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居家腹膜透析患者体力活动水平现状及护理对策

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目的 了解居家腹膜透析患者体力活动的现状并提出应对措施。方法 采用方便抽样法,选取 2022 年 10 月—2023 年2月福州市某三甲医院肾内科复诊的147例居家腹膜透析患者,采用一般资料调查表、国际体力活动问卷组成问卷星进行问卷的发放和收集,反映患者运动功能水平的程度则采用SPPB躯体执行能力量表及 6 min步行试验结果。结果 患者平均年龄(53。42±7。11)岁,文化程度偏低,大专及以上学历10例(6。80%),大多数患者体力活动呈低水平状态,高体力活动水平 0 例,低体力活动水平 119 例(80。95%),中体力活动水平 28 例(19。05%)患者均有轻度的心肺功能不全,机体运动功能较弱。结论 腹膜透析患者的体力活动水平普遍较低,专科护士在关注患者操作培训之外也应关注腹膜透析患者的体力活动水平,提高腹膜透析患者体力活动水平是专科护士在进行腹膜透析患者综合管理中重要组成部分。
Current Status and Nursing Countermeasures of Physical Activity Level of Patients Receiving Home Peritoneal Dialysis
Objective To investigate the status quo of physical activity in home peritoneal dialysis patients and put forward countermeasures. Methods A total of 147 home peritoneal dialysis patients were selected and followed up in the department of nephrology at a tertiary hospital in Fuzhou city by convenient sampling method. A questionnaire star composed of general data questionnaire and International Physical Activity Questionnaire (IPAQ) was used to distribute and collect questionnaires. At the same time, 6 min walking test and SPPB physical executive ability scale were used to evaluate the motor function level of patients. Results The average age of the patients was (53.42±7.11) years old, with low education level and college degree or above in 10 cases (6.80%). Most of the patients showed low level of physical activity, including 0 cases with high level of physical activity and 119 cases with low level of physical activity (80.95%), 28 cases (19.05%) had moderate physical activity levels. All patients had mild cardiopulmonary insufficiency and weak motor function. Conclusion The physical activity level of peritoneal dialysis patients is generally low, and specialized nurses should pay attention to the physical activity level of peritoneal dialysis patients in addition to patient operation training. Improving the physical activity level of peritoneal dialysis patients is an important part of the comprehensive management of peritoneal dialysis patients by specialized nurses.

peritoneal dialysisphysical activitychronic kidney diseaseanalysis of current situationnursing countermeasurespecialist nurse

陈瑜、曹芳

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福建省立医院门诊部,福建 福州 350001

福建省立医院肾内科,福建 福州 350001

腹膜透析 体力活动 慢性肾脏病 现状分析 护理对策 专科护士

福建省2022年第二批高等教育和科研项目

闽财指[2022]840号

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(3)
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