Optimal strength of grip device exercise for arteriovenous fistula in patients with chronic kidney disease
10.3760/cma.j.cn115682-20241223-07031
- VernacularTitle:不同强度握力训练对慢性肾脏病患者动静脉内瘘成熟度的影响
- Author:
Fen ZHANG
1
;
Lingchang YU
;
Min ZHANG
;
Wu LONG
Author Information
1. 湖南中医药高等专科学校附属第一医院（湖南省直中医医院）肿瘤一科，株洲 412000
- Publication Type:Journal Article
- Keywords:
Arteriovenous fistula;
Kidney failure, chronic;
Hand strength;
Internal diameter of cephalic vein;
Anastomotic blood flow
- From:
Chinese Journal of Modern Nursing
2025;31(30):4180-4184
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of different intensities of grip strength training on arteriovenous fistula (AVF) in patients with chronic kidney disease.Methods:Different intensities of grip strength training programs were developed through literature analysis, expert argumentation, and group discussion. From July to November 2024, 90 hospitalized patients with chronic kidney disease and AVF in the Department of Nephrology of the First Affiliated Hospital of Hunan Traditional Chinese Medical College were selected as study subjects using convenience sampling. Using the random number table method, study subjects were divided into group A, group B, and group C, with 30 cases in each group. Group A underwent low-intensity grip strength training, group B underwent moderate-intensity grip strength training, and group C underwent high-intensity grip strength training. The intervention period lasted six weeks. After intervention, the internal diameter of the cephalic vein, anastomotic blood flow, and incidence of complications were compared among three groups of patients with chronic kidney disease.Results:After intervention, the internal diameter of the cephalic vein in group C was larger than that in group A and group B ( P<0.05). The anastomotic blood flow in group B and group C was higher than that in group A ( P<0.05). There was no statistically significant difference in the incidence of complications among the three groups ( P>0.05) . Conclusions:Appropriately increasing the intensity of grip strength training has a positive effect on enlarging the internal diameter of the cephalic vein and enhancing anastomotic blood flow.
