动静脉内瘘操对维持性血液透析病人上肢运动功能及衰弱水平的影响

徐静; 冯婉娟; 熊婷; 王敏

doi:10.13898/j.cnki.issn.1000-2200.2023.04.029

动静脉内瘘操对维持性血液透析病人上肢运动功能及衰弱水平的影响

Effect of arteriovenous fistula exercise on upper limb motor function and frailty level in maintenance hemodialysis patients

摘要

摘要:
目的研究动静脉内瘘操对维持性血液透析病人上肢运动功能及衰弱水平的影响。
方法选取70例维持性血液透析病人为研究对象, 按入院先后时间分为对照组31例和运动干预组39例, 对照组采用常规护理指导, 运动干预组采用动静脉内瘘操进行16周的运动干预指导。比较2组干预前后上肢运动功能和衰弱水平。
结果干预后运动干预组上肢运动功能状态量表总分、肩部、肘与前臂和手腕部评分均明显高于对照组(P < 0.01), 且明显高于干预前(P < 0.01);干预后对照组上肢运动功能状态量表总分、肩部、肘与前臂和手腕部评分与干预前差异均无统计学意义(P>0.05)。干预后运动干预组衰弱量表总分、躯体衰弱和心理衰弱评分均明显低于对照组(P < 0.01), 且低于干预前(P < 0.05);干预后2组社会衰弱评分差异无统计学意义(P>0.05), 且与干预前差异也无统计学意义(P>0.05);干预后对照组TFI总分、躯体衰弱、心理衰弱和社会衰弱评分与干预前差异均无统计学意义(P>0.05)。
结论采用动静脉内瘘操对维持性血液透析病人进行16周干预后, 病人上肢运动功能显著提高, 衰弱水平有所缓解。

Abstract:
ObjectiveTo study the effect of arteriovenous fistula exercise on the upper limb motor function and frailty level in maintenance hemodialysis patients.
MethodsSeventy maintenance hemodialysis patients were selected as the study subjects, and were divided into control group (n=31) and exercise intervention group (n=39) according to the time of admission.The control group was given routine nursing guidance, and the exercise intervention group was given exercise intervention guidance for 16 weeks with arteriovenous fistula exercise.The upper limb motor function and frailty level in the two groups were compared before and after intervention.
ResultsAfter intervention, the total score of upper limb motor status scale, and the score of shoulder, elbow, forearm and wrist in the exercise intervention group were significantly higher than those in the control group (P < 0.01), and significantly higher than those before intervention (P < 0.01).There was no significant difference in the total score of upper limb motor status scale, and the score of shoulder, elbow, forearm and wrist in the control group between before and after intervention (P>0.05).After intervention, the total score of tilbury frailty indicator, and the score of physical asthenia and psychological asthenia in the exercise intervention group were significantly lower than those in the control group (P < 0.01), and lower than those before intervention (P < 0.05).There was no significant difference in the scores of social asthenia between the two groups after intervention (P>0.05), and there was no significant difference between the two groups before and after intervention (P>0.05).There was no significant difference in the total score of tilbury frailty indicator, and the score of physical asthenia, psychological asthenia and social asthenia in the control group between before and after intervention (P>0.05).
ConclusionsAfter 16 weeks of intervention with arteriovenous fistula exercise, the upper limb motor function of dialysis patients is significantly improved, and the frailty level is relieved.

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