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临床研究

维持性血液透析患者运动能力与生活质量的相关性研究

  • 何茂芯
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  • 1四川大学华西医院肾脏内科血液透析中心

收稿日期: 2019-10-29

  修回日期: 2020-02-17

  网络出版日期: 2020-04-12

基金资助

四川省卫生和计划生育委员会科研课题(编号18PJ363)

The correlation between exercise ability and quality of life in maintenance hemodialysis patients

  • HE Mao-Xin
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  •  1Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu 610041, China

Received date: 2019-10-29

  Revised date: 2020-02-17

  Online published: 2020-04-12

摘要

【摘要】目的调查维持性血液透析(maintenance hemodialysis, MHD)患者运动能力和生活质量现状,并分析二者的相关性。方法采用方便抽样选取2019 年3 月~9 月在四川大学华西医院行MHD 治疗的146 例患者作为调查对象。调查其运动能力(握力、6 分钟步行试验、Berg 平衡试验、腰背痛伤残指数)及生活质量(the short from 36-Item health survey,SF-36)现状,采用Pearson 相关分析探讨二者的相关性。结果①运动能力:146 名MHD 患者主力手握力(28.14±10.12)kg,非主力手握力(24.78±8.74)kg(t=-9.669,P<0.001)。其中,内瘘在主力手侧患者18 例,主力手握力为(21.90 ± 5.53)kg,非主力手侧握力(22.41 ± 5.32)kg (t= 0.808,P= 0.430);6 分钟步行试验为(465.68±85.88)m;平衡试验为(53.51±3.92)分;腰背痛伤残指数得分为(3.38±3.05)分,经换算得分后显示127 人轻度功能受损,10人中度功能受损,5 人重度功能受损,3 人极重度功能受损。②SF-36 生活质量:生活质量总分为(61.23±16.29)分,其中情感职能得分最低,其次为一般健康状况,生理机能得分最高,各维度得分均低于一般人群,差异有统计学意义(t 值分别为14.046、8.241、5.195、6.828、10.286、2.800、2.624、2.785,P 值分别为<0.001、<0.001、<0.001、<0.001、<0.001、0.005、0.009、0.005)。MHD 患者生活质量评分与6 分钟步行试验(r=0.390,P=0.022)、平衡功能(r=0.269,P=0.001) 呈正相关,与腰背痛伤残指数呈负相关(r=-0.549,P<0.001)。结论MHD 患者运动能力以及生活质量下降,应予以个体化康复训练指导,定期监测患者体能,不断提高患者生活质量。

本文引用格式

何茂芯 . 维持性血液透析患者运动能力与生活质量的相关性研究[J]. 中国血液净化, 2020 , 19(04) : 238 -241 . DOI: 10.3969/j.issn.1671-4091.2020.04.006

Abstract

【Abstract】Objective To investigate the status of motor ability and quality of life in patients with maintenance hemodialysis (MHD) and to analyze the correlation between them. Methods A total of 146 MHD patients treated in West China Hospital of Sichuan University from March to September 2019 were selected as the objects for investigation. Their motor ability (grip strength, 6-minute walk test, balance function test, low back pain disability index) and the present status of quality of life (SF-36) were investigated. The correlation between the two factors was evaluated by Pearson correlation analysis. Results ①Motor ability: The grip strength of dominant hand was 28.14±10.12 kg, while the grip strength of non-dominant hand was 24.78± 8.74 kg(t=-9.669, P<0.001) in the 146 MHD patients. In 18 cases whose internal fistulas located in the dominant hand, the grip strength of dominant hand was 21.90±5.53 kg, and the grip strength of non- dominant hand 22.41±5.32 kg(t=0.808, P=0.430). The 6-minute walking test was 465.68±85.88 m, the equilibrium test was 53.51 ± 3.92 points, and the lower back pain disability index score was 3.38 ± 3.05; after analyses of these scores we found that 127 patients had mild functional impairment,10 patients had moderate functional impairment, 5 patients had severe functional impairment,and 3 patients had extremely severe functional impairment. ②SF-36 quality of life: The total quality of life score was 61.23~16.29 points, in which emotional functions scored lowest followed by general health and physiological function, and every dimension score was significantly lower than those in general population (t=14.046, 8.241, 5.195, 6.828, 10.286, 2.800, 2.624 and 2.785 respectively; P<0.001,<0.001,<0.001,<0.001,<0.001, 0.005, 0.009 and 0.005 respectively). The quality of life score was positively correlated with the 6-minute walking test (r=0.390,P=0.022) and balance function (r=0.269, P=0.001), and negatively correlated with the low back pain disability index (r=- 0.549,P<0.001).Conclusion Individualized rehabilitation training should be provided for MHD patients with decreased exercise ability and quality of life. Physical ability of MHD patients should be monitored regularly to improve their quality of life.

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