摘要
目的 探究基于跨理论模型的运动干预在居家腹膜透析患者中的应用。方法 采集河南省人民医院2023年3月至2024年3月居家腹膜透析经常规运动干预的36例终末期肾脏病(ESRD)患者资料,纳入对照组;采集同期居家腹膜透析经基于跨理论模型的运动干预的36例ESRD患者资料,纳入干预组。干预持续6个月,统计患者干预前、干预6个月时的运动依从性[采用医院自制的居家腹膜透析患者运动依从性问卷]、营养状况[体重指数、血红蛋白、白蛋白指标水平]、体力活动状态[卡氏功能状态评分标准(KPS)]以及生活质量[健康调查简表(SF-36)]。结果 干预6个月,干预组运动依从性评分、KPS评分、SF-36评分均高于对照组,体重指数、血红蛋白、白蛋白水平均高于对照组,差异有统计学意义(P<0.05)。结论 基于跨理论模型的运动干预应用于居家腹膜透析患者,能保证患者运动依从性,改善其营养状况,提高体力活动状态与生活质量。
Objective To explore the application of exercise intervention based on cross theoretical models in patients undergoing home peritoneal dialysis.Methods Data from 36 end-stage renal disease(ESRD)patients who underwent regular exercise intervention at home peritoneal dialysis from March 2023 to March 2024 at Henan Provincial People’s Hospital were collected and included in the control group.Data from 36 ESRD patients who underwent home peritoneal dialysis and exercise intervention based on a cross theoretical model were collected during the same period,and included in the intervention group.The intervention lasted for six months.The exercise compliance of the patients before the intervention and at 6 months after the intervention[using the hospital-made questionnaire on exercise compliance of home peritoneal dialysis patients],nutritional status[body mass index,hemoglobin,albumin index levels],physical activity status[Karnofsky performance status(KPS)],and quality of life[the MOS item short from health survey(SF-36)]were statistically analyzed.Results After 6 months of intervention,the exercise compliance score,KFS score,and SF-36 score of the intervention group were higher than those of the control group,and the body mass index,hemoglobin,and albumin levels were higher than those of the control group,with statistical significant differences(P<0.05).Conclusion The application of exercise intervention based on cross theoretical models in home peritoneal dialysis patients can ensure their exercise compliance,improve their nutritional status,and enhance their physical activity status and quality of life.
作者
李威威
张凤杰
陈欢欢
LI Weiwei;ZHANG Fengjie;CHEN Huanhuan(Department of Nephrology,Henan Provincial People’s Hospital,Zhengzhou 450003,China)
出处
《河南医学研究》
2025年第11期2008-2011,共4页
Henan Medical Research
关键词
终末期肾脏病
腹膜透析
居家治疗
运动干预
跨理论模型
营养
体力
end-stage renal disease
peritoneal dialysis
home treatment
exercise intervention
cross theoretical model
nutrition
physical strength
