中国血液净化

中国血液净化 ›› 2021, Vol. 20 ›› Issue (08): 566-569.doi: 10.3969/j.issn.1671-4091.2021.08.015

• 护理研究 • 上一篇    下一篇

自体动静脉内瘘侧肢体功能锻炼现状及其影响因素分析

孙春艳1,,宋利1,韩晓苇2,刘金凤3,周丽芳1,陈迎归1,4,符霞1,4,5   

  1. 1广东省人民医院(广东省医学科学院)肾内科血液净化中心
    2深圳市中医院血液净化中心
    3常州市第一人民医院血液净化中心
    4南方医科大学护理学院
    5汕头大学医学院

  • 收稿日期:2021-01-28 修回日期:2021-06-08 出版日期:2021-08-21 发布日期:2021-08-05
  • 通讯作者: 符霞 fuxia0027@gdph.org.cn E-mail:fuxia0027@gdph.org.cn
  • 基金资助:
    广东省医学科学技术研究基金项目(A2020635)；广州市科技计划项目(202102080292)

Current situation and influencing factors of functional exercises for the limb of the arteriovenous fistula side

  1. 1Hemodialysis Center, Department of Nephrology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China;  2Division of Nephrology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China;  3Blood Purification Center, The First People’s Hospital of Changzhou, Changzhou 213003, China;  4School of Nursing, Southern Medical University, Guangzhou 510515, China;  5Shantou University Medical College, Shantou 515063, China
  • Received:2021-01-28 Revised:2021-06-08 Online:2021-08-21 Published:2021-08-05
  • Contact: Xia -FU E-mail:fuxia0027@gdph.org.cn

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摘要： 【摘要】目的了解维持性血液透析(maintenance hemodialysis，MHD)患者自体动静脉内瘘(arteriovenous fistula，AVF)侧肢体功能锻炼现状并探索其影响因素。方法对2019 年8 月～9 月在广州、深圳、常州各1 家血液透析中心的485 例MHD 患者进行问卷调查。结果250(51.5%)名患者进行AVF 侧肢体功能锻炼。其中，165 例(34.0%)以“握球”方式进行锻炼。多因素Logistic 回归分析结果显示，与无生活爱好的患者相比，拥有1～3 个及3 个以上爱好的患者的OR 值及95%CI 分别为：2.024(1.310～3.127) P=0.001；2.156 (1.043～4.457)，P=0.038。与自评AVF 维护知识一点不懂的患者相比，知道一点、知道大多数、全部知道的患者的OR 值及95% CI 分别为：2.024(0.484～8.459)，P=0.334；3.160(0.825～12.102)，P=0.093；4.261(1.105～16.426)，P=0.035。结论AVF 侧肢体功能锻炼现状不容乐观，建议护士加强对患者功能锻炼的健康教育，尤其鼓励兴趣爱好较少的患者，并设法增强患者功能锻炼的依从性。

关键词: 自体动静脉内瘘, 维持性血液透析, 功能锻炼

Abstract: 【Abstract】Objective To investigate the present situation and influencing factors of functional exercise for the autogenous arteriovenous fistula(AVF) side limb in maintenance hemodialysis (MHD) patients. Methods A total of 485 MHD patients in one hemodialysis center in Guangzhou, one in Shenzhen and one in Changzhou between August to September 2019 were investigated. Results Exercise for the AVF side limbs was carried out in 250 patients (51.5%), in which 165 patients (34.0%) exercised their limbs through handgrip of soft balls. Multivariate logistic regression analysis showed that patients having one to 3 hobbies had the OR value of 2.024 (95% CI 1.310~3.127) P=0.001and those having more than 3 hobbies had the OR value of 2.156 (95% CI 1.043~4.457) P=0.038 as compare with those having no hobby; patients knowing a little about AVF maintenance had the OR value of 2.024 (95% CI 0.484~8.459)，P=0.334, those knowing much about AVF maintenance had the OR value of 3.160 (95% CI 0.825~12.102)P=0.093, and those knowing all knowledge about AVF maintenance had the OR value of 4.261 (95% CI 1.105 ~ 16.426)P=0.035 as compared with those knowing nothing about AVF maintenance. Conclusion The present situation of functional exercise for the AVF side limb was unsatisfactory. We recommend that health education from nurses about the functional exercise should be emphasized to increase the compliance of functional exercise of the patients, especially for those with less hobbies.

Key words: Arteriovenous fistula, Maintenance hemodialysis, Functional exercise

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