CAJ | 학술논문

目的：探讨运动训练对尿毒症血液透析患者睡眠质量的影响。方法将120例病情稳定的尿毒症血液透析患者按随机数字表法随机分为观察组和对照组，各60例。对照组按常规护理，患者按原有的习惯进行运动，并给予适当的指导，观察组在常规护理的基础上进行每周3次的运动训练，干预时间为12周。采用匹茨堡睡眠质量指数量表（ PSQI ）评估两组患者睡眠质量情况。结果干预前观察组睡眠障碍发生率65．0％，对照组为58．3％，两组比较差异无统计学意义（χ2＝0．564，P＝0．453）；干预后，观察组睡眠障碍发生率41．7％，对照组为61．7％，两组比较差异有统计学意义（χ2＝4．805，P＝0．028）。观察组患者干预前后睡眠障碍发生率比较差异有统计学意义（P＜0．05），对照组患者的睡眠障碍发生率比较差异无统计学意义（P＞0．05）。结论对尿毒症血液透析患者进行运动训练可以减少其睡眠障碍，提高睡眠质量，值得临床推广应用。
목적：탐토운동훈련대뇨독증혈액투석환자수면질량적영향。방법장120례병정은정적뇨독증혈액투석환자안수궤수자표법수궤분위관찰조화대조조，각60례。대조조안상규호리，환자안원유적습관진행운동，병급여괄당적지도，관찰조재상규호리적기출상진행매주3차적운동훈련，간예시간위12주。채용필자보수면질량지수량표（ PSQI ）평고량조환자수면질량정황。결과간예전관찰조수면장애발생솔65．0％，대조조위58．3％，량조비교차이무통계학의의（χ2＝0．564，P＝0．453）；간예후，관찰조수면장애발생솔41．7％，대조조위61．7％，량조비교차이유통계학의의（χ2＝4．805，P＝0．028）。관찰조환자간예전후수면장애발생솔비교차이유통계학의의（P＜0．05），대조조환자적수면장애발생솔비교차이무통계학의의（P＞0．05）。결론대뇨독증혈액투석환자진행운동훈련가이감소기수면장애，제고수면질량，치득림상추엄응용。
Objective To explore the effect of exercise training on sleeping quality in the hemodialysis patients with uremia .Methods One hundred and twenty hemodialysis patients with uremia were chosen and divided into the control group and the observation group according to the random number table , each with 60 cases.The control group received the routine nursing , and the patients did the exercises in accordance with old habits and got the appropriate guidance .The observation group received the exercise training three times a week on the basis of the routine nursing for 12 weeks.The sleeping quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) in two groups.Results The incidence rate of sleeping disturbance in the observation group before intervention was 65.0%, and was 58.3% in the control group, and the difference was not statistically significant (χ2 =0.564,P=0.453).The incidence rate of sleeping disturbance in the observation group after intervention was 41.7%, and was 61.7% in the control group, and the difference was statistically significant (χ2 =4.805,P=0.028).The difference was found in the incidence rate of sleeping disturbance in the observation group before and after intervention (P<0.05), and the difference was not found in the control group (P>0.05).Conclusions The exercise training in the hemodialysis patients with uremia can reduce their sleeping disturbance and improve the sleeping quality .