本文選題：行動(dòng)研究 + 維持性血液透析　； 參考：《寧夏醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的調(diào)查、分析維持性血液透析患者運(yùn)動(dòng)現(xiàn)狀、運(yùn)動(dòng)認(rèn)知、自我管理能力和疾病癥狀發(fā)生程度的現(xiàn)狀,探討基于行動(dòng)研究的居家有氧運(yùn)動(dòng)干預(yù)對(duì)患者運(yùn)動(dòng)認(rèn)知、自我管理能力、疾病癥狀發(fā)生程度及體能水平的影響效果。方法在武警寧夏總隊(duì)醫(yī)院血液透析中心門診,通過便利抽樣法抽取142例維持性血液透析患者進(jìn)行基線調(diào)查,在此基礎(chǔ)上隨機(jī)選取符合納入排除標(biāo)準(zhǔn)的患者80例作為研究對(duì)象,并將其分為對(duì)照組和干預(yù)組,對(duì)照組患者給予常規(guī)運(yùn)動(dòng)干預(yù),干預(yù)組患者在常規(guī)干預(yù)基礎(chǔ)上進(jìn)行為期9個(gè)月的基于行動(dòng)研究的居家有氧運(yùn)動(dòng)干預(yù)。干預(yù)前后,分別比較兩組患者運(yùn)動(dòng)認(rèn)知、自我管理能力、疾病相關(guān)癥狀和體能水平的變化及評(píng)估患者的運(yùn)動(dòng)依從性,分析基于行動(dòng)研究的居家有氧運(yùn)動(dòng)干預(yù)效果。結(jié)果1.基線調(diào)查結(jié)果(1)本研究共對(duì)142例維持性血液透析患者進(jìn)行了基線調(diào)查,納入的80例研究對(duì)象中實(shí)際完成全干預(yù)過程的共72例,干預(yù)組和對(duì)照組各36例;男性43例,女性29例;年齡在26~65歲,平均為(45.82±11.075)歲。(2)142例維持性血液透析患者中,69.0%偶爾運(yùn)動(dòng)鍛煉;47.2%有規(guī)律運(yùn)動(dòng)行為。76.8%的患者對(duì)運(yùn)動(dòng)相關(guān)知識(shí)了解較少,89.4%的患者有運(yùn)動(dòng)知識(shí)相關(guān)需求。(3)維持性血液透析患者運(yùn)動(dòng)認(rèn)知狀況最高得分為80分,最低為27分,平均得分(55.91±8.62)分,患者對(duì)于運(yùn)動(dòng)益處和運(yùn)動(dòng)障礙的認(rèn)知均較差。(4)維持性血液透析患者自我管理能力總分在24分到80分之間,平均為(54.42±10.51)分,自我管理能力處于中低水平者占108例(76.1%),其中執(zhí)行自我護(hù)理維度得分最高,情緒處理維度得分最低。(5)維持性血液透析患者的疾病癥狀中,發(fā)生率排名前五的癥狀依次為乏力(92.3%)、瘙癢(86.6%)、皮膚干燥(85.9%)、入睡困難(85.2%)、口干(84.5%),而嚴(yán)重程度(≥3分)排名前五的癥狀依次為乏力(30.3%)、入睡困難(27.5%)、易驚醒(27.5%)、性功能障礙(27.5%)、瘙癢(25.4%)等。(6)干預(yù)前,兩組維持性血液透析患者的基本資料、運(yùn)動(dòng)認(rèn)知、自我管理能力、疾病癥狀發(fā)生程度及體能水平組間比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05),組間可比。2.干預(yù)結(jié)果(1)基于行動(dòng)研究的居家有氧運(yùn)動(dòng)干預(yù)后,干預(yù)組患者運(yùn)動(dòng)益處及運(yùn)動(dòng)障礙認(rèn)知得分及總分均顯著高于對(duì)照組(P0.05)。(2)基于行動(dòng)研究的居家有氧運(yùn)動(dòng)干預(yù)后,干預(yù)組患者自我管理能力各維度得分及總分均顯著高于對(duì)照組(P0.05)。(3)基于行動(dòng)研究的居家有氧運(yùn)動(dòng)干預(yù)后,干預(yù)組患者疾病癥狀發(fā)生程度總分均顯著高于對(duì)照組(P0.05)。(4)基于行動(dòng)研究的居家有氧運(yùn)動(dòng)干預(yù)后,干預(yù)組患者較對(duì)照組患者握力無顯著改善(P0.05),步行速度、10次坐立試驗(yàn)等體能指標(biāo)均顯著高于對(duì)照組(P0.05)。結(jié)論:1.維持性血液透析患者運(yùn)動(dòng)現(xiàn)狀欠佳,自我管理能力處于中等偏低水平,疾病癥狀復(fù)雜多發(fā)。2.基于行動(dòng)研究的居家有氧運(yùn)動(dòng)干預(yù)可提高維持性血液透析患者運(yùn)動(dòng)認(rèn)知及依從行為、改善患者自我管理能力和疾病相關(guān)癥狀、增強(qiáng)患者的體能水平。
[Abstract]:Objective to investigate the status of sports status, exercise cognition, self management ability and the degree of disease symptoms in maintenance hemodialysis patients, and to explore the effect of the intervention on movement cognition, self-management ability, the degree of disease symptoms and physical level of patients with action research in Ningxia. In the outpatient department of hemodialysis center in a team hospital, 142 cases of maintenance hemodialysis patients were selected through the convenient sampling method. On this basis, 80 patients were randomly selected to be included in the exclusion criteria and divided into the control group and the intervention group. The patients in the control group were given routine exercise intervention, and the patients in the intervention group were routine. On the basis of intervention, 9 months of action research based home-based aerobic exercise intervention was conducted. Before and after intervention, the two groups of patients' exercise cognition, self-management ability, disease related symptoms and physical level changes and assessment of the patient's exercise compliance were compared, and the effect of home-based aerobic exercise intervention based on action research was analyzed. The results were 1. basis. The result of the line survey (1) a total of 142 patients with maintenance hemodialysis were investigated in this study, and 72 cases were completed in 80 cases, 36 cases in the intervention group and the control group, 43 in males and 29 in women; the average age was 26~65 years, the average was (45.82 + 11.075) years old. (2) 142 cases of maintenance hemodialysis patients, 69.. 