应用抗阻运动预防患者透析低血压的效果

The effects of resistance exercise on Intradialytic Hypotension among hemodialysis patients

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 explore the effects of resistance exercise on Intradialytic Hypotension episodes, nursing intervention times and pre-dialysis blood pressure. Methods： Totally 77 patients with frequent Intradialytic Hypotension from 2 hemodialysis centers were recruited and divided randomly into the intervention group （n=39） and the control group （n=38）. The patients in the intervention group were guided to do resistance exercise 3 times per week for 12 weeks besides the routine care, while the patients in the control group received the routine care. The data were collected from August 2015 to March 2016. We collected the data of the two groups＇ Intradialytic Hypotension episodes, nursing intervention times and pre-dialysis blood pressure before and during intervention. Results： The results showed that the Intradialytic Hypotension episodes and nursing intervention times in the intervention group were significantly less than those in the control group （P〈0.05）. After 12-week resistance exercise, patients＇ diastolic pressure decreased and their systolic pressure were stable before hemodialysis. Conclusion： Resistance exercise is effective for the hemodialysis patients with frequent Intradialytic Hypotension to reduce Intradialytic Hypotension episodes, reduce the related nursing intervention times, and to improve blood pressure.