首页|认知-运动双重引导疗法在维持性血液透析肥胖型肌少症患者中的应用价值

认知-运动双重引导疗法在维持性血液透析肥胖型肌少症患者中的应用价值

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目的 探讨认知-运动双重引导疗法在维持性血液透析肥胖型肌少症患者中的应用效果.方法 选取江西省上饶市人民医院 2021 年 1 月—2023 年 1 月 115 例维持性血液透析肥胖型肌少症患者为研究对象,按照组间基线资料可比的原则分为对照组 57 例和观察组58 例.对照组给予常规的护理与训练,观察组实施认知-运动双重引导疗法,观察比较两组患者身体功能相关指标、日常活动能力及生活质量.结果 干预后,观察组握力、骨骼肌质量及步行速度的改善效果均优于对照组(P<0.05),观察组生活能力、平衡与移动能力改善效果均高于对照组(P<0.05),观察组生活质量评分高于对照组,差异均有统计学意义(P<0.05).结论 认知-运动双重引导疗法对提高维持性血液透析肥胖型肌少症患者身体功能、日常活动能力及生活质量等方面具有较高的优势与可行性,值得临床结合实际来应用和改进.
Application value of cognitive-exercise dual-guided therapy in patients with maintenance hemodialysis obesity sarcopenia
Objective To explore the application effect of cognitive-exercise dual-guided therapy in patients with maintenance hemodialysis obesity sarcopenia.Methods 115 patients with maintenance hemodialysis obesity sarcopenia in Shangrao People's Hospital of Jiangxi Province from January 2021 to January 2023 were selected as the study subjects.According to the principle of comparable baseline data between groups,57 patients were divided into the control group and 58 patients were divided into the observation group.The control group was given routine care and training,and the observation group was given cognitive-exercise dual-guided therapy.The physical function-related indicators,daily activity ability and quality of life of the two groups were observed and compared.Results After the intervention,the improvement effect of grip strength,skeletal muscle quality and walking speed in the observation group was better than that in the control group(P<0.05).The improvement effect of life ability,balance and mobility in the observation group was higher than that in the control group(P<0.05).The life quality score in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Cognitive-exercise dual-guided therapy had high advantages and feasibility in improving the physical function,daily activity ability and quality of life of maintenance hemodialysis obesity sarcopenia patients,it is worthy of clinical application and improvement.

Cognitive-exercise dual-guided therapyMaintenance hemodialysisObese sarcopeniaPhysical functionQuality of life

王露、叶蕾、王丽、乐小艳、占艺

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上饶市人民医院(江西省上饶市,334000)

认知-运动双重引导疗法 维持性血液透析 肥胖型肌少症 身体功能 生活质量

2023上饶市科学技术局科技计划项目

20201CKJ05

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(9)