基于循证护理理念的递增式运动干预方案在维持性血液透析病人中的应用

Application of incremental exercise intervention program based on evidence-based nursing concept in maintenance hemodialysis patients

目的:基于循证护理理念构建维持性血液透析(MHD)病人递增式运动干预方案,并探讨其应用效果。方法:选取我院2022年8月—2023年4月收治的80例MHD病人为研究对象,根据病人就诊时间分为对照组(2022年8月—12月)和试验组(2023年1月—4月),每组40例。对照组给予常规护理,试验组在此基础上联合基于循证护理理念的递增式运动干预方案。干预3个月后采用简明健康调查问卷(SF-36)和Piper疲乏修订量表(RPFS)比较两组病人的生命质量和疲乏感。结果:干预后试验组RPFS及各维度得分均低于对照组,SF-36及各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论:实施基于循证护理理念的递增式运动干预方案能够减轻MHD病人的疲乏感,提升生命质量。

Objective:An incremental exercise intervention program for maintenance hemodialysis(MHD)patients was constructed based on the concept of evidence-based nursing care,and its application effects were explored.Methods:Eighty cases of MHD patients admitted to our hospital from August 2022 to April 2023 were selected for the study,and were divided into a control group(August-December 2022)and an experimental group(January-April 2023)according to the time of consultation,with 40 cases in each group.The control group was given routine care,and the experimental group was combined with an incremental exercise intervention program based on the concept of evidence-based nursing care.After 3 months of intervention,the quality of life and fatigue were compared between the two groups using the Brief Health Questionnaire(SF-36)and the Revised Piper Fatigue Scale(RPFS).Results:After the intervention,the RPFS and the scores of each dimension in the experimental group were lower than those in the control group,and the SF-36 and the scores of each dimension in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:An incremental exercise intervention program based on evidence-based care concepts can reduce fatigue and improve the quality of life of MHD patients.