多学科协作团队模式下透析期间运动干预改善老年维持性血液透析病人生活质量及睡眠质量的效果研究

doi:10.3969/j.issn.1003-9198.2021.12.011

Abstract

Abstract: Objective To explore the improvement effect of exercise intervention during dialysis on quality of life and sleep quality in the elderly patients receiving maintenance hemodialysis under the model of multi-disciplinary team. Methods A total of 68 patients were randomly divided into two groups with 34 cases in each group, the experimental group receiving multi-disciplinary team intervention and the control group receiving the duty nurse on dialysis day intervention. They were given exercise intervention for 6 months. The scores of life quality investigated by Chinese version of SF-36 Health Survey Scale, and sleep quality investigated by Pittsburgh Sleep Quality Scale, PSQI of the two groups were compared 1, 3 and 6 months after intervention. Results At the end of intervention, the number of patients in the experimental group and the control group who completed the intervention was 32 and 29, respectively. After 1, 3 and 6 months of intervention, the scores of PSQI of the two groups were gradually and significantly decreased; The scores of physical component summary(PCS)and mental component summary(MCS)of the experimental group were gradually and significantly increased (P<0.05), while in the control group, the score of PCS 3, 6 months after intervention was significantly higher than that of 1 month affter intervention, the score of MCS 6 months after intervention was significantly higher than that 1, 3 months after intervention. After 6 months of intervention, PCS and MCS scores of the experimental group were significantly higher than those of the control group (P<0.05). 3 and 6 months after intervention, PSQI score of the experimental group was significantly lower than that of the control group(P<0.05). Conclusions The multi-disciplinary team model can reduce patients’ withdrawal from exercise intervention, and has a better middle and long term effect on the quality of life and sleep quality than the nurse intenvention model.

Key words: aged, maintenance hemodialysis, multi-disciplinary team, exercise intervention, quality of life, sleep quality

CLC Number:

XIA Jing-hua, SONG Dan, ZHU Wen-bo, ZHOU Yue. Effects of exercise intervention during dialysis on quality of life and sleep quality in elderly patients receiving maintenance hemodialysis under the model of multi-disciplinary team[J]. Practical Geriatrics, 2021, 35(12): 1254-1257.

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Effects of exercise intervention during dialysis on quality of life and sleep quality in elderly patients receiving maintenance hemodialysis under the model of multi-disciplinary team

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