ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-02-059 护理学研究 2026, 2(02): 233-236

多维度阶段式护理联合有氧运动在血液透析患者中的应用

北京京顺中医医院

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摘要

目的 探讨多维度阶段式护理联合有氧运动在血液透析(HD)患者中的应用效果。方法 选取2023年1月至2025年1月期间北京京顺中医医院收治的120例接受HD治疗的慢性肾衰竭(CRF)患者,以随机数字表法分组,对照组60例采用常规护理,观察组60例基于对照组采用多维度阶段式护理联合有氧运动,比较两组患者疲劳感、睡眠质量、体能减退情况、生活质量。结果 两组患者干预后疲劳感评分下降,观察组较对照组更低(P<0.05);两组患者干预后睡眠质量评分下降,观察组较对照组更低(P<0.05);两组干预后正常步速、最大步速升高,观察组较对照组更高(P<0.05);两组患者干预后生活质量评分升高,观察组较对照组更高(P<0.05)。结论 多维度阶段式护理联合有氧运动可有效缓解HD治疗中CRF患者的疲劳感,改善其睡眠质量,促进其正常和最大步速提高,使体能减退情况明显改善,提升生活质量。

Abstract

Objective To explore the efficacy of multidimensional staged nursing combined with aerobic exercise in hemodialysis(HD) patients. Methods A total of 120 chronic renal failure(CRF) patients undergoing HD treatment at Beijing Jingshun Hospital of TCM from January 2023 to January 2025 were selected. The patients were grouped randomly using a random number table. The control group consisted of 60 cases and received routine care. The observotion group also consisted of 60 cases and received multi-dimensional phased care combined with aerobic exercise based on the control group. The fatigue sensation, sleep quality, physical decline, and quality of life in both groups were compared. Results After intervention, the fatigue sensation scores in both groups decreased, and compared to the control group, the observation group was lower(P<0.05). After intervention, the sleep quality scores in both groups decreased, and compared to the control group, the observation group was lower(P<0.05). After intervention, the normal gait speed and maximum gait speed in both groups increased, and compared to the control group, the observation group was higher(P<0.05). After intervention, the quality of life scores in both groups increased, and compared to the control group, the observation group was higher(P<0.05). Conclusion Multidimensional staged nursing and aerobic exercise can effectively alleviate fatigue sensation, improve sleep quality, promote the increase of normal and maximum gait speed, significantly improve physical decline, and enhance the quality of life in CRF patients undergoing HD treatment.

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[1]胡海娜,吴迪鑫,陈丽君,等.多维度阶段式护理联合有氧运动在血液透析患者中的应用[J].疾病预防与控制,2026,2(02):233-236.