论文部分内容阅读
目的:观察抗阻运动对血液透析患者透析低血压发生次数、接受护理干预次数和透析前血压的影响。方法 :选择2015年8月至2016年3月在大连市某三级甲等医院2所血液净化中心的77名患者作为研究对象,采用抽签法将77名患者分为两组,对照组(n=38)给予常规血液透析护理,实验组(n=39)在常规血液透析护理的基础上,指导患者进行透析中的抗阻运动,每周3次,共12周。收集干预前3个月及干预期间3个月两组患者透析低血压发生次数、透析低血压接受护理干预次数和透析前血压值进行对比。结果 :实验组透析低血压发生次数、因透析低血压接受护理干预次数均少于对照组(P<0.05)。12周抗阻运动可降低患者透析前舒张压(P<0.05)。结论 :12周抗阻运动对血液透析患者透析低血压有积极的改善作用,可有效减少相关护理干预次数,改善患者血压。
Objective: To observe the effect of resistance exercise on the number of dialysis hypotension, the number of nursing interventions and blood pressure before dialysis in hemodialysis patients. Methods: From August 2015 to March 2016, 77 patients from two blood purification centers of a tertiary level Hospitals in Dalian City were enrolled. 77 patients were divided into two groups by random sampling. The control group (n = 38) were given conventional hemodialysis care. The experimental group (n = 39) guided the patient to perform resistance exercise during dialysis three times a week for 12 weeks on the basis of conventional hemodialysis care. The frequency of dialysis hypotension, dialysis hypotension receiving nursing interventions and pre-dialysis blood pressure values were compared between the three months prior to the intervention and the three months during the intervention. Results: The frequency of dialysis hypotension in the experimental group was lower than that in the control group due to dialysis hypotension (P <0.05). Anti-resistance exercise at 12 weeks reduced pre-dialysis diastolic pressure (P <0.05). Conclusion: The 12-week resistance exercise has a positive effect on dialysis hypotension in hemodialysis patients, which can effectively reduce the number of nursing interventions and improve the blood pressure of patients.