摘要
目的分析血液透析患者实施授权赋能理论下运动训练对低血压发生情况。方法通过随机抽样法,前瞻性选取2022年1月—2024年2月在本院进行血液透析治疗患者160例,以随机数字表法分为对照组和研究组,每组80例。对照组实施传统常规护理,研究组在对照组基础上实施授权赋能理论下运动训练,比较教育前、教育2周后低血压发生率、自我管理能力、血压水平恢复情况、生活质量改善情况。结果教育前,两组各项自我管理能力评分、肾脏疾病特异性调查表(KDQ)量表各维度评分比较差异无统计学意义(P>0.05);研究组低血压发生率低于对照组,差异具有统计学意义(χ^(2)=4.737,P<0.05);相比教育前,教育2周后,两组收缩压、舒张压、脉压差等血压水平均升高,且研究组高于对照组(t值分别为3.367、2.425、3.317,P<0.05);两组用药管理、饮食管理、低血压管理、日常生活管理、合理运动及不良情绪管理均升高,且研究组高于对照组(t值分别为3.575、3.248、5.699、4.329、2.590、2.163,P<0.05);两组KDQ量表躯体症状、抑郁情绪、疲劳、人际关系及挫折等均升高,研究组高于对照组(t值分别为4.171、4.585、6.302、4.074、4.653,P<0.05)。结论在血液透析患者中应用授权赋能理论下运动训练提升其自我管理能力水平,改善血压水平,预防低血压的发生,改善生活质量。
Objective To study the effect of exercise training on hypotension in hemodialysis patients under the empowerment theory.Methods A total of 160 patients who underwent hemodialysis treatment in Huai'an First People's Hospital from January 2022 to February 2024 were prospectively selected and randomly divided into a control group and a study group,with 80 cases in each group.The control group was traditional routine nursing,and the research group was given exercise training based on the empowerment theory on the basis of the control group.The incidence of hypotension,self-management ability,recovery of blood pressure levels,and improvement in quality of life were compared before and 2 weeks after training.Results Before education,there was no significant difference in the scores of self-management ability and each dimension of Kidney Disease Questionnaire(KDQ)between the two groups(P>0.05).The incidence of hypotension in the study group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.737,P<0.05).Compared with before eduation,the systolic,diastolic pressure and pulse pressure difference increased in two groups increased after 2 weeks of education,and the study group was greater than the control group(P<0.05).The medication management,diet management,hypotension management,daily life management,reasonable exercise and bad mood management of the two groups increased,and those in the study group were higher than the control group(P<0.05).Medication,diet,hypotension,daily life,reasonable exercise and bad mood management increased in both groups;physical symptoms,depression,fatigue,interpersonal relationships and frustration in the KDQ scale increased in both groups,the study group was higher than the control group(t=4.171、4.585,6.302,4.074,4.653,P<0.05).Conclusion Exercise training based on empowerment theory can improve blood pressure in hemodialysis patients and enhance their self-management ability and quality of life.
作者
尹小文
万桂芹
李国红
YIN Xiaowen;WAN Guiqin;LI Guohong(Dialysis Center,Huai'an First People's Hospital,Huai'an Jiangsu 223300,China)
出处
《中国急救复苏与灾害医学杂志》
2024年第12期1600-1604,共5页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
江苏省科技厅社会发展重点项目(编号:BE2019638)。
关键词
授权赋能理论
运动训练
血液透析
低血压
自我管理能力
Empowerment theory
Exercise training
Hemodialysis
Hypotension
Self-management ability
作者简介
通信作者:尹小文,E-mail:15861730088@163.com。
