摘要
目的:分析放松训练对维持性血液透析患者睡眠质量及干体重指标的影响,为制订护理方案提供有效的客观依据。方法:选取100例行维持性血液透析治疗的患者作为研究对象,将其随机分为观察组和对照组,每组各50例。对照组患者给予常规护理,观察组患者在常规护理的基础上给予渐进性肌肉放松训练干预。对两组患者干预前后的匹兹堡睡眠质量指数量表(PSQI)评分、中文版Piper疲乏评估量表(RPFS-CV)评分、Zung焦虑自评量表(SAS)评分、体重增加值与干体重比例(IWGR%)及血清尿素氮(BUN)、血钾(K^+)、血钙(Ca^(2+))、血磷(P^+)水平进行观察和比较。结果:观察组患者干预后PSQI评分的总分和睡眠质量、入睡时间、睡眠时间、睡眠效率等维度的得分均低于对照组,RPFS-CV评分的总分和行为、感知、认知等维度的得分均低于对照组,SAS评分、IWGR%及K^+、P^+、BUN水平均低于对照组,Ca^(2+)水平高于对照组,差异有统计学意义(P<0.05)。结论:对于维持性血液透析患者采用渐进性肌肉放松训练干预,能够显著缓解患者的负性心理、睡眠障碍和疲乏状态,有效控制患者透析期间的干体重指标,改善患者的血清离子指标,有利于提高透析治疗效果、改善患者的预后。
Objective：To analyze the influences of relaxation training on the sleep quality and the dry weight indexes in the patients treated with maintenance hemodialysis to provide an objective basis for the formulation of effective nursing programs.Methods：100 patients undergoing maintenance hemodialysis were selected as the research subjects and randomly divided into the observation group and the control group.50 cases were included into each group.The patients in the control group were treated with the routine nursing,while the patients in the observation group were treated with the progressive muscle relaxation training on the basis of the routine nursing.The Pittsburgh Sleep Quality Index Scale（PSQI）scores,the Revised Piper Fatigue Scale-Chinese version（RPFS-CV）,The Zung Self-rating Anxiety Scale（SAS）scores,the inter dialytic weight gain/dry weight ratio（IWGR%）,the blood urea nitrogen（BUN）,the serum potassium（K^＋）,the serum calcium（Ca^2＋）and the serum phosphorus（P^＋）levels before and after the intervention of the patients in the two groups were observed and compared.Results：The overall score of PSQI scores and the scores at the dimensions of sleep quality,sleep time,sleep time and sleep efficiency after the intervention of the patients in the observation group were lower than those in the control group.The overall score of RPFS-CV scores and the scores at the dimensions of behavior,perception and cognition were lower than those in the control group.The SAS score,IWGR% as well as K^＋,P^＋and BUN levels were lower than those in the control group.The Ca^2＋level was higher than that in the control group,the differences were statistically significant（P〈0.05）.Conclusion：The application of the progressive muscle relaxation training intervention for the patients undergoing maintenance hemodialysis can significantly relieve the negative psychology,the sleep disorder and the fatigue state of the patients,control the dry weight indexes of the patients during dialysis effectively and improve the serum ion indexes of the patients,which is beneficial to increase the treatment effects of dialysis and improve the patient＇s prognosis.
作者
孙小虹
张慧荣
Sun Xiaohong;Zhang Huirong(People＇s Hospital of Yicheng,Xiangyang 441400,China)
出处
《亚太传统医药》
2018年第9期200-203,共4页
Asia-Pacific Traditional Medicine
关键词
维持性血液透析
睡眠质量
焦虑
干体重
放松训练
Maintenance Hemodialysis
Sleep Quality
Anxiety
Dry Weight
Relaxation Training
