Practical Geriatrics ›› 2021, Vol. 35 ›› Issue (7): 776-779.doi: 10.3969/j.issn.1003-9198.2021.07.031

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Clinical efficacy of photon therapy combined with functional exercise in elderly patients with end-stage renal disease

CHEN Ying, ZHAO Mei   

  1. Nursing College, Anhui Medical University, Hefei 230601, China
  • Received:2020-08-06 Online:2021-07-20 Published:2021-08-02

Abstract: Objective To explore the effect of photon therapy combined with functional exercise in the elderly patients with end-stage renal disease(ESRD). Methods A total of 60 elderly patients with ESRD who underwent autologous arteriovenous fistula plasty in our hospital from January 2018 to May 2019 were enrolled and divided into control group (n=30) and research group (n=30) randomly. The control group was given functional exercise, and the study group was given photon therapy on the basis of the control group. The success rate of puncture, maturity rate of internal fistula, internal diameter of cephalic vein, blood flow of arteriovenous fistula, pump-controlled blood flow during hemodialysis, quality of life and nursing satisfaction were observed and compared. Results The success rate of puncture, the maturation rate of fistula 1 month and 2 months after operation, the internal diameter of cephalic vein, the blood flow of arteriovenous fistula and pump-controlled blood flow during hemodialysis and the nursing satisfaction score in the study group were significantly higher than those in the control group (P<0.05). Compared with the control group, the scores of symptoms, burden of nephropathy, nephropathy and pain in the study group were significantly lower 3 months after operation(P<0.05), while the scores of physical function, social function, energy, physical strength and emotional status were significantly higher(P<0.05). Conclusions Photon therapy combined with functional exercise is helpful to improve the vascular diameter and blood flow in the elderly patients with ESRD undergoing hemodialysis through autologous arteriovenous fistula, and to promote the maturity of arteriovenous fistula, and to improve the quality of life and nursing satisfaction.

Key words: photon therapy, functional exercise, aged, end-stage renal disease, hemodialysis, quality of life

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