有氧运动对改善维持性血液透析患者生存质量有效性的Meta分析
摘要
目的:利用Meta分析的方法评价有氧运动对改善维持性血液透析患者的生存质量的有效性。方法:在中英文电子数据库中检索相关临床随机对照研究,检索2017年5月之前的相关文献。利用Review Manager 5.3软件合并效应量。结果:研究共纳入18篇临床随机对照试验文献,共1461例患者。Meta分析显示:有氧运动有利于改善维持性血液透析患者的睡眠质量[WMD=-3.89(95%CI=-4.56,-3.21)],减少疲倦感[FS-14量表:WMD=-2.77(95%CI=-3.08,-2.46);Piper量表:WMD=-0.96(95%CI=-1.38,-0.54);FACIT量表:WMD=-6.73(95%CI=-9.47,-4.00)],降低自评焦虑评分[WMD=-4.86(95%CI=-5.81,-3.92)]和自评抑郁评分[WMD=-4.86(95%CI=-5.81,-3.92)]。结论:3个月及以上的个体化低中有氧运动对改善维持性血液透析患者的睡眠质量,降低患者疲劳感以及焦虑抑郁的发生率有积极作用。
引文
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[8]卫茂玲,谭至娟.临床研究检索及常用数据库介绍//刘鸣.系统评价、Meta-分析设计与实施方法[M].北京:人民卫生出版社,2011.30-31.
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[10]So WK,Dodgson J,Tai JW.Fatigue and quality of life among Chinese patients with hematologic malignancy after bone marrow transplantation[J].Cancer Nurs,2003,26(3):211-219.
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[13]梁燕萍,肖翠艳,侯永梅.运动疗法对维持性血液透析患者睡眠质量的影响[J].广东医学院学报,2011,29(6):618-702.
[14]许会兰,贾强,张泽桾.维持性血液透析患者运动的护理[J].中国血液净化,2005,3(7):367-370.
[15]刘丽霞,贺晓蕾,郭宝春,等.有氧运动对维持性血液透析患者氧化应激及生存质量的影响[J].中国血液净化,2011,13(8):419-434.
[16]方萌萌,王超虹.维持性血液透析患者运动干预的研究进展[J].护理学杂志,2013,28(1):91-93.
[17]郭青,赵荻,贺碧英,等.血液透析患者相关性疲乏非药物性干预研究进展[J].护理学报,2015,22(11):33-36.
[18]Elham FC,Thomas F,Raabe-Menssen C,et al.Effect of aerobic exercise and relaxation training on fatigue and physical performance of cancer patients after surgery.A randomised controlled trial[J].Support Care Cancer,2004,12(11):774-779.
[19]Ling KW,Wong FS,Chan WK,et al.Effect of a home exercise program based on tai chi in patients with endstage renal disease[J].Perit Dial Int,2003,23(Suppl 2):s99-s103.
[20]樊玲玲.有氧运动对维持性血液透析患者疲劳状况的干预作用[J].中外医学研究,2015,13(15):105-106.
[21]Demiralp M,Oflaz F,Komurcu S.Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy[J].J Clin Nurs,2010,19(7-8):1073-1083.
[22]Hmwe NT,Subramanian P,Tan LP,et al.The effects of acupressure on depression,anxiety and stress in patients with hemodialysis:a randomized controlled trial[J].Int JNurs Stud,2015,52(2):509-518.
[23]王娟,黄燕林,吴卓媚,等.运动训练对尿毒症血液透析患者焦虑抑郁的影响[J].广西医学,2014,36(9):1225-1227.
[24]梁燕萍,肖翠艳,侯永梅.运动疗法对维持性血液透析患者睡眠质量的影响[J].广东医学院学报,2011,29(6):618-620.
[25]申海艳.居家有氧运动对血液透析患者身心健康的影响[D].衡阳:南华大学,2012.
[26]李建英,黄燕林,滕艳娟,等.运动训练对尿毒症血液透析患者疲劳感的影响[J].广西医科大学学报,2013,30(06):981-982.
