个体化运动护理在维持性血液透析患者中的应用效果

Application effect of individualized exercise nursing in maintenance hemodialysis patients

目的探究个体化运动护理在维持性血液透析患者中的应用效果。方法选取2019年12月至2020年12月本院收治的100例维持性血液透析患者作为研究对象,采用随机数字表法分为对照组和观察组,每组50例。对照组采用常规护理干预,观察组采用个体化运动护理干预,比较两组护理满意度、并发症发生率、生命质量评分、Fugl-Meyer评估量表(FMA)评分及日常生活能力量表(ADL)评分。结果观察组护理满意度(97.50%)高于对照组(82.00%),差异有统计学意义(P<0.05)。观察组并发症发生率(2.00%)低于对照组(18.00%),差异有统计学意义(P<0.05)。干预前,两组社会关系、精神状态、躯体功能、生理功能评分比较差异无统计学意义;干预后,观察组社会关系、精神状态、躯体功能、生理功能评分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组上肢、下肢FMA评分比较差异无统计学意义;干预后,观察组上肢、下肢FMA评分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组ADL评分比较差异无统计学意义;干预后,观察组ADL评分高于对照组,差异有统计学意义(P<0.05)。结论个体化运动护理应用于维持性血液透析患者中,可改善患者运动功能和日常生活能力,降低并发症发生率,提高患者护理满意度及生命质量,值得临床推广应用。

Objective To explore the application effect of individualized exercise nursing in maintenance hemodialysis patients.Methods A total of 100 patients with maintenance hemodialysis received in our hospital from December 2019 to December 2020 were selected as the research subjects,and they were divided into the control group and the observation group according to random number table method,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given individualized exercise nursing intervention,and the nursing satisfaction,the incidence of complications,quality of life score,Fugl-Meyer assessment scale(FMA)score and daily living ability scale(ADL)score were compared between the two groups.Results The nursing satisfaction of the observation group(97.50%)was higher than that of the control group(82.00%),and the difference was statistically significant(P<0.05).The incidence of complications in the observation group(2.00%)was lower than that in the control group(18.00%),and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in the scores of social relationship,mental state,physical function and physiological function between the two groups;after intervention,the scores of social relationship,mental state,physical function and physiological function in the observation group was higher than those in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in the FMA scores of the upper and lower extremities between the two groups;after intervention,the FMA scores of the upper and lower extremities in the observation group was higher than those in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistical significance in the ADL score between the two groups;after intervention,the score of ADL in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of individualized exercise nursing in maintenance hemodialysis patients can improve the patients'motor function and daily living ability,reduce the incidence of complications,and improve nursing satisfaction and quality of life of patients,which is worthy of clinical application.