Exercise influence on the quality of life in hemodialysis patients
2015
Objective
To analyze effect of the exercise reducting and improving fistula complications and the quality of life for continuous hemodialysis patients.
Methods
106 patients with end-stage renal failure and hemodialysis were randomly divided into all 53 patients in observation group(using yoga exercise intervention)and 53 patients in the control group(no intervention measures).Incidence of venous thrombosis,arterial thrombosis,false aneurysm, vascular complications were observed in patients of two groups.The quality of patients'life after dialysis care situation in two groups was evaluated by a simple scale of health survey Mos SF-36.
Results
The comparison result of complication occurs case showed that the incidence of venous thrombosis, arterial thrombosis end, false aneurysm, vascular complications in the observation group were respectively 13.21%,0,3.77%and 20.75%;The same indexes were 33.96%,9.43%,15.09%and 58.49% in the control group,and the complications in the observation group were significantly fewer than the control group(χ2=6.33,5.15,3.98,10.44,P<0.01,P=0.02,P=0.04).the improved situation of life quality in the two groups showed physiological function,physical function,bodily pain,g eneral health,vitality, social function,emotional function were significant differences before and after the mental health care in the observation group(t=5.05,4.57,2.85,6.95,10.06,3.28,6.71,8.11,P<0.01);in addition to the physiological functions in the control group,social function,the other were also statistically significant(t=2.42,1.27,2.06,4.54,4.76,2.19,1.46,3.83P<0.02,P<0.05,P<0.01).In addition to the social function,other improvements in the observation group were better than that in the control group after the mental health care(t=3.06,3.59,2.02,3.79,7.14,1.74,4.22,2.25,P<0.05,P<0.01).
Conclusion
Through Yoga intervention continued dialysis, the patients'own immune system and disease resistance are improved, the patient's ability to withstand continuous hemodialysis are also improved, thereby to increase the effect of continued hemodialysis.
Key words:
Exercise; Continuous hemodialysis; Fistula complications; Quality of life
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