中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
14期
1613-1616
,共4页
低强度长时间有氧运动%维持性血液透析%运动能力
低彊度長時間有氧運動%維持性血液透析%運動能力
저강도장시간유양운동%유지성혈액투석%운동능력
Low-intensity prolonged aerobic exercise%Maintenance hemodialysis%Exercise capacity
目的 观察早期实施运动疗法的护理干预对维持性血液透析患者运动能力的影响,为探索适合血液透析患者的运动疗法提供依据.方法 入选60例维持性血液透析患者,采用自身前后对照研究,针对患者运动能力设计个体化的运动方案.观察患者在运动前、运动3个月和运动6个月后心率、平均动脉压、下肢肌围、运动能力评分、睡眠状况等指标的变化情况.结果 60例患者运动3个月后平均动脉压下降,与运动前比较差异有统计学意义[(76±21)mm Hg比(86±19)mm Hg,t=0.763,P<0.05];下肢肌围上升,与运动前比较差异有统计学意义[(29.65±11)cm比(28.55±12)cm,t=0.841,P<0.05];运动能力评分升高,与运动前比较差异有统计学意义[(11±1.5)分比(8±2.5)分,t=0.694,P<0.05];患者睡眠状况改善明显,与运动前比较差异有统计学意义(睡眠差的比较:2比6,χ2=0.27,P<0.05).运动6个月后患者平均动脉压、下肢肌围、运动能力评分、睡眠状况与运动前比较差异均有统计学意义(P<0.01或P<0.05);运动3个月、运动6个月患者心率与运动前比较差异均无统计学意义(P>.05).结论 低强度长时间运动模式能有效改善维持性血液透析患者的身体状况.
目的 觀察早期實施運動療法的護理榦預對維持性血液透析患者運動能力的影響,為探索適閤血液透析患者的運動療法提供依據.方法 入選60例維持性血液透析患者,採用自身前後對照研究,針對患者運動能力設計箇體化的運動方案.觀察患者在運動前、運動3箇月和運動6箇月後心率、平均動脈壓、下肢肌圍、運動能力評分、睡眠狀況等指標的變化情況.結果 60例患者運動3箇月後平均動脈壓下降,與運動前比較差異有統計學意義[(76±21)mm Hg比(86±19)mm Hg,t=0.763,P<0.05];下肢肌圍上升,與運動前比較差異有統計學意義[(29.65±11)cm比(28.55±12)cm,t=0.841,P<0.05];運動能力評分升高,與運動前比較差異有統計學意義[(11±1.5)分比(8±2.5)分,t=0.694,P<0.05];患者睡眠狀況改善明顯,與運動前比較差異有統計學意義(睡眠差的比較:2比6,χ2=0.27,P<0.05).運動6箇月後患者平均動脈壓、下肢肌圍、運動能力評分、睡眠狀況與運動前比較差異均有統計學意義(P<0.01或P<0.05);運動3箇月、運動6箇月患者心率與運動前比較差異均無統計學意義(P>.05).結論 低彊度長時間運動模式能有效改善維持性血液透析患者的身體狀況.
목적 관찰조기실시운동요법적호리간예대유지성혈액투석환자운동능력적영향,위탐색괄합혈액투석환자적운동요법제공의거.방법 입선60례유지성혈액투석환자,채용자신전후대조연구,침대환자운동능력설계개체화적운동방안.관찰환자재운동전、운동3개월화운동6개월후심솔、평균동맥압、하지기위、운동능력평분、수면상황등지표적변화정황.결과 60례환자운동3개월후평균동맥압하강,여운동전비교차이유통계학의의[(76±21)mm Hg비(86±19)mm Hg,t=0.763,P<0.05];하지기위상승,여운동전비교차이유통계학의의[(29.65±11)cm비(28.55±12)cm,t=0.841,P<0.05];운동능력평분승고,여운동전비교차이유통계학의의[(11±1.5)분비(8±2.5)분,t=0.694,P<0.05];환자수면상황개선명현,여운동전비교차이유통계학의의(수면차적비교:2비6,χ2=0.27,P<0.05).운동6개월후환자평균동맥압、하지기위、운동능력평분、수면상황여운동전비교차이균유통계학의의(P<0.01혹P<0.05);운동3개월、운동6개월환자심솔여운동전비교차이균무통계학의의(P>.05).결론 저강도장시간운동모식능유효개선유지성혈액투석환자적신체상황.
Objective Decreased exercise capacity in the maintenance hemodialysis (MHD) patients is a key factor affecting hemodialysis patients' life quality and contributes to complications and mortality. The purpose of the study was to investigate the effect of nursing care based on low-intensity prolonged aerobic exercise in the exercise capacity of MHD patients. Methods A total of sixty MHD patients (male 32 and female 28) were included in this study. All underwent a 6-month individualized mild aerobic exercise program. Self-control was adopted in this experiment. Heart rate (HR), the mean arterial pressure (MAP), lower limb muscle circumference, exercise capacity score, sleep status were collected at 3 different occasions during the 6-month periods (before, and 3 months, and 6 months after exercise).Results MAP was significantly decreased after 3-months,compared with before exercise was statistically significant [(76±21)mm Hg vs (86±19)mm Hg,t=0.763,P<0.05];lower limb muscle circumference increased [(29.65±11)cm vs (28.55±12)cm,t=0.841,P<0.05];exercise capacity scores were significantly improved [(11±1.5)scores vs (8±2.5)scores,t=0.694,P<0.05];sleep quality in patients improved significantly (poor sleep quality:2 vs 6,χ2=0.27,P<0.05). MAP,limb muscle circumference,exercise capacity scores,sleep quality compared with before exercise,there were statistically significant(P<0.01 or P<0.05);There were no differences in HR before and after exercise (P>0.05).Conclusions Low-intensity prolonged aerobic exercise may improve exercise capacity in maintenance hemodialysis patients.