[27]丁向.居家有氧运动对维持性血液透析患者疲倦及睡眠质量的影响[J].当代护士(下旬刊),2015,(3):126-128.
[28]黄若,林小敏,林晓霞,等.低-中度有氧运动对维持性血液透析患者疲劳及睡眠质量的影响[J].中国基层医药,2016,23(23):3569-3572.
[29]范汝艳,张红梅,常立阳.太极拳运动对血液透析患者焦虑抑郁状态和睡眠质量的影响[J].中国血液净化,2016,15(4):241-243.
[30]黄柳,黄燕林,李建英,等.有氧运动对维持性血液透析患者透析充分性及睡眠质量的影响[J].解放军护理杂志,2015,32(11):26-28.
[31]戴玲.运动疗法对维持性血液透析患者睡眠质量的影响[J].医学理论与实践,2015,28(23):3288-3290.
[32]张红梅,范汝艳,常立阳,等.太极拳运动对血液透析患者体能和疲乏状况的影响[J].中国中西医结合肾病杂志,2015,(9):807-810.
[33]王忆春.有氧运动锻炼对尿毒症血液透析病人情绪、睡眠和肌力的影响[J].全科护理,2016,14(33):3526-3527.
[34]焦亚星.有氧运动对维持性血液透析患者疲劳状况的干预作用[J].护理实践与研究,2016,13(02):46-47.
[35]邹玉梅.抗阻训练联合有氧运动对维持性血液透析患者睡眠质量及透析相关性疲劳的影响研究[J].中国疗养医学,2017,26(01):13-16.
[36]张晨.有氧运动对维持性血液透析患者疲倦、睡眠质量及生活质量的影响[J].中国初级卫生保健,2015,29(10):91-92.
[2]Rabiei L,Eslami AA,Abedi H,et al.Caring in an atmosphere of uncertainty:perspectives and experiences of caregivers of peoples undergoing haemodialysis in Iran[J].Scand J Caring Sci,2016,30(3):594-601.
[3]Jhamb M,Pike F,Ramer S,et al.Impact of fatigue on outcomes in the hemodialysis(HEMO)study[J].Am JNephrol,2011,33(6):515-523.
[4]Jhamb M,Argyropoulos C,Steel JL,et al.Correlates and outcomes of fatigue among incident dialysis patients[J].Clin J Am Soc Nephrol,2009,4(11):1779-1786.
[5]Maniam R,Subramanian P,Singh SK,et al.Preliminary study of an exercise programme for reducing fatigue and improving sleep among long-term haemodialysis patients[J].Singapore Med J,2014,55(9):476-482.
[6]Afshar R,Emany A,Saremi A,et al.Effects of intradialytic aerobic training on sleep quality in hemodialysis patients[J].Iran J Kidney Dis,2011,5(2):119-123.
[7]Wu CY,Han HM,Huang MC,et al.Effect of qigong training on fatigue in haemodialysis patients:A non-randomized controlled trial[J].Complement Ther Med,2014,22(2):244-250.
[8]卫茂玲,谭至娟.临床研究检索及常用数据库介绍//刘鸣.系统评价、Meta-分析设计与实施方法[M].北京:人民卫生出版社,2011.30-31.
[9]Chalder T,Berelowitz G,Pawlikowska T,et al.Development of a fatigue scale[J].J Psychosom Res,1993,37(2):147-153.
[10]So WK,Dodgson J,Tai JW.Fatigue and quality of life among Chinese patients with hematologic malignancy after bone marrow transplantation[J].Cancer Nurs,2003,26(3):211-219.
[11]Yang B,Xu J,Xue Q,et al.Non-pharmacological interventions for improving sleep quality in patients on dialysis:systematic review and meta-analysis[J].Sleep Med Rev,2015,(23):68-82.
[12]Saeedi M,Torab TA,Saatchi K,et al.The effect of progressive muscle relaxation on sleep quality of patients undergoing hemodialysis[J].Iran J Crit Care Nurs,2006.
[13]梁燕萍,肖翠艳,侯永梅.运动疗法对维持性血液透析患者睡眠质量的影响[J].广东医学院学报,2011,29(6):618-702.