0% exercised occasionally; 47.2% patients with regular exercise.76.8% had less knowledge of exercise related knowledge and 89.4% of the patients had sports knowledge related needs. (3) the highest score of sports cognition in maintenance hemodialysis patients was 80, the lowest was 27, the average score (55.91 + 8.62), and the patients' cognition of sports benefits and dyskinesia. (4) the total score of self management ability in maintenance hemodialysis patients was from 24 to 80 points, the average was (54.42 + 10.51), and the self-management ability was in the middle and low level, 108 cases (76.1%), among which the self nursing dimension was the highest and the emotional processing dimension was lowest. (5) the symptoms of maintenance hemodialysis patients occurred. The first five symptoms were fatigue (92.3%), pruritus (86.6%), dry skin (85.9%), difficulty in falling asleep (85.2%), and dry mouth (84.5%), and the severity (3) in the top five were weak (30.3%), difficulty falling asleep (27.5%), prone to awake (27.5%), sexual dysfunction (27.5%), itching (25.4%), etc. The basic data of the patients, exercise cognition, self management ability, the degree of disease symptoms and the level of physical level were not statistically significant (P0.05). The results were compared with the results of.2. intervention (1) the prognosis of home aerobic exercise based on action research, and the score and total score of exercise benefits and dyskinesia in the intervention group were significantly higher than those in the intervention group. The control group (P0.05). (2) the score and total score of the self-management ability of the intervention group were significantly higher than that in the control group (P0.05). (3) the total score of the incidence of disease syndrome in the intervention group was significantly higher than that in the control group (P0.05) based on the action research (P0.05). (4) the patients in the intervention group were significantly higher than the control group. Compared with the control group, there was no significant improvement in the grip strength between the intervention group and the control group (P0.05), the walking speed and the 10 sitting test were significantly higher than those of the control group (P0.05). Conclusion: the exercise status of the 1. maintenance hemodialysis patients is not good, since my management ability is in the middle and low level, the symptoms of the disease are complex and many Home-based aerobic exercise intervention based on action research can improve the exercise cognition and compliance in maintenance hemodialysis patients, improve the patient's self management ability and disease related symptoms, and enhance the physical ability of the patients with.2..
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 程雪濤;馮雪;劉國蓮;馬楠楠;;維持性血液透析患者家庭功能與自我管理能力相關(guān)性研究[J];中國現(xiàn)代醫(yī)學(xué)雜志;2016年18期

