中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (05): 425-430.doi: 10.3969/j.issn.1671-4091.2025.05.014

• 护理研究 • 上一篇    下一篇

基于国际功能、残疾与健康分类框架的信息化步行运动干预在维持性血液透析患者中的应用研究

刘彩飞   陈思婕   龙 卓   辛 霞   叱伟华   刘小敏    高菊林   

  1. 710061 西安，1西安交通大学第一附属医院护理部
    611130 成都，2成都市第五人民医院护理部
  • 收稿日期:2024-09-13 修回日期:2025-01-27 出版日期:2025-05-12 发布日期:2025-05-12
  • 通讯作者: 辛霞 E-mail:1074116614@qq.com
  • 基金资助:

Application of informational walking exercise intervention based on the ICF framework in maintenance hemodialysis patients

LIU Cai-fei, CHEN Si-jie, LONG Zhuo, XIN Xia, CHI Wei-hua, LIU Xiao-min, GAO Ju-lin   

  1. Department of Nursing, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China; 2Department of Nursing, The Fifth People's Hospital, Chengdu 611130, China
  • Received:2024-09-13 Revised:2025-01-27 Online:2025-05-12 Published:2025-05-12
  • Contact: 710061 西安，1西安交通大学第一附属医院护理部 E-mail:1074116614@qq.com

摘要： 【目的 评价基于国际功能、残疾和健康分类(international classification of functioning,disability and health,ICF)框架的步行运动干预对维持性血液透析(maintenance hemodialysis,MHD)患者的影响。 方法 选取2023年3月—9月在西安交通大学第一附属医院血液净化科治疗的90例MHD患者，随机分为干预组和对照组(各45例)。对照组接受常规护理，干预组在常规护理基础上接受为期6个月基于ICF框架的信息化步行运动干预。比较干预前后2组6分钟步行距离、简易身体功能、周平均步数、握力、运动自我效能、社会支持、生活质量及生化指标的变化。 结果 共82例患者完成所有结局指标测评，干预组与对照组各41例。运动干预6个月后，干预组6分钟步行距离(t=-2.173，      P=0.033)、身体功能(t=-3.605，P＜0.001)、周平均步数(t=-7.704，P＜0.001)、运动自我效能(t=-3.365，P＜0.001)、社会支持(t=-5.255，P＜0.001)及生活质量(t=-3.263，P=0.002)较对照组提高，握力    (t=-1.914，P=0.059)、血红蛋白(t=-1.050，P=0.147)、白蛋白(t=-1.243，P=0.537)、血钙(t=0.575，P=0.405)、血磷(t=0.238，P=0.896)等生化指标较对照组无显著改变。 结论 基于ICF框架的信息化步行运动干预有助于提高MHD患者的身体功能、运动自我效能及生活质量。

关键词: 国际功能、残疾和健康分类, 维持性血液透析, 运动干预

Abstract: Objective  To evaluate the effects of informational walking exercise intervention based on the International Classification of Functioning, Disability and Health (ICF) on maintenance hemodialysis (MHD) patients.  Methods  A total of 90 MHD patients treated at Xi’an Jiaotong University First Hospital from March to September 2023 were randomly assigned into intervention group (n=45) or control group (n=45). The control group received routine care, while the intervention group received the ICF-based digital walking exercise intervention plus routine care for 6 months. Six-minute walking distance (6MWD), physical function, number of weekly steps, grip strength, exercise self-efficacy, social support, quality of life, and biochemical indicators were compared before and after the intervention.  Results  A total of 82 patients (41 in each group) completed the study. After 6 months of walking exercise intervention, the intervention group showed significant improvements in 6MWD (t=-2.173, P=0.033), physical function (t=-3.605, P<0.001), average weekly steps (t=-7.704, P<0.001), exercise self-efficacy (t=-3.365, P<0.001), social support (t=-5.255, P<0.001), and quality of life (t=-3.263, P=0.002) as compared those to the control group. However, no significant changes were observed in grip strength (t=-1.914, P=0.059) and biochemical parameters including hemoglobin (t=-1.050, P=0.147), albumin (t=-1.243, P=0.537), calcium (t=0.575, P=0.405), and phosphorus (t=0.238, P=0.896).  Conclusion The ICF-based informational walking intervention significantly improved physical function, exercise self-efficacy, and quality of life in MHD patients.

Key words: International classification of functioning, disability and health (ICF), Maintenance hemodialysis, Exercise intervention

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