维持性血液透析患者居家运动情况的调查-中国护理管理.PDFVIP

专科管理 Advanced Nursing Practice 维持性血液透析患者居家运动情况的调查 陈 孙柳 王艳玲 赟 [ 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（P0.05）。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。 [ 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 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2017.05.032 Home exercise in patients with maintenance hemodialysis / CHEN Yun, SUN Liu, WANG Yanling // Capital Medical University of Nursing, Beijing, 100069, China /// Chinese Nursing Management-2017,17(5): 707-711 [Abstract] 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 Dia