普拉提运动对维持性血液透析患者疲乏状况和睡眠质量的影响

Effects of Pilates exercise on fatigue and sleep quality in maintenance hemodialysis patients

目的探讨普拉提运动对维持性血液透析患者疲乏状况和睡眠质量的影响。方法选取2015年8月~2017年8月南昌大学第四附属医院血液透析中心进行维持性血液透析的58例患者作为研究对象。按照透析时间周一、周三、周五分到A组,周二、周四、周六分到B组,每组各29例,采用抛硬币的方法将A、B两组随机分为观察组和对照组。对照组采用常规护理,观察组在对照组常规护理基础上给予普拉提运动训练,采用修改版Piper疲乏量表(revision of the Piper fatigue scale,RPFS)和匹茨堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)分别于干预前、干预后6个月评价两组患者疲乏状况和睡眠质量。结果与对照组比较,观察组患者干预6个月后疲乏状况得分(t=-4.588,P<0.001)明显降低;观察组患者睡眠质量得分(t=-10.647,P<0.001)显著高于对照组,差异均具有统计学意义。观察组患者干预后疲乏状况得分(t=2.136,P=0.034)低于干预前;观察组患者干预后睡眠质量得分(t=11.132,P=0.000)显著高于干预前,差异均具有统计学意义。结论普拉提运动能有效地改善维持性血液透析患者的疲乏状况和睡眠质量,进而提高其生存质量,值得临床推广应用。

Objective To investigate the effects of Pilates exercise on fatigue and sleep quality in maintenance hemodialysis patients. Methods A total of 58 patients with maintenance hemodialysis were selected from the hemodialysis center of the fourth affiliated hospital of Nanchang university from August 2015 to August 2017.According to the dialysis schedule of patients, 29 patients were divided into observation group and control group.The control group was treated with routine care, and the observation group gave Pilates exercise training based on the control group,the fatigue and sleep quality of the two groups were evaluated by the modified Piper fatigue scale （RPFS） and the Pittsburgh sleep quality index （PSQI）, respectively, before and after the intervention for 6 months. Results Compared with the control group, the score of fatigue （t=-4.588,P=0.000） was significantly reduced in the observation group after 6 months of intervention,the score of sleep quality in the observation group （t=-10.647,P=0.000） was significantly higher than that in the control group, and the difference were statistically significant.The fatigue status score （t=2.136,P=0.034） after intervention was lower in the observation group than before intervention,the sleep quality score （t=11.132,P=0.000） was significantly higher than before intervention, and the difference were statistically significant. Conclusion The Pilates exercise can effectively improve the fatigue condition and sleep quality of maintenance hemodialysis patients, thus improving its quality of life and？worthy of clinical application.