Application value of the rehabilitation program based on mirror therapy in patients with hemodialysis after autologous arteriovenous fistula

ObjectiveTo investigate the effects of rehabilitation program based on mirror therapy on the quality of internal fistula and self-management ability of hemodialysis patients after observation autogenous arteriovenous fistula(AVF).

MethodsThirty patients treated with AVF for the first time from December 2019 to September 2022 and 30 patients treated with AVF for the first time from January 2018 to November 2019 were divided into the observation group and control group, respectively.The control group and intervention group were guided by the routine rehabilitation exercise and rehabilitation exercise program based on mirror therapy for 2 months, respectively.The effects of upper limb mobility, internal fistula vessel diameter, anastomotic blood flow, first use time of internal fistula and self-management ability between two groups were compared before intervention, after 1 month and 2 months of intervention.

ResultsAfter 1 and 2 months of intervention, the scores of Fugl-Meyer assessment upper extremity scale (FMA-UE), internal fistula vessel diameter, anastomotic blood flow and AVF self-management ability in the observation group were higher than those in control group(P < 0.05).There were statistically significant in all indexes between two groups before and after intervention(P < 0.01).With the passage of intervention time, the scores of FMA-UE, internal fistula vessel diameter, anastomotic blood flow and AVF self-management ability showed an increasing trend, which after 1 month and 2 months of intervention were higher than those before intervention(P < 0.05 to P < 0.01), and which after 2 months of intervention was higher than those after 1 month of intervention(P < 0.05 to P < 0.01).The maturation time of fistula in the observation group was significantly lower than that that in control group(P < 0.01).

ConclusionsThe rehabilitation program based on mirror therapy can significantly improve the mobility of the upper limbs in the operative side, increase the blood vessel diameter and anastomotic blood flow, promote the maturity of internal fistula and improve the self-management ability of the patients with AVF.