Application Effect of Upper Limb Rehabilitation Exercise Combined with Health Education Under Focused Solution Mode in Elderly Hemodialysis Patients
Objective To analyze the effect of health education on elderly hemodialysis patients under the mode of upper limb rehabilitation exercise combined with focused solution.Methods 68 elderly hemodialysis patients admitted to the hospital from January 2020 to July 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number numbering method,with 34 cases in each group.The control group received routine intervention and focused solution mode health education,and the observation group received upper limb rehabilitation exercise combined focused solution mode health education.The grip strength,arteriovenous fistula blood flow,non-arteriovenous cephalic vein diameter and self-management level were compared between the two groups.Results After 3 months of intervention,the grip strength of the internal fistulas and non-internal fistulas in the observation group was(28.98±7.82)kg and(32.76±8.14)kg,respectively,which were greater than(25.69±6.68)kg and(26.70±5.23)kg of the control group,and the differences were statistically significant(P＜0.05);the arteriovenous fistula blood flow in the observation group was(795.85±367.31)mL/min,which was higher than(639.94±294.17)mL/min in the control group,and the diameter of the non-internal cephalic vein was(2.53±0.33)mm,which was longer than(2.28±0.36)mm in the control group,the differences between groups were statistically significant(P＜0.05);in the self-management ability scale of the observation group,the scores of compliance treatment,reasonable diet and exercise,medication compliance and arterio-venous fistula nursing were(83.92±7.15)points,(84.86±7.02)points,(86.22±6.78)points and(83.12±7.15)points respectively,they were higher than(80.17±6.81)points,(80.17±6.81)points,(82.51±6.45)points and(79.24±6.88)points of the control group,and there were statistical significance between groups(P＜0.05).Conclusion Upper limb rehabilitation exercise combined with health education under focused solution mode can improve the self-management ability of elderly hemodialysis patients and promote the recovery of upper limb grip strength,which is conducive to the maintenance of arteriovenous fistula.
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