影响血液透析患者居家运动强度、频率、时间相关因素分析
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摘要
①目的调查血液透析患者居家运动现况,并探讨影响患者运动强度、频率和时间的相关因素。②方法本研究为描述性研究。选取2018年9月～11月在我院血液净化中心进行治疗的维持性血液透析(MHD)患者100例。采用问卷调查法。使用自制问卷调查患者居家运动持续时间、运动频率、运动知识了解情况以及相关因素;使用Borg自觉费力程度量表评估患者居家运动强度。③结果 23%的MHD患者可保持至少每周3次、每次30分钟的居家运动,但是其中43%的运动强度为轻度;年龄、超滤量是影响患者居家运动强度的因素;透析前血压是影响患者居家运动时间、频率的因素。④结论 MHD患者进行居家运动的前提是良好的身体状态可通过干预相关因素,如维持合适体质量,合理饮食、用药等,来提高患者运动水平。
Objective To investigate the current status of home exercise in hemodialysis patients and to explore the effects of relevant factors on exercise intensity,frequency and time.Methods This study was a descriptive study.100 patients with maintenance hemodialysis who were treated in our hospital's blood purification center from September to November 2018 were selected.Using the questionnaire survey method,the self-made questionnaire was used to investigate the patients' home exercise duration,exercise frequency,exercise knowledge and related factors,and the Borg Consciousness Scale was used to assess the patients' home exercise intensity.Results ①23% of dialysis patients could maintain at least 3 times a week,30 minutes of home exercise,but 43% of the exercise intensity was mild.②Age and ultrafiltration were factors that affect the intensity of home exercise.Blood pressure before dialysis was a factor that affect the time and frequency of home exercise.Conclusion The premise of home exercise for hemodialysis patients is a good physical condition.By intervening related factors,such as maintaining proper body weight,rational diet,medication, etc.,and to improve the patient's exercise level.
Objective To investigate the current status of home exercise in hemodialysis patients and to explore the effects of relevant factors on exercise intensity,frequency and time.Methods This study was a descriptive study.100 patients with maintenance hemodialysis who were treated in our hospital's blood purification center from September to November 2018 were selected.Using the questionnaire survey method,the self-made questionnaire was used to investigate the patients' home exercise duration,exercise frequency,exercise knowledge and related factors,and the Borg Consciousness Scale was used to assess the patients' home exercise intensity.Results ①23% of dialysis patients could maintain at least 3 times a week,30 minutes of home exercise,but 43% of the exercise intensity was mild.②Age and ultrafiltration were factors that affect the intensity of home exercise.Blood pressure before dialysis was a factor that affect the time and frequency of home exercise.Conclusion The premise of home exercise for hemodialysis patients is a good physical condition.By intervening related factors,such as maintaining proper body weight,rational diet,medication, etc.,and to improve the patient's exercise level.
引文
[1] Intiso D.The rehabilitation role in chronic kidney and end stage renal disease[J].Kidney Blood Press Res,2017,39(2-3):180-188
[2] Chung YC,Yeh ML,Liu YM.Effects of intradialytic exercise on the physical function,depression and quality of life for haemodialysis patients:a systematic review and meta-analysis of randomised controlled trials[J].J Clin Nurs,2017,26(13-14):1801-1813
[3] Johansen KL,Chertow GM,Kutner NG,et al.Low level of self-reported physical activity in ambulatory patients new to dialysis[J].Kidney Int,2016,78(11):1164-1170
[4] Dalrymple LS,Johansen KL,Chertow GM,et al.Longitudinal measures of serum albumin and prealbumin concentrations in incident dialysis patients:the comprehensive dialysis study[J].J Ren Nutr,2016,23(2):91-97
[5] Heiwe S,Jacobson SH.Exercise training in adults with CKD:a systematic review and meta-analysis[J].Am J Kidney Dis,2014,64(3):383-393
[6] Matsuzawa R,Kamitani T,Roshanravan B,et al.Decline in the functional status and mortality in patients on hemodialysis:Results from the Japan dialysis outcome and practice patterns study[J].J Ren Nutr,2018,10:12
[7] 陈赟,孙柳,王艳玲.维持性血液透析患者居家运动情况的调查[J].中国护理管理,2017,17(5):707-711
[8] Gould DW,Graham-Brown MP,Watson EL,et al.Physiological benefits of exercise in pre-dialysis chronic kidney disease[J].Nephrology (Carlton),2017,19(9):519-527
