CAJ | 학술논문

目的：研究有计划的锻炼对血液透析患者生活质量以及心理状态改善的影响。方法研究共纳入2011年10月～2012年12月在我院接受血液透析并能接受运动试验的62例患者，其中，男38例，女24例，年龄25～53岁，平均年龄（45±7）岁。每次锻炼项目包括跑步机和健身自行车。每次运动时间为60 min ，每周2次（透析当天不进行运动），一共持续12周。整个计划开始时和结束时测定患者的运动能力，即最大耗氧量和运动耐量。此外，在上述两个时间段使用量表对患者的生活质量和抑郁、焦虑程度作出评估并比较。结果12周的锻炼计划结束后，患者的最大耗氧量由（24．5±4．9） ml/（kg · min）上升到（30．1±5．9） ml/（kg · min），前后数据比较差异有显著意义（ P＜0．05）。运动耐量时间从开始时的（470±85） s上升到（592±110） s ，计划前运动耐量与计划后运动耐量相比差异有显著意义（P＜0．05）。患者完成运动计划前后测得的抑郁评分和焦虑评分均有所改善。此外，患者的生活质量评分也得到了显著提高。结论有计划的锻炼可以改善血液透析患者的生理机能，消除不良心理状态，提高生活质量，值得在临床护理工作中推广。
목적：연구유계화적단련대혈액투석환자생활질량이급심리상태개선적영향。방법연구공납입2011년10월～2012년12월재아원접수혈액투석병능접수운동시험적62례환자，기중，남38례，녀24례，년령25～53세，평균년령（45±7）세。매차단련항목포괄포보궤화건신자행차。매차운동시간위60 min ，매주2차（투석당천불진행운동），일공지속12주。정개계화개시시화결속시측정환자적운동능력，즉최대모양량화운동내량。차외，재상술량개시간단사용량표대환자적생활질량화억욱、초필정도작출평고병비교。결과12주적단련계화결속후，환자적최대모양량유（24．5±4．9） ml/（kg · min）상승도（30．1±5．9） ml/（kg · min），전후수거비교차이유현저의의（ P＜0．05）。운동내량시간종개시시적（470±85） s상승도（592±110） s ，계화전운동내량여계화후운동내량상비차이유현저의의（P＜0．05）。환자완성운동계화전후측득적억욱평분화초필평분균유소개선。차외，환자적생활질량평분야득도료현저제고。결론유계화적단련가이개선혈액투석환자적생리궤능，소제불양심리상태，제고생활질량，치득재림상호리공작중추엄。
Objective To study the impact on quality of life and improved mental status for hemodialysis patients by planned exercise .Method 62 patients received dialysis and exercise test from October 2011 to December 2012 in our hospital was selected for the study .Among them ,38 males and 24 females ,aged 25-53 years ,mean age (45 ± 7) years of age .Every exercise program includes treadmills and exercise bikes .Each exercise time was 60min ,2 times a week (dialysis day without exercise) lasted for 12 weeks .The patient's exercise capacity(including the maxi-mum oxygen consumption and exercise tolerance ) was measured at the beginning and at the end of the entire plan . In addition ,in these two time periods using a scale to assess and compare the patients'quality of life ,depression and anxiety .Result After the 12-week exercise program , maximum oxygen consumption (24 .5 ± 4 .9 ) in patients ml/(kg · min) increased to (30 .1 ± 5 .9) ml/(kg · min) ,There was significant difference in data before and after the exercise (P<0 .05) .Exercise tolerance time and exercise tolerance increased from the beginning of (470 ± 85) s to (592 ± 110) s .There was significant differences in exercise tolerance pre-exercise and after-exercise (P<0 .05) . The patients'depression scores and anxiety scores before and after completion of the exercise program were im-proved .In addition ,the patient's quality of life score also improved significantly .Conclusion Planned exercise can improve physical function in hemodialysis patients ,eliminate bad mental state and improve quality of life .It’s wor-thy of promotion in clinical nursing work .