Influence of ORTCC model-based specialist nursing combined with resistance training on grip strength,compliance and walking speed in maintenance hemodialysis patients with sarcopenia
Objective To explore the influence of specialist nursing based on the orientation-rules-training-check-culture(ORTCC)model combined with resistance training on grip strength,compliance and walking speed in patients with sarcopenia undergoing maintenance hemodialysis(MHD).Methods A total of 100 MHD patients with sarcopenia from January 2020 to November 2023 were selected as the study subjects,and they were randomly divided into observation group(n=50)and control group(n=50).The patients in the control group were given routine nursing combined with resistance training intervention,while those in the observation group additionally carried out ORTCC model-based specialist nursing.The changes in skeletal muscle mass(appendicular skeletal muscle mass[ASM],skeletal muscle mass index[SMI],appendicular skeletal muscle mass index[ASMI]),physical function(Short Physical Performance Battery[SPPB],walking speed,grip strength)and quality of life(The Sarcopenia & Quality of Life Scale[SarQoL])before and after intervention,and the compliance rates during intervention were observed in the two groups.Results After intervention,the ASM,SMI,ASMI,SPPB score,walking speed,grip strength level and scores of seven dimensions of SarQoL scale were enhanced significantly in the two groups than those before intervention(P＜0.05),which were significantly higher in observation group than those of control group(P＜0.05).The compliance rates of medication specification,reasonable diet,exercise training and regular follow-up were significantly higher in observation group than those of control group during intervention(P＜0.05).Conclusion The application of ORTCC model-based specialist nursing combined with resistance training in MHD patients with sarcopenia can improve treatment compliance,skeletal muscle mass,grip strength and walking speed,and contribute to the recovery of physical function and quality of life.
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