改良八段锦对改善老年慢性肾脏病非透析患者疲乏及生活质量的效果观察

Effect of modified Baduanjin on fatigue and quality of life in elderly chronic kidney disease patients without dialysis

目的探索改良八段锦对慢性肾脏病(CKD)患者疲乏状态的改善效果,提升其生活质量。方法选取2021年7月—2022年7月在河北省人民医院住院的60例患者按照组间基本特征具有可比性的原则分为观察组和对照组,每组30例。对照组给予常规内科护理及随访,观察组在对照组的基础上给予改良八段锦,干预12周后测量患者6 min步行距离,采用疲乏量表和生存质量简表评价两组患者疲乏及生存质量。结果干预12周后,观察组6 min步行距离长于对照组,差异有统计学意义(P<0.05);观察组患者疲乏得分低于对照组,差异有统计学意义(P<0.05);观察组生活质量在生理机能、生理职能、一般健康、精力和情感职能5个方面的得分高于对照组,组间比较差异具有统计学意义(P<0.05),在社会功能、躯体疼痛和精神健康3个方面的得分与对照组比较差异无统计学意义(P>0.05)。结论规律进行改良八段锦训练对CKD患者的疲乏状态有明显的改善效果,同时可提高患者的生活质量。

Objective To explore the improvement effect of modified Baduanjin on fatigue status of chronic kidney disease(CKD)patients and improve their quality of life.Methods A totoal of 60 patients hospitalized in Hebei Provincial People’s Hospital from July 2021 to July 2022 were selected and divided into an observation group and a control group according to the principle of comparability of basic characteristics between groups,with 30 patients in each group.The control group was given routine medical care and follow-up,and the observation group was given modified Baduanjin on the basis of the control group.After 12 weeks of intervention,the 6-minute walking distance of the patients was measured,and the fatigue and quality of life of the patients in the two groups were evaluated with the fatigue scale and the short form of quality of life.Results After 12 weeks of intervention,the 6-minute walking distance in the observation group was longer than that in the control group,and the difference was statistically significant(P<0.05).The fatigue score of patients in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The scores of the quality of life in the observation group were higher than those in the control group in five aspects of physiological function,physiological function,general health,energy and emotional function,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the scores of social function,physical pain and mental health between the observation group and the control group(P>0.05).Conclusion Regular modified Baduanjin training can significantly improve the fatigue status of CKD patients and improve their quality of life.