中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (08): 695-699.doi: 10.3969/j.issn.1671-4091.2025.08.015

• 护理研究 • 上一篇    下一篇

基于ActiGraph GT3X加速度计监测维持性血液透析患者日常体力活动的研究

程景婷  姚春瑛  马 俊  章海芬  刘婷婷  赵 丹  刘 倩  赖岚书慧   曾小君  金红霞  薛如月  朱铮炜  陶幸娟   

  1. 200127 上海，1上海交通大学医学院附属仁济医院护理部
    200125 上海，2上海市浦东新区浦南医院护理部
    200336 上海，3上海交通大学医学院附属同仁医院护理部
    200025 上海，4上海交通大学护理学院

  • 收稿日期:2024-12-05 修回日期:2025-05-24 出版日期:2025-08-12 发布日期:2025-08-12
  • 通讯作者: 陶幸娟 E-mail:tao.xingjuan@shsmu.edu.cn
  • 基金资助:
    上海交通大学医学院护理科研重中之重项目(Jyhz2310)；上海交通大学医学院大学生创新训练计划(1824070Y)；闵行区自然科学研究课题(2023MHZ021)

Research on daily physical activities of maintenance hemodialysis patients monitored by ActiGraph  GT3X accelerometer

CHENG Jing-ting, YAO Chun-ying, MA Jun, ZHANG Hai-fen, LIU Ting-ting, ZHAO Dan, LIU Qian, LAI Lan-shu-hui, ZENG Xiao-jun, JIN Hong-xia, XUE Ru-yue, ZHU Zheng-wei, TAO Xing-juan   

  1. Department of Nursing, Renji Hospital Affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China; 2Department of Nursing, Pudong New Area Punan Hospital, Shanghai 200125, China; 3Department of Nursing, Tongren Hospital Affiliated to School of Medicine, Shanghai Jiao Tong University, Shanghai 200336, China; 4School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China
  • Received:2024-12-05 Revised:2025-05-24 Online:2025-08-12 Published:2025-08-12
  • Contact: 200025 上海，4上海交通大学护理学院 E-mail:tao.xingjuan@shsmu.edu.cn

摘要： 目的  调查维持性血液透析(maintenance hemodialysis,MHD)患者日常体力活动水平及其影响因素，以期为MHD患者体力活动干预性研究和临床实践提供参考。 方法  采用便利抽样的方法，选取2024年2月─6月上海交通大学医学院附属仁济医院、上海市浦东新区浦南医院、上海交通大学医学院附属同仁医院血液净化中心进行MHD患者作为研究对象。采用一般资料调查表、疲乏、阻力、耐力、疾病、体质量减轻(fatigue、resistance、ambulation、illnesses、loss of weight，FRAIL)量表及社会支持评定量表对其进行调查，以ActiGraph GT3X加速度计客观评估患者体力活动状况。采用配对t检验分析MHD患者透析日及非透析日活动差异，以Logistic回归分析探索影响患者体力活动的因素。 结果  参与本研究的184例MHD患者中，仅52例(28.3%)体力活动量达到指南推荐水平；非透析日患者低、中等、高强度体力活动水平及步数均高于透析日(χ²=33.686、19.230、4.390、34.567，P＜0.001、＜0.001、0.037、＜0.001)。年龄越大(β=-1.650，95% CI：0.087～0.424]，P＜0.001)、衰弱程度越严重(β=     -1.165，95% CI：0.048～0.763，P=0.019)的患者体力活动水平越低；社会支持水平越高(β=2.385，95% CI：0.997～118.345，P=0.050)的患者体力活动水平越高。 结论  MHD患者日常体力活动达标率较低，且透析日体力活动量更低。在未来针对该人群的体力活动干预与实践中，应重点关注年龄较大的患者群体，主动防治衰弱、发挥社会支持的正向影响作用，以期优化躯体功能、改善生活质量。

关键词: 维持性血液透析, 体力活动, 体动记录仪

Abstract: Objective To investigate the level of daily physical activity and its influencing factors in maintenance hemodialysis (MHD) patients, in order to provide a reference for interventional research and clinical practice of physical activity in MHD patients. Methods  Convenience sampling was used to select patients with MHD from February to June 2024 in the three blood purification centers in Shanghai as the study subjects. General information questionnaire, FRAIL (fatigue, resistance, ambulation, illnesses and loss of weight) scale and social support scale were used for the investigation. ActiGraph GT3X accelerometer was used to objectively assess the physical activity status of the patients. Paired t-test was used to analyze the difference in physical activity between dialysis and non-dialysis days. Logistic regression analysis was used to explore the factors affecting physical activity in MHD patients.  Results  Of the 184 MHD patients who participated in this study, only 52 (28.3%) achieved physical activity of the guideline-recommended level. The levels of light (χ²=33.686, P＜0.001), moderate (χ²=19.230, P＜0.001) and vigorous physical activity (χ²=4.390, P=0.037), and the number of steps (χ²=34.567, P＜0.001) were higher on dialysis days than on non-dialysis days. Physical activity levels were lower in older (β=-1.650, 95% CI: 0.087～0.424, P＜0.001) and more debilitated (β=-1.165, 95% CI:0.048～0.763, P=0.019) patients. Higher level of social support  was associated with a higher level of physical activity (β=2.385, 95% CI: 0.997～118.345, P=0.050).  Conclusion  The rate of daily physical activity level compliant with the guideline requirements was lower in MHD patients, and even more lower on dialysis days. In the intervention and practice of physical activity in MHD patients, older and debilitated patients should be more concerned about, and social support has a positive effect on physical activity. The aim of the management is to optimize their somatic function and improve their quality of life.

Key words: Maintenance hemodialysis, Physical activity, ActiGraph

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