Effects of planned aerobic-resistance exercise on nutritional status and intra-dialytic hypotension of patients during dialysis
10.3760/cma.j.cn115682-20191119-04216
- VernacularTitle:透析间期计划性有氧-抗阻运动对患者营养状态及透析低血压的影响
- Author:
Liyang ZHU
1
;
Meisu LU
;
Honglin WANG
;
Di ZHAO
;
Ruixia MA
;
Xiaoyang WANG
Author Information
1. 郑州大学第一附属医院肾脏病医院，郑州 450000
- Keywords:
Dialysis;
Aerobic-resistance exercise;
Nutrition;
Intra-dialytic hypotension
- From:
Chinese Journal of Modern Nursing
2020;26(14):1894-1898
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of planned aerobic-resistance exercise on nutritional status and intra-dialytic hypotension of maintenance hemodialysis (MHD) patients during dialysis.Methods:From January 2018 to October 2018, we selected 106 hemodialysis patients in the First Affiliated Hospital of Zhengzhou University by convenience sampling. All of patients were divided into control group and observation group with method of the random number table, 53 cases in each group. Control group carried out the routine management model. On the basis of that in control group, observation group implemented the planned aerobic-resistance exercise during dialysis for three months. We compared the hemoglobin (Hb) , serum prealbumin (PA) , body cell mass (BCM) , bone mineral content (BMC) , skeletal muscle content (SMC) , cardiopulmonary function and incidence of intra-dialytic hypotension of patients between two groups.Results:Three months after intervention, the Hb, PA, BCM, BMC and SMC of patients in observation group were (99.77±6.29) g/L, (344.55±37.12) mg/L, (31.42±3.15) kg, (3.08±0.41) kg and (27.85±2.51) kg respectively higher than those in control group with statistical differences ( P<0.05) ; the maximal oxygen uptake and left ventricular ejection fraction of observation group were (14.93±2.82) ml/ (kg·min) and (58.21±5.22) % respectively higher than those in control group with statistical differences ( P<0.05) . During intervention, the incidence of intra-dialytic hypotension of observation group was 9.05% (187/2 067) lower than that in control group [19.45% (402/2 067) ]with a statistical difference (χ 2=91.520, P<0.01) . Conclusions:Planned aerobic-resistance exercise during dialysis can improve the nutritional status, cardiopulmonary function and endurance of MHD patients, and reduce the incidence of intra-dialytic hypotension which is worthy of clinical promotion.