[9] Jayaseelan G,Bennett PN,Bradshaw W,et al.Exercise benefits and barriers:The perceptions of people receiving hemodialysis[J].Nephrol Nurs J,2018,45(2):185-219
[10] Tao X,Chow S,Wong FK.The effects of a nurse-supervised home exercise programme on improving patients' perceptions of the benefits and barriers to exercise:A randomised controlled trial[J].J Clin Nurs,2017,26(17-18):2765-2775
[11] 胥凤,李巍,徐晨,等.社区医学教学实践基地建设的探索与实践[J].重庆医学,2015,44(19):2704-2705
[12] Koufaki P,Greenwood S,Painter P,et al.The BASES expert statement on exercise therapy for people with chronic kidney disease[J].J Sports Sci,2015,33(18):1902-1907
[13] Marcus RL,LaStayo PC,Ikizler TA,et al.Low physical function in maintenance hemodialysis patients is independent of muscle mass and comorbidity[J].J Ren Nutr,2015,25(4):371-375
[14] Painter P,Clark L,Olausson J.Physical function and physical activity assessment and promotion in the hemodialysis clinic:a qualitative study[J].Am J Kidney Dis,2016,64(3):425-433
[15] Pecoits-Filho R,Bucharles S,Barberato SH.Diastolic heart failure in dialysis patients:mechanisms,diagnostic approach,and treatment[J].Semin Dial,2017,25(1):35-41
[16] Iseki K.Control of hypertension and survival in haemodialysis patients[J].Nephrology (Carlton),2018,20(2):49-54
[17] Inrig JK,Patel UD,Gillespie BS,et al.Relationship between interdialytic weight gain and blood pressure among prevalent hemodialysis patients[J].Am J Kidney Dis,2017,50(1):108-118
[18] 冯雪芳,蒋茜,曾洋,等.品管圈在持续提高血液透析患者血红蛋白达标率中的应用研究[J].中国血液净化,2018,17(4):265-267
[2] Chung YC,Yeh ML,Liu YM.Effects of intradialytic exercise on the physical function,depression and quality of life for haemodialysis patients:a systematic review and meta-analysis of randomised controlled trials[J].J Clin Nurs,2017,26(13-14):1801-1813
[3] Johansen KL,Chertow GM,Kutner NG,et al.Low level of self-reported physical activity in ambulatory patients new to dialysis[J].Kidney Int,2016,78(11):1164-1170
[4] Dalrymple LS,Johansen KL,Chertow GM,et al.Longitudinal measures of serum albumin and prealbumin concentrations in incident dialysis patients:the comprehensive dialysis study[J].J Ren Nutr,2016,23(2):91-97
[5] Heiwe S,Jacobson SH.Exercise training in adults with CKD:a systematic review and meta-analysis[J].Am J Kidney Dis,2014,64(3):383-393
[6] Matsuzawa R,Kamitani T,Roshanravan B,et al.Decline in the functional status and mortality in patients on hemodialysis:Results from the Japan dialysis outcome and practice patterns study[J].J Ren Nutr,2018,10:12
[7] 陈赟,孙柳,王艳玲.维持性血液透析患者居家运动情况的调查[J].中国护理管理,2017,17(5):707-711
[8] Gould DW,Graham-Brown MP,Watson EL,et al.Physiological benefits of exercise in pre-dialysis chronic kidney disease[J].Nephrology (Carlton),2017,19(9):519-527
[9] Jayaseelan G,Bennett PN,Bradshaw W,et al.Exercise benefits and barriers:The perceptions of people receiving hemodialysis[J].Nephrol Nurs J,2018,45(2):185-219
[10] Tao X,Chow S,Wong FK.The effects of a nurse-supervised home exercise programme on improving patients' perceptions of the benefits and barriers to exercise:A randomised controlled trial[J].J Clin Nurs,2017,26(17-18):2765-2775
[11] 胥凤,李巍,徐晨,等.社区医学教学实践基地建设的探索与实践[J].重庆医学,2015,44(19):2704-2705
[12] Koufaki P,Greenwood S,Painter P,et al.The BASES expert statement on exercise therapy for people with chronic kidney disease[J].J Sports Sci,2015,33(18):1902-1907
[13] Marcus RL,LaStayo PC,Ikizler TA,et al.Low physical function in maintenance hemodialysis patients is independent of muscle mass and comorbidity[J].J Ren Nutr,2015,25(4):371-375
[14] Painter P,Clark L,Olausson J.Physical function and physical activity assessment and promotion in the hemodialysis clinic:a qualitative study[J].Am J Kidney Dis,2016,64(3):425-433
[15] Pecoits-Filho R,Bucharles S,Barberato SH.Diastolic heart failure in dialysis patients:mechanisms,diagnostic approach,and treatment[J].Semin Dial,2017,25(1):35-41
[16] Iseki K.Control of hypertension and survival in haemodialysis patients[J].Nephrology (Carlton),2018,20(2):49-54
[17] Inrig JK,Patel UD,Gillespie BS,et al.Relationship between interdialytic weight gain and blood pressure among prevalent hemodialysis patients[J].Am J Kidney Dis,2017,50(1):108-118
[18] 冯雪芳,蒋茜,曾洋,等.品管圈在持续提高血液透析患者血红蛋白达标率中的应用研究[J].中国血液净化,2018,17(4):265-267