摘要
目的:分析个体化运动疗法联合护理干预对血液透析患者睡眠质量及生命质量的影响。方法:选取2020年8月至2022年8月宁德市蕉城区医院血液透析中心收治的维持性血液透析患者82例作为研究对象,按照随机数字表法分为观察组和对照组,每组41例。对照组给予常规护理干预,观察组给予个体化运动疗法干预。采用KDQ量表对患者生命质量进行评价,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,并比较2组患者干预前后的心功能指标变化及6 min步行试验指标。结果:护理干预12周后,观察组左心室射血分数及6 min步行试验指标明显高于对照组,PSQI评分显著低于对照组,KDQ量表评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:个体化运动疗法对维持性血液透析患者的睡眠质量及生命质量具有显著效果,有利于改善患者的心功能指标,提高运动耐受能力,具有较高临床应用价值。
Objective:To analyze the effects of individualized exercise therapy combined with nursing intervention on sleep quality and quality of life in hemodialysis patients.Methods:A total of 82 maintenance hemodialysis patients admitted to the Hemodialysis Center of Jiaocheng District Hospital of Ningde City from August 2020 to August 2022 were selected as research objects,and were divided into observation group and control group according to the random number table method,with 41 cases in each group.The control group was given routine nursing intervention and the observation group was given individualized exercise therapy intervention.KDQ scale was used to evaluate the quality of life of the patients.Pittsburgh Sleep Index Scale(PSQI)was used to compare the changes of sleep quality in two groups before and after intervention,and the changes in cardiac function indexes and 6-min walking test indexes were compared between 2 groups before and after intervention.Results:After 12 weeks of nursing intervention,left ventricular ejection fraction and 6 min walking test index in the observation group were significantly higher than those of the control group,PSQI score was significantly lower than the control group,KDQ scale score was significantly higher than the control group,and the differences between the two groups were statistically significant(P s<0.05).Conclusion:Individualized exercise therapy has significant effects on sleep quality and quality of life of maintenance hemodialysis patients,and is beneficial to improve patients′cardiac function indexes and exercise tolerance,which has high clinical application value.
作者
陈锦蓉
陈雅燕
何丽萍
林情
陈玉芳
CHEN Jinrong;CHEN Yayan;HE Liping;LIN Qing;CHEN Yufang(Ningde Jiaocheng District Hospital,Ningde 352100,China)
出处
《世界睡眠医学杂志》
2023年第4期923-925,929,共4页
World Journal of Sleep Medicine
关键词
维持性血液透析
个体化运动疗法
睡眠质量
心功能
生命质量
Maintenance hemodialysis
Individualized exercise therapy
Sleep quality
Cardiac function
Quality of life
