文章摘要
引用本文:陈赟 孙柳 王艳玲.维持性血液透析患者居家运动情况的调查[J].中国护理管理,2017,17(5):707-711 本文二维码信息
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维持性血液透析患者居家运动情况的调查
Home exercise in patients with maintenance hemodialysis
  
DOI:10.3969/j.issn.1672-1756.2017.05.032
中文关键词:  维持性血液透析  运动行为阶段分布  自我效能  运动锻炼  健康教育
English Keywords:maintenance hemodialysis (MHD)  stage of exercise  self-efficacy  exercise  health education
基金项目:北京市教委2016年首都护理学研究专项课题 [重点课题(16HL04) ]
作者单位
陈赟 孙柳 王艳玲 首都医科大学护理学院100069 北京市 
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中文摘要:
      目的:采用跨理论模型为理论框架,调查维持性血液透析患者居家运动的现况及影响规律运动的相关因素,为促进维持性血透患者进行规律的居家运动提供依据。方法:调查北京4所三级甲等医院366名维持性血透患者的居家运动情况。结果:维持性血透患者中,规律运动者222人(60.7%),不规律运动者144人(39.3%);运动锻炼重要性得分为(7.41±2.37)分,运动锻炼自信心为(7.18±2.63)分,运动锻炼自我效能得分为(56.68±13.77)分,运动锻炼益处/障碍得分为(69.72±6.29)分。规律和不规律运动的患者比较,其运动锻炼的重要性、运动锻炼的自信心、运动锻炼的自我效能及透析患者锻炼益处/障碍的差异,均有统计学意义(P<0.05)。且年龄越小、文化程度越高的患者,不规律运动的比例越大。结论:本研究以跨理论模型为指导,更深入地揭示了维持性血透患者的居家运动情况,研究结果可以为进一步有针对性地指导患者进行规律运动和运动管理提供科学依据。
English Summary:
      Objective: To explore home exercise and related factors in patients undergoing maintenance hemodialysis (MHD). Methods: Three hundred and thirty-six patients with MHD were investigated with questionnaire based on the transtheoretical model. Results: Totally 60.7% of the patients with MHD had regular exercise,and 39.3% of the patients had irregular exercise. The score of perceived importance of exercise was 7.41±2.37, and the score of self-confidence was 7.18±2.63. The Exercise Self-Efficacy Scale was 56.68±13.77, and the Dialysis patient-perceived Exercise Benefits and Barriers Scale was 69.72±6.29. There were significant differences between the patients with regular exercise and patients with irregular exercise in the perceived importance, self-confidence, Exercise Self-Efficacy Scale, and Dialysis patient-perceived Exercise Benefits and Barriers Scale (P<0.05). The patients of younger age and higher education level possessed a larger proportion of irregular exercise. Conclusion: Patients with MHD need regular exercises. It is suggested to provide health education to patientswith MHD to encourage regular exercise.
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