维持性血液透析病人透析间期运动方案的构建及应用OA
Construction and application of exercise program for maintenance hemodialysis patients during the intermittent period of dialysis
目的:构建基于零时间运动的维持性血液透析病人透析间期运动方案,并验证其应用效果.方法:通过最佳证据总结、德尔菲专家函询、预试验构建方案.采用便利抽样法,选取2025年6月1日—9月10日蚌埠市某三级甲等综合医院90例维持性血液透析病人作为研究对象.依据透析治疗时间安排,将病人分为观察组和对照组,每组各45例.对照组给予常规运动指导及护理,观察组在常规基础上实施基于零时间运动的透析间期运动方案.干预12周后比较两组病人身体功能客观指标、运动自我效能、透析症状负担、血生化指标及生活质量.结果:构建的基于零时间运动的维持性血液透析病人透析间期运动方案包括5个一级指标、20个二级指标、54个三级指标.共88例病人完成干预,观察组和对照组各44例.干预12周后观察组30 s起坐试验、2.44 m折返走测试、运动自我效能、透析症状负担和生活质量得分均优于对照组(均P<0.05).结论:基于零时间运动的维持性血液透析病人透析间期运动方案的实施可以提高维持性血液透析病人身体功能客观指标,增强病人运动自我效能,改善透析病人症状负担,提高其生活质量.
Objective:To develop the exercise program for maintenance hemodialysis patients during the intermittent period of dialysis based on"zero-time exercise",and to verify its application effect.Methods:The plan was constructed through the summary of best evidence,Delphi expert consultation,and pre-test.Using the convenience sampling method,a total of 90 maintenance hemodialysis patients from a tertiary grade A general hospital in Bengbu city from June 1st to September 10th,2025 were selected as the research subjects.According to the dialysis treatment schedule,the patients were divided into the observation group and the control group,with 45 cases in each.The control group received routine exercise guidance and nursing,while the observation group implemented the inter-dialysis exercise plan based on"zero-time exercise"on the basis of the routine.After 12 weeks of intervention,the objective indicators of physical function,exercise self-efficacy,dialysis symptom burden,blood biochemical indicators,and quality of life between two groups of patients were compared.Results:The exercise program for maintenance hemodialysis patients during the intermittent period of dialysis based on the"zero-time exercise"included 5 primary indicators,20 secondary indicators,and 54 tertiary indicators.A total of 88 patients completed the intervention,with 44 in the observation group and 44 in the control group.After 12 weeks of intervention,the 30-second sit-to-stand test,2.44 meters circuit walking test,exercise self-efficacy,dialysis symptom burden,and quality of life in the observation group were all better than those in the control group(all P<0.05).Conclusions:The implementation of the exercise program for maintenance hemodialysis patients during the intermittent period of dialysis based on"zero-time exercise"could improve the objective indicators of physical function of maintenance hemodialysis patients,enhance their exercise self-efficacy,improve the symptom burden of dialysis patients and their quality of life.
赵纪玲;骆俊秀;尹晓丽;刘丽;彭明轩;王丽
蚌埠医科大学第一附属医院,安徽 233400蚌埠医科大学第一附属医院,安徽 233400蚌埠医科大学第一附属医院,安徽 233400蚌埠医科大学第一附属医院,安徽 233400蚌埠医科大学护理学院蚌埠医科大学第一附属医院,安徽 233400
维持性血液透析透析间期零时间运动自我效能症状负担生活质量护理
maintenance hemodialysisintermittent period of dialysiszero-time exerciseself-efficacysymptom burdenquality of lifenursing
《护理研究》 2026 (16)
2804-2814,11
蚌埠医学院科技项目,编号:2022byzd127sk
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