ICF理论指导的信息化步行运动方案在维持性血液透析病人中的应用

    Application value of information walking exercise program guided by ICF theory in maintenance hemodialysis patients

    • 摘要: 目的: 探讨《国际功能、残疾和健康分类》(ICF)理论指导的信息化步行运动方案在维持性血液透析病人中的应用效果。方法: 抽取进行规律血液透析的80例病人为研究对象, 根据掷硬币法随机分成观察组和对照组, 各40例。对照组采用血液透析常规护理方案进行干预, 观察组在对照组的基础上实施以ICF理论为指导的信息化步行运动方案, 比较2组病人干预前后运动指标、锻炼益处/障碍(DPEBBS)和衰弱(FRAIL)有无区别。结果: 干预结束后观察组每天步行数显著高于对照组(P < 0.01)。干预6个月观察组6 min步行距离(6-MWT)、步行速度、10次坐-立体位实验(STS-10)均优于对照组(P < 0.01), 且优于干预前(P < 0.05~P < 0.01);干预后对照组除6-MWT较干预前有所增加(P < 0.01), 步行速度和STS-10较干预前差异均无统计学意义(P>0.05)。干预后3个月和6个月观察组锻炼益处高于对照组(P < 0.05和P < 0.01), 锻炼障碍低于对照组(P < 0.05和P < 0.01);干预后2组DPEBBS维度均较干预前有所改善(P < 0.05和P < 0.01)。干预6个月观察组FRAIL明显优于对照组(P < 0.05)。结论: ICF理论指导的信息化步行运动方案能提升病人的运动指标、增加锻炼益处、减少锻炼障碍, 改善衰弱状况。

       

      Abstract: Objective: To explore the application effects of International Classification of Functioning, Disability and Health(ICF) theory-guided information walking exercise program in maintenance hemodialysis patients. Methods: Eighty patients treated with regular hemodialysis were selected as the study subjects, According to the coin-tossing method, they were randomly divided into the observation group and the control group, with 40 cases in each group.The control group was intervened with the conventional hemodialysis nursing plan, and the observation group was intervened with the information walking exercise program guided by the ICF theory on the basis of the control group.The exercise indicators, exercise benefits/obstacles(DPEBBS) and frailty(FRAIL) before and after intervention were compared between two groups. Results: The daily walking number in the observation group was significantly higher than that in control group after intervention(P < 0.01).After 6 months of intervention, the 6 min walking distance(6-MWT), walking speed and STS-10 in the observation group were significantly better than those in control group(P < 0.01), and were better than those before intervention(P < 0.05 to P < 0.01).After intervention, the 6-MWT in the control group increased compared with before intervention(P < 0.01), and there was no statistical significance in the walking speed and STS-10 between before and intervention(P>0.05).After 3 months and 6 months of intervention, the exercise benefit of observation group was higher than that of control group, and the exercise obstacle was lower than that of control group(P < 0.05 and P < 0.01).After intervention, all dimensions of DPEBBS in two groups were improved compared with those before intervention(P < 0.05 and P < 0.01).After 6 months of intervention, the FRAIL of the observation group was significantly better than that of control group(P < 0.05).Conclusions: The information walking exercise program guided by ICF theory can improve the movement index of patients, increase the benefit of exercise, reduce the obstacle of exercise, and significantly improve the frailty condition.

       

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