2 馮雪;程雪濤;劉國蓮;馬楠楠;;維持性血液透析患者運(yùn)動(dòng)、睡眠與生活質(zhì)量的相關(guān)性研究[J];哈爾濱醫(yī)藥;2016年04期

3 王玲;葉霞;高宏;;行動(dòng)研究法對(duì)維持性血液透析患者液體攝入依從性的影響[J];江蘇衛(wèi)生事業(yè)管理;2016年02期

4 董永欣;時(shí)秋英;徐甜甜;臧格;;血液透析患者運(yùn)動(dòng)行為現(xiàn)況調(diào)查及自我管理模式的構(gòu)建[J];中國實(shí)用神經(jīng)疾病雜志;2016年05期

5 葛玉榮;閆樹英;趙麗麗;孟嵐;李海霞;趙鳳梅;;行動(dòng)研究法在護(hù)士科研能力培訓(xùn)中的應(yīng)用[J];中華護(hù)理雜志;2016年01期

6 鐘彤;陳沁;;行動(dòng)研究在護(hù)理領(lǐng)域的應(yīng)用進(jìn)展[J];全科護(hù)理;2015年10期

7 李紅;鄭劍煌;汪銀洲;陳麗麗;陳曉歡;;行動(dòng)研究法在老年期癡呆患者進(jìn)食護(hù)理中的應(yīng)用[J];中華護(hù)理雜志;2015年03期

8 汪靜;李江;陳芙庭;;維持性血液透析患者運(yùn)動(dòng)療法的研究進(jìn)展[J];中國康復(fù)理論與實(shí)踐;2014年12期

9 王星燕;計(jì)丹英;王蕊;崔文英;孫柳;;血液透析病人透析期間運(yùn)動(dòng)現(xiàn)狀及意愿和障礙的調(diào)查分析[J];護(hù)理研究;2014年28期

10 孫柳;王星燕;李莉;肖靜;崔文英;;血液透析患者透析過程中運(yùn)動(dòng)鍛煉行為階段的調(diào)查研究[J];中華護(hù)理雜志;2014年05期

相關(guān)博士學(xué)位論文 前3條

1 韓文軍;腹部手術(shù)后患者靜脈自控鎮(zhèn)痛護(hù)理管理方案的行動(dòng)研究[D];第二軍醫(yī)大學(xué);2014年

2 李芳芳;護(hù)理學(xué)碩士研究生專業(yè)課程資源共享體系的構(gòu)建研究[D];第二軍醫(yī)大學(xué);2012年

3 邢唯杰;乳腺癌個(gè)案管理護(hù)理實(shí)踐模式的建構(gòu)與實(shí)施：一項(xiàng)行動(dòng)研究[D];復(fù)旦大學(xué);2011年

相關(guān)碩士學(xué)位論文 前10條

1 張曉慶;維持性血液透析患者癥狀負(fù)擔(dān)調(diào)查及影響因素分析[D];浙江中醫(yī)藥大學(xué);2016年

2 董永欣;自我管理教育在維持性血液透析患者體力活動(dòng)中的應(yīng)用研究[D];鄭州大學(xué);2015年

3 余馨;抗阻運(yùn)動(dòng)對(duì)血液透析患者軀體功能和生活質(zhì)量干預(yù)效果的研究[D];北京協(xié)和醫(yī)學(xué)院;2014年

4 梁玉婷;維持性血液透析患者胃腸道癥狀的觀察與臨床相關(guān)性研究[D];南方醫(yī)科大學(xué);2014年

5 孔慶芳;老年人—照顧者—護(hù)士互動(dòng)護(hù)理模式的行動(dòng)研究[D];第二軍醫(yī)大學(xué);2013年

6 喬杉;血液透析患者疲勞狀況與體力活動(dòng)水平相關(guān)性研究[D];吉林大學(xué);2013年

7 劉茜;維持性血液透析患者體力活動(dòng)現(xiàn)狀及影響因素的研究[D];北京協(xié)和醫(yī)學(xué)院;2012年

8 申海艷;居家有氧運(yùn)動(dòng)對(duì)血液透析患者身心健康的影響[D];南華大學(xué);2012年

9 冷成香;有氧運(yùn)動(dòng)對(duì)維持性血液透析患者的干預(yù)效果研究[D];天津醫(yī)科大學(xué);2012年

10 李慧;血液透析患者自我管理現(xiàn)狀及影響因素的研究[D];北京協(xié)和醫(yī)學(xué)院;2011年

，

本文編號(hào)：1961876