个体化运动疗法护理对维持性血液透析患者睡眠质量及负性情绪的影响

Influence of Individualized Exercise Therapy for Sleep Quality and Negative Emotion of Patients with Maintenance Hemodialysis

目的:探讨个体化运动疗法护理对改善维持性血液透析患者睡眠质量及负性情绪的临床价值。方法:选取2017年5月至2018年5月福建医科大学附属第二医院收治的维持性血液透析患者94例作为研究对象,按照就诊顺序分为对照组与观察组,每组47例。对照组实施常规护理,维持原有生活方式与运动状态不变,观察组实施个体化运动疗法。比较2组患者的干预效果。结果:观察组的匹茨堡睡眠质量指数量表(PSQI)评分均显著低于对照组,差异有统计学意义(P<0.05);护理前观察组焦虑(SAS)及抑郁(SDS)评分比较,差异无统计学意义(P>0.05);护理后观察组的SAS及SDS评分均显著低于对照组,差异有统计学意义(P<0.05)。结论:在维持性血液透析患者中实施个体化运动疗法可明显改善其睡眠质量与生命质量。

Objective:To explore the clinical value of individualized exercise therapy in improving sleep quality and negative emotion of patients with maintenance hemodialysis.Methods:A total of 94 patients with maintenance hemodialysis in Second Affiliated Hospital of Fujian Medical University from May 2017 to May 2018 were divided into observation group and control group with 47 cases in each group according to the order of consultation.The control group were with routine nursing and maintaining the original lifestyle and exercise status,the observation group were with individualized exercise therapy.Then the intervention effect of two groups were compared.Results:The Pittsburgh Sleep Quality Index(PSQI)scores of observation group were significantly lower than those of control group,there were statistically significant differences(P<0.05);the anxiety(SAS)and depression(SDS)of two groups before the nursing were compared,there were no statistically significant differences(P>0.05);the SAS score and SDS score of observation group after the nursing were significantly lower than those of control group,there were statistically significant differences(P<0.05).Conclusion:The individualized exercise therapy can obviously improve the sleep quality and life quality of patients with maintenance hemodialysis.