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康复运动训练对尿毒症血液透析患者睡眠质量及疲劳程度的影响

Effect of rehabilitation exercise training on sleep quality and fatigue of hemodialysis patients with uremia

摘要:

目的 研究康复运动训练对尿毒症血液透析患者睡眠质量及疲劳程度的影响.方法采用便利抽样法,选取2016年9月至2017年9月接受血液透析治疗的尿毒症患者94例为研究对象,按照随机数字表法分为常规组与训练组,每组47例.常规组给予患者血液透析常规护理,训练组在常规组护理基础上指导患者进行康复运动训练,2组患者均干预16周.采用匹兹堡睡眠指数(PQSI)评估患者睡眠质量,比较2组患者干预前、干预8周、干预16周的睡眠质量;采用疲劳量表(Fatigue Scale-14,FS-14)评估患者疲劳程度,比较2组患者干预前、干预8周、干预16周的疲劳程度.结果 干预前,2组患者PQSI得分差异无统计学意义(P>0.05);干预8周后,训练组患者PQSI数值较干预前明显降低(t=4.20,P<0.05),常规组较干预前无明显变化(t=1.43,P>0.05),且训练组患者PQSI数值(8.21 ± 2.26)显著低于常规组患者PQSI数值(10.15 ± 3.19)(t=3.40,P<0.05);干预16周后,训练组患者PQSI数值较干预8周时明显降低(t=2.62,P<0.05),常规组较干预8周时无明显变化(t=0.33,P>0.05),训练组患者PQSI数值(6.97 ± 2.32)显著低于常规组患者PQSI数值(8.93 ± 3.28)(t=5.50,P<0.05).干预前,2组患者FS-14总分、躯体疲劳得分、精神疲劳得分差异均无统计学意义(均P>0.05);干预8周后,训练组患者FS-14总分、躯体疲劳得分、精神疲劳得分较干预前均明显降低(t=3.83、3.29、2.64,均P<0.05),常规组患者FS-14总分、躯体疲劳得分、精神疲劳得分较干预前均无明显变化(t=0.38、0.05、0.10,均P>0.05),且训练组患者FS-14总分(7.02 ± 1.12)分、躯体疲劳得分(5.30 ± 1.55)分、精神疲劳得分(1.83 ± 1.02)分,均显著低于常规组患者FS-14总分(9.01 ± 2.14)分、躯体疲劳得分(6.23 ± 1.72)分、精神疲劳得分(2.66 ± 1.37)分(t=5.65、2.75、3.33,均P<0.05);干预16周后,训练组患者FS-14总分、躯体疲劳得分、精神疲劳得分较干预8周时均明显降低(t=3.36、2.39、2.19,均P<0.05),常规组患者FS-14总分、躯体疲劳得分、精神疲劳得分较干预8周时均无明显变化(t=0.16、0.27、0.25,均P>0.05),且训练组患者FS-14总分(6.05 ± 1.58)分、躯体疲劳得分(4.58 ± 1.36)分、精神疲劳得分(1.35 ± 1.10)分均显著低于常规组患者FS-14总分(8.94 ± 2.17)分、躯体疲劳得分(6.33 ± 1.82)分、精神疲劳得分(2.59 ± 1.36)分(t=7.34、5.28、4.86,均P<0.05).结论 康复运动训练可以明显改善尿毒症血液透析患者睡眠质量,降低尿毒症血液透析患者疲劳程度,值得在临床推广.

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abstracts:

Objective To study the effects of rehabilitation exercise training on sleep quality and fatigue in hemodialysis patients with uremia. Methods A convenient sampling method was used to select 94 patients with uremia who underwent hemodialysis from September 2016 to September 2017. The patients were divided into routine group and training group according to the random number table method. example. The routine group was given routine hemodialysis care, and the training group was instructed to perform rehabilitation exercise training on the basis of routine group nursing. Both groups were intervened for 16 weeks. Pittsburgh Sleep Index (PQSI) was used to assess the quality of sleep. The sleep quality of the two groups before intervention, intervention for 8 weeks, and intervention for 16 weeks was compared. The fatigue scale (Fatigue Scale-14, FS-14) was used to assess the degree of fatigue. The degree of fatigue in the two groups before intervention, 8 weeks of intervention, and 16 weeks of intervention. Results Before the intervention, there was no significant difference in PQSI scores between the two groups (P>0.05). After 8 weeks of intervention, the PQSI values of the training group were significantly lower than those before the intervention (t=4.20, P<0.05). There was no significant change in the conventional group before the intervention. (t=1.43, P>0.05), and the PQSI value of the training group (8.21 ± 2.26) was significantly lower than that of the conventional group (10.15±3.19) (t=3.40, P<0.05); after 16 weeks of intervention, training The PQSI values of the patients were significantly lower than those at 8 weeks (t=2.62, P<0.05). There was no significant change in the conventional group compared with 8 weeks (t=0.33, P>0.05). The PQSI values of the training group (6.97±2.32). PQSI values (8.93 ± 3.28) were significantly lower than those in the conventional group (t = 5.50, P<0.05). Before the intervention, there was no significant difference in FS-14 total score, physical fatigue score and mental fatigue score between the two groups (P>0.05). After 8 weeks of intervention, the FS-14 total score, physical fatigue score and mental fatigue of the training group. The scores were significantly lower than those before the intervention (t=3.83, 3.29, 2.64, P<0.05). The FS-14 total score, physical fatigue score and mental fatigue score of the routine group were not significantly different from those before the intervention (t=0.38, 0.05, 0.10, P>0.05), and the FS-14 total score (7.02±1.12), physical fatigue score (5.30±1.55), and mental fatigue score (1.83±1.02) in the training group were significantly lower than those in the conventional group.-14 total score (9.01± 2.14), physical fatigue score (6.23±1.72), mental fatigue score (2.66±1.37) (t=5.65, 2.75, 3.33, P<0.05);after 16 weeks of intervention, the training group The FS-14 total score, physical fatigue score, and mental fatigue score were significantly lower than those at 8 weeks of intervention (t=3.36, 2.39, 2.19, P<0.05). The FS-14 total score, physical fatigue score, and mental fatigue score of the conventional group. There was no significant change at 8 weeks of intervention (t=0.16, 0.27, 0.25, P>0.05), and The FS-14 total score (6.05±1.58), physical fatigue score (4.58±1.36), and mental fatigue score (1.35± 1.10) in the training group were significantly lower than those in the conventional group (8.94±2.17), body. Fatigue score (6.33±1.82) and mental fatigue score (2.59±1.36) (t=7.34, 5.28, 4.86, P<0.05). Conclusion Rehabilitation exercise training can significantly improve the sleep quality of hemodialysis patients with uremia and reduce the fatigue degree of hemodialysis patients with uremia. It is worthy of clinical promotion.

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