中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (07): 456-460.doi: 10.3969/j.issn.1671-4091.2018.07.006

• 临床研究 • 上一篇    下一篇

普拉提运动对维持性血液透析患者疲乏状况和睡眠质量的影响

杨婷1,谌秘2,汤小敏3,徐云飞1,万秋妹1,邓丽花1,吴亚君1   

  1. 南昌大学第四附属医院1肾内科2护理部3康复医学科
  • 收稿日期:2018-02-08 修回日期:2018-05-14 出版日期:2018-07-12 发布日期:2018-07-12
  • 通讯作者: 谌秘 825754043@qq.com E-mail:825754043@qq.com

Effects of Pilates exercise on fatigue and sleep quality in maintenance hemodialysis patients

  • Received:2018-02-08 Revised:2018-05-14 Online:2018-07-12 Published:2018-07-12

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摘要： 【摘要】目的探讨普拉提运动对维持性血液透析患者疲乏状况和睡眠质量的影响。方法选取2015 年8 月～2017 年8 月南昌大学第四附属医院血液透析中心进行维持性血液透析的58 例患者作为研究对象。按照透析时间周一、周三、周五分到A 组，周二、周四、周六分到B 组，每组各29 例，采用抛硬币的方法将A、B 两组随机分为观察组和对照组。对照组采用常规护理,观察组在对照组常规护理基础上给予普拉提运动训练，采用修改版Piper 疲乏量表(revision of the Piper fatigue scale，RPFS)和匹茨堡睡眠质量指数量表(Pittsburgh sleep quality index，PSQI)分别于干预前、干预后6 个月评价两组患者疲乏状况和睡眠质量。结果与对照组比较，观察组患者干预6 个月后疲乏状况得分(t=-4.588,P＜0.001)明显降低；观察组患者睡眠质量得分(t=-10.647,P＜0.001)显著高于对照组，差异均具有统计学
意义。观察组患者干预后疲乏状况得分(t=2.136,P=0.034)低于干预前；观察组患者干预后睡眠质量得分(t=11.132,P=0.000)显著高于干预前，差异均具有统计学意义。结论普拉提运动能有效地改善维持性血液透析患者的疲乏状况和睡眠质量，进而提高其生存质量，值得临床推广应用。

关键词: 普拉提运动, 维持性血液透析, 疲乏状况, 睡眠质量

Abstract: 【Abstract】Objective To investigate the effects of Pilates exercise on fatigue and sleep quality in maintenance hemodialysis (MHD) patients. Methods A total of 58 MHD patients were recruited from the Hemodialysis Center, the Fourth Affiliated Hospital of Nanchang University and treated in the period from Aug. 2015 to Aug. 2017. Patients with the dialysis time on Monday, Wednesday and Friday were assigned as group A, and those with the dialysis time on Tuesday, Thursday and Saturday were assigned as group B. The two groups were randomly determined to be intervention group and control group, respectively. Patients in control group were treated with routine care, and those in intervention group were treated with Pilates exercise in addition to the routine care. Fatigue and sleep quality were evaluated by the modified Piper fatigue scale (RPFS) and the Pittsburgh sleep quality index (PSQI) before and after the intervention for 6 months. Results After the intervention for 6 months, the score of fatigue (t=-4.588, P＜0.001) reduced significantly and the score of sleep
quality increased significantly in intervention group as compared with those in control group. In intervention group after the intervention for 6 months, the fatigue status score (t=2.136, P=0.034) reduced significantly and the sleep quality score (t=11.132, P＜0.001) increased significantly as compared with those before the intervention. Conclusion The Pilates exercise can effectively improve fatigue condition and sleep quality in MHD patients, and thus can improve the quality of life. This intervention method is useful in clinical practice.

Key words: Pilates exercise, Maintenance hemodialysis, Fatigue, Sleep quality