中国血液净化

中国血液净化 ›› 2020, Vol. 19 ›› Issue (07): 496-499.doi: 10.3969/j.issn.1671-4091.2020.07.015

• 护理研究 • 上一篇    下一篇

维持性血液透析患者体能水平现状调查及影响因素研究

杨玉洁1,2,何茂芯1,2,曾英1,2,袁怀红1,2   

  1. 1四川大学华西医院肾脏内科血液透析中心
    2四川大学华西医院/华西护理学院
  • 收稿日期:2020-03-11 修回日期:2020-04-08 出版日期:2020-07-12 发布日期:2020-07-03
  • 通讯作者: 杨玉洁 1076480053@qq.com E-mail:1076480053@qq.com

Investigation on the status quo of physical ability in maintenance hemodialysis patients and its influencing factors

  1. 1Hemodialysis Center,1Department of Nephrology, West China Hospital, chengdu 610041, China;  2Sichuan University/West China College of Nursing, Chengdu 610041, China
  • Received:2020-03-11 Revised:2020-04-08 Online:2020-07-12 Published:2020-07-03

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摘要： 【摘要】目的评估维持性血液透析(maintenance hemodialysis，MHD)患者体能水平，并确定MHD 患者体能水平的重要预测因子。方法本研究包括103 例在四川大学华西医院行MHD 的患者，调查其一般资料及体能水平(6min 步行试验、握力、Berg 平衡量表)现状。结果MHD 患者体能水平均显著下降，6min 步行试验总距离为(424.64±91.45)m；握力为(24.97±8.55)Kg；Berg 平衡量表得分为(50.90±5.76)。多元线性回归显示睡眠障碍是影响患者6min 步行试验的独立危险因素(β=-0.365，P=0.001)；年龄、体质量指数是影响患者握力的独立危险因素(β 值分别为-0.431，0.301；P 值分别为＜0.001，0.002)；年龄、糖尿病是影响患者平衡能力的独立危险因素(β 值分别为-0.280，-0.275；P 值分别为0.013，0.023)。结论MHD 患者体能水平是下降的，应及早识别危险因素，重视多学科合作，维持或提高患者体能水平，促使患者提高生活质量、回归社会。

关键词: 血液透析, 体能水平, 6 分钟步行试验, 握力, 平衡能力

Abstract: 【Abstract】Objective To assess the physical fitness level and to determine the important predictors for physical fitness level in maintenance hemodialysis (MHD) patients. Methods This study included 103 MHD patients treated in West China Hospital of Sichuan University, and investigated their general data and physical fitness levels including six-minute walking test, grip strength and Berg balance scale. Results The physical ability decreased significantly in MHD patients. The total distance of 6- minute walking test was 424.64 ±91.45m, the grip strength was 24.97±8.55kg, and the score of Berg balance scale was 50.90±5.76. Multivariate linear regression showed that sleep disorder (β=-0.365, P=0.001) was the independent risk factor for 6-minute walking test; age (β= -0.431, P=0.000) and BMI (β=0.301, P=0.002) were the independent risk factors for grip strength; age (β=-0.280, P=0.013) and diabetes (β=-0.275, P=0.023) were the independent risk factors for balance ability. Conclusion The physical fitness level reduced in MHD patients. Early recognition of risk factors for physical fitness level, multi-disciplinary cooperation, and maintenance and promotion of physical fitness level are important measures to improve their quality of life and return to society.

Key words: Hemodialysis, Fitness level, Six-minute walking test, Grip strength, Balance

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