6月上高县人民医院行MHD治疗的62例患者为研究对象,经随机数字表法分为对照组与观察组,各31例。对照组行常规护理干预,观察组则在其基础上开展渐进性肌肉放松训练,比较两组疲乏感[查尔德疲劳问卷(CFQ)]、负面情绪[综合性医院焦虑抑郁量表(HAD)]、睡眠质量、生活质量[肾病生活质量量表(KDQOL-SF)]。结果两组干预后CFQ评分低于干预前,且观察组CFQ评分低于对照组(P<0.05);两组干预后HAD评分低于干预前,且观察组HAD评分低于对照组(P<0.05);观察组睡眠质量优良率为83.87%,高于对照组的61.29%(P<0.05);两组干预后KDQOL-SF评分高于干预前,且观察组KDQOL-SF评分高于对照组(P<0.05)。结论渐进性肌肉放松训练可有效减轻MHD患者疲乏感,改善其负性情绪及睡眠质量,促进患者生活质量提升。Objective To study the effect of progressive muscle relaxation training on fatigue and quality of life in maintenance hemodialysis(MHD)patients.Methods A total of 62 patients who underwent MHD treatment in Shanggao County People's Hospital from January 2020 to June 2022 were divided into control group and observation group by random number table method,with 31 patients in each group.The control group received routine nursing intervention,while the observation group received progressive muscle relaxation training on the basis of the control group.The fatigue[Chard Fatigue Questionnaire(CFQ)],negative emotions[Hospital Anxiety and Depression Scale(HAD)],sleep quality and quality of life[Kidney Disease and Quality of Life-Short Form(KDQOL-SF)]were compared between the two groups.Results The CFQ scores of the two groups after intervention were lower than those before intervention,and the CFQ scores of the observation group were lower than thoset of the control group(P<0.05).The HAD scores of the two groups after intervention were lower than those before intervention,and the HAD scores of the observation group were lower than those of the control group(P<0.05).The excellent and good rate of sleep quality in the observation group was 83.87%,which was higher than 61.29%in the control group(P<0.05).The KDQOL-SF scores of the two groups after intervention wwere higher than those before intervention,and the KDQOL-SF scores of the observation group were higher than those of the control group(P<0.05).Conclusion Progressive muscle relaxation training can effectively reduce the fatigue of MHD patients,improve their negative emotions and sleep quality,as well as promote the improvement of their quality of life.

关 键 词：维持性血液透析 渐进性肌肉放松训练 疲乏感 生活质量 负面情绪 

分 类 号：R473[医药卫生—护理学]