[14]许会兰,贾强,张泽桾.维持性血液透析患者运动的护理[J].中国血液净化,2005,3(7):367-370.
[15]刘丽霞,贺晓蕾,郭宝春,等.有氧运动对维持性血液透析患者氧化应激及生存质量的影响[J].中国血液净化,2011,13(8):419-434.
[16]方萌萌,王超虹.维持性血液透析患者运动干预的研究进展[J].护理学杂志,2013,28(1):91-93.
[17]郭青,赵荻,贺碧英,等.血液透析患者相关性疲乏非药物性干预研究进展[J].护理学报,2015,22(11):33-36.
[18]Elham FC,Thomas F,Raabe-Menssen C,et al.Effect of aerobic exercise and relaxation training on fatigue and physical performance of cancer patients after surgery.A randomised controlled trial[J].Support Care Cancer,2004,12(11):774-779.
[19]Ling KW,Wong FS,Chan WK,et al.Effect of a home exercise program based on tai chi in patients with endstage renal disease[J].Perit Dial Int,2003,23(Suppl 2):s99-s103.
[20]樊玲玲.有氧运动对维持性血液透析患者疲劳状况的干预作用[J].中外医学研究,2015,13(15):105-106.
[21]Demiralp M,Oflaz F,Komurcu S.Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy[J].J Clin Nurs,2010,19(7-8):1073-1083.
[22]Hmwe NT,Subramanian P,Tan LP,et al.The effects of acupressure on depression,anxiety and stress in patients with hemodialysis:a randomized controlled trial[J].Int JNurs Stud,2015,52(2):509-518.
[23]王娟,黄燕林,吴卓媚,等.运动训练对尿毒症血液透析患者焦虑抑郁的影响[J].广西医学,2014,36(9):1225-1227.
[24]梁燕萍,肖翠艳,侯永梅.运动疗法对维持性血液透析患者睡眠质量的影响[J].广东医学院学报,2011,29(6):618-620.
[25]申海艳.居家有氧运动对血液透析患者身心健康的影响[D].衡阳:南华大学,2012.
[26]李建英,黄燕林,滕艳娟,等.运动训练对尿毒症血液透析患者疲劳感的影响[J].广西医科大学学报,2013,30(06):981-982.
[27]丁向.居家有氧运动对维持性血液透析患者疲倦及睡眠质量的影响[J].当代护士(下旬刊),2015,(3):126-128.
[28]黄若,林小敏,林晓霞,等.低-中度有氧运动对维持性血液透析患者疲劳及睡眠质量的影响[J].中国基层医药,2016,23(23):3569-3572.
[29]范汝艳,张红梅,常立阳.太极拳运动对血液透析患者焦虑抑郁状态和睡眠质量的影响[J].中国血液净化,2016,15(4):241-243.
[30]黄柳,黄燕林,李建英,等.有氧运动对维持性血液透析患者透析充分性及睡眠质量的影响[J].解放军护理杂志,2015,32(11):26-28.
[31]戴玲.运动疗法对维持性血液透析患者睡眠质量的影响[J].医学理论与实践,2015,28(23):3288-3290.
[32]张红梅,范汝艳,常立阳,等.太极拳运动对血液透析患者体能和疲乏状况的影响[J].中国中西医结合肾病杂志,2015,(9):807-810.
[33]王忆春.有氧运动锻炼对尿毒症血液透析病人情绪、睡眠和肌力的影响[J].全科护理,2016,14(33):3526-3527.
[34]焦亚星.有氧运动对维持性血液透析患者疲劳状况的干预作用[J].护理实践与研究,2016,13(02):46-47.
[35]邹玉梅.抗阻训练联合有氧运动对维持性血液透析患者睡眠质量及透析相关性疲劳的影响研究[J].中国疗养医学,2017,26(01):13-16.
[36]张晨.有氧运动对维持性血液透析患者疲倦、睡眠质量及生活质量的影响[J].中国初级卫生保健,2015,29(10):91-92.