首页|透析中卧位操运动对MHD伴肌肉衰减综合征患者的作用研究

透析中卧位操运动对MHD伴肌肉衰减综合征患者的作用研究

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目的 探讨透析中卧位操运动调控对慢性肾脏病维持性血液透析(maintenance hemodialysis,MHD)发生肌肉衰减综合征患者肌肉状态、身体功能的影响。方法 选取2022年1月—2023年9月在我院行MHD治疗的慢性肾脏病合并肌肉衰减综合征患者82例;按入组时治疗时间分为观察组(周一、三、五治疗)42例、对照组(周二、四、六治疗)40例。对照组实施MHD常规护理,观察组在常规护理基础上行透析中卧位操运动调控,干预24周。比较2组患者干预前后肌肉状态[握力、四肢骨骼肌指数(appendicular skeletal muscle mass index,ASMI)]、身体功能[简短机体功能测试(short physical performance battery,SPPB)、座椅前伸试验距离、睁眼单腿站立时间]、生活质量[肾脏疾病相关生活质量(kidney disease targeted areas,KDTA)]。结果 干预24周后,观察组患者的握力、ASMI大于对照组,SPPB评分高于对照组,座椅前伸试验距离小于对照组,睁眼单腿站立时间大于对照组,且生活质量指标中肾病影响、肾病负担、睡眠质量、满意度评分高于对照组,差异均有统计学意义(均P<0。05)。结论 透析中卧位操运动调控能够改善慢性肾脏病MHD合并肌肉衰减综合征患者的肌肉状态和身体功能,提高生活质量。
Effect of recital exercise on patients with MHD and muscle decay syndrome during dialysis
Objective To explore the influence of the regulation of recital exercise on muscle status and body func-tion in patients with muscle decay syndrome caused by chronic kidney disease maintenance hemodialysis(MHD).Methods A total of 82 patients with chronic kidney disease combined with muscle decay syndrome who were treated with MHD in our hospital from January 2022 to September 2023 were selected;According to the treatment time,42 cases were divided into the observation group(treatment on Monday,Wednesday,and Friday)and 40 cases were di-vided into the control group(treatment on Tuesday,Thursday,and Saturday).The control group was given MHD routine nursing,and the observation group was given decubitus exercise control in ascending dialysis based on rou-tine nursing,and the intervention lasted for 24 weeks.Muscle status[grip strength,skeletal muscle index of limbs(ASMI)],physical function[short physical performance battery(SPPB),seat extension test distance,time stand-ing on one leg with eyes open],and quality of life[kidney disease targeted areas(KDTA)]were compared between 2 groups.Results After 24 weeks of intervention,the grip strength,ASMI,the SPPB score,and the standing time with eyes open on one leg of the observation group were higher than those of the control group,and the seat exten-sion test distance was smaller than that of the control group,and the scores of kidney disease,kidney disease bur-den,sleep quality,and satisfaction in the dimension of the quality of life were higher than those of the control group,with statistical significances(all P<0.05).Conclusion The exercise regulation of recital exercise during dial-ysis can improve the muscle status and body function of patients with chronic kidney disease complicated with muscle decay syndrome,and improve the quality of life.

chronic kidney diseasemaintenance hemodialysismuscle decay syndromenursing

温圆圆、贾小月、高艳均、张东亮

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首都医科大学附属北京积水潭医院肾内科,北京 100096

慢性肾脏病 维持性血液透析 肌肉衰减综合征 护理

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(17)
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