血透患者体力活动水平自我管理教育效果分析

Effects of self-management education on physical activity level in patients undergoing maintenance hemodialysis

目的探讨自我管理教育对维持性血液透析(MHD)患者体力活动水平的影响。方法采用便利抽样的方法抽取80例规律透析患者,随机分为对照组40例和干预组40例;对照组进行常规护理教育,干预组在此基础上进行6个月的自我管理教育,干预前后通过人类活动概况量表(HAP)来比较2组患者体力活动水平。结果干预6个月后,干预组患者的最大活动得分(MAS)[(77.18±16.43)分]和校正活动得分(AAS)[(68.34±17.29)分]均高于对照组[(70.01±15.26)和(60.14±16.26)分],差异均有统计学意义(P<0.05)。结论自我管理教育能有效的提高MHD患者的体力活动水平。

Objective To explore the effects of self-management education on physical activity level in the patients undergoing maintenance hemodialysis. Methods Totally 80 maintenance hemodialysis patients were recruited in the study with convenience sampling method. The patients were randomly divided into a control group and an intervention group （40 patients in each group）. The patients in the control group received only usual care and those in the intervention group received a 6 months self-management education intervention. The Human Activity Profile （HAP） and walking speed were used to measure physical activity level of the patients before and after the treatments. Results After the intervention, the patients＇ HAP scores of the intervention group were significantly better than that of the control group except for the domains of entertainment and social intercourse（P 〈0. 05）. The normal walking speed and maximum walking speed were also improved （ P 〈 0.05 ）. Conclusion Self-management education can effectively improve physical activity level for the patients with maintenance hemodialysis.