中国血液净化 ›› 2021, Vol. 20 ›› Issue (06): 420-422.doi: 10.3969/j.issn.1671-4091.2021.06.015

• 临床研究 • 上一篇    下一篇

多学科交叉融合协作式运动疗法管理在维持性血液透析者中的应用

汤芳丽1,王菁1   

  1. 1浙江中医药大学附属湖州中医院血液透析中心
  • 收稿日期:2020-11-19 修回日期:2021-03-23 出版日期:2021-06-12 发布日期:2021-06-17
  • 通讯作者: 汤芳丽 260212575@qq.com E-mail:wennnxu@163.com
  • 基金资助:
    湖州市科学技术局公益性应用研究项目(2019GYB42)

The application of multidisciplinary, integrative and cooperative exercise therapy in maintenance hemodialysis patients 

  1. 1Hemodialysis Center, Huzhou Traditional Chinese Medicine Hospital, Zhejiang Chinese Medical University, Huzhou 313000, China
  • Received:2020-11-19 Revised:2021-03-23 Online:2021-06-12 Published:2021-06-17

摘要: 【摘要】目的观察多学科交叉融合协作式运动疗法管理在维持性血液透析者中的应用效果。方法选择2019 年1 月~2020 年6 月于浙江中医药大学附属湖州中医院行维持性血液透析治疗的病例80例为研究样本,以信封法分为对照组、试验组各40 例,对照组接受透析治疗期常规运动疗法护理,试验组接受多学科交叉融合协作式运动疗法管理,对2 组干预后的各观察指标进行比较。结果试验组干预后透析治疗中运动疗法依从率和对社会领域、物质领域、心理领域、躯体领域的生活质量综合评定问卷评分高于对照组(χ2/t 值分别为20.313、23.994、22.761、23.451、21.745,P 值分别为<0.001、<0.001、<0.001、<0.001、<0.001)。结论将多学科交叉融合协作式运动疗法管理应用于维持性血液透析者治疗时运动护理领域,可显著提升该类病例的治疗过程中运动疗法依从率与生活质量水准。

关键词: 多学科, 协作, 运动疗法, 维持性血液透析

Abstract: 【Abstract】Objective To observe the effect of multidisciplinary, integrative and cooperative exercise therapy in maintenance hemodialysis (MHD) patients. Methods A total of 80 MHD patients treated in Huzhou Traditional Chinese Medicine Hospital affiliated to Zhejiang Chinese Medical University in the period between January 2019 and June 2020 were recruited as the research subjects. They were divided into experimental group (n=40) and control group (n=40) based on the envelope method. Patients in the experiment group were treated with the multidisciplinary, integrative and cooperative exercise therapy, and those in the control group received routine exercise nursing. Clinical parameters after the intervention were compared between the two groups. Results After the intervention, the compliance rate of exercise therapy (χ2=20.313, P<0.001) and the comprehensive quality of life questionnaire scores of social domain (t=23.994, P<0.001), material domain (t=22.761, P<0.001), psychological domain (t=23.451, P<0.001), and somatic domain (t=21.745, P<0.001) were significantly higher in the experiment group than in the control group. Conclusion The application of multidisciplinary, integrative and cooperative kinesitherapy in the field of exercise
nursing during MHD therapy can significantly improve the compliance rate of kinesitherapy and the quality of life in these patients.

Key words: Multidisciplinary, Cooperative, Exercise therapy, Maintenance hemodialysis

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