摘要
目的探讨八段锦运动对维持性血液透析患者睡眠质量及负性情绪的影响。方法选取2019年1月至2020年2月某医院血液透析室行规律性透析的174例患者,采用随机数字表法将患者分组,星期一、星期三、星期五奇数透析组为干预组(n=86),星期二、星期四、星期六偶数透析组为对照组(n=88)。对照组采用血液透析常规护理,干预组在血液透析常规护理的基础上进行为期6个月的八段锦运动干预,评价两组患者干预前后睡眠质量和负性情绪。结果干预组患者经6个月的八段锦运动干预后,除催眠药物维度外,匹兹堡睡眠质量指数量表总分及各维度得分均低于对照组,差异有统计学意义(P<0.01或P<0.05);干预组维持性血液透析患者的焦虑、抑郁自评量表评分均低于对照组,负性情绪得到明显改善,差异有统计学意义(P<0.01)。结论八段锦运动能有效提高维持性血液透析患者的睡眠质量,改善患者的负性情绪状态,值得临床推广应用。
Objective To investigate the effect of Baduanjin exercise on sleeping quality and negative emotion in maintenance hemodialysis patients.Methods A total of 174 patients who underwent regular dialysis in a hemodialysis room of a hospital from January 2019 to February 2020 were selected and divided into groups by random number table method.The odd-numbered dialysis group on Monday,Wednesday and Friday was the intervention group(n=86),and the even-numbered dialysis group on Tuesday,Thursday and Saturday was the control group(n=88).The control group received routine nursing of hemodialysis,and the intervention group received Baduanjin exercise intervention for 6 months on the basis of routine nursing of hemodialysis.The Pittsburgh Sleep Quality Index(PAQI),Self-Rating Anxiety Scale(SAS)and Self-Rating Depressibn Scale(SDS)of patients in the two groups were evaluated before and after the intervention.Results After 6 months of Baduanjin exercise intervention,the total score of PSQI and scores of all dimensions were lower in the intervention group than those in the control group except the hypnotic drug dimension,with statistically significant difference(P<0.01 or P<0.05).The scores of SAS and SDS in maintenance hemodialysis patients in the intervention group were lower than those in the control group,and the negative emotions were significantly improved,with statistically significant difference(P<0.01).Conclusion Baduanjin exercise can effectively improve the sleep quality and negative mood in maintenance hemodialysis patients,worthy of clinical promotion.
作者
付俊香
王爱敏
周云平
林清丽
李庆超
FU Junxiang;WANG Aimin;ZHOU Yunping;LIN Qingli;LI Qingchao(School of Nursing,Qingdao University,Qingdao 266021,China;Department of Nephrology,People's Liberation Army Navy 971 Hospital,Qingdao 266071,China;Area 1,Qingdao Special Service Sanatorium,Qingdao 266071,China)
出处
《护理管理杂志》
2021年第4期285-290,共6页
Journal of Nursing Administration
关键词
维持性血液透析
八段锦运动
睡眠质量
负性情绪
maintenance hemodialysis
Baduanjin exercise
sleeping quality
negative emotion
