营养支持联合运动训练对血液透析患者疲乏与衰弱干预效果研究 .pdf

营养刻寺联训酬寸析患与衰弱开究

【摘要】目的：研究营养支持联合运动训练对血液透析患者疲乏与衰弱况的影响。方法:选取2022年1月一2023

年8月维持性血液透析患者40例，随机分为对照组和研究组，各20例。对照组给予常规护理，研究组增加营养支持和

运动训练干预。比较两组干预前后生活质量、日常生活能力(ADL)、衰弱况(TFI)和疲乏况(RPFS)。结果：

干预后，研究组生活质量评分及ADL评分高于对照组，TFI评分和RPFS评分低于对照组(Pv0.05)。结论：营养支

持联合运动训练可改善血液透析患者疲乏和衰弱况，提升生活质量，建议临床推广。

【关键词】营养支持；运动训练；血液透析；疲乏；衰弱

Studyontheinterventioneffetofombinednutritionalsupportandexerisetrainingonfatigueandfrailtyin

hemodialysispatients

WEIYongmei

HemodialysisRoomoftheSeondPeoplesHospitalofHefeiCity,Anhui(HefeiHospitalAffiliatedtoAnhui

MedialUniversity),Hefei,Anhui230011,China

[Abstrat]Objetive：Tostudytheeffetofnutritionalsupportombinedwithexerisetrainingonfatigueand

frailtyinhemodialysispatients.Methods：FortymaintenanehemodialysispatientsfromJanuary2022toAugust2023

wereseletedandrandomlydividedintotheontrolgroupandthestudygroup,with20patientsineahgroup.The

ontrolgroupreeivedroutineare,whilethestudygroupreeivedadditionalnutritionalsupportandexerisetraining

intervention.Thequalityoflife,ativitiesofdailyliving(ADL),frailtystatus(TFI),andfatiguestatus(RPFS)

ofthetwogroupsbeforeandafterinterventionwereompared.Results：Afterintervention,thequalityoflifesoresand

ADLsoreinthestudygroupwerehigherthanthoseintheontrolgroup,whiletheTFIsoreandRPFSsoreswere

lowerthanthoseintheontrolgroup(P0.05).Conlusion：Nutritionalsupportombinedwithexerisetrainingan

improvefatigueandweaknessinhemodialysispatients,enhanetheirqualityoflife,andisreommendedforlinial

use.

[Keywords]Nutritionalsupport；Exerisetraining；Hemodialysis；Fatigue；Frailty

衰弱是一种以机体抵抗力下降、脆弱性增加为特征的临床综合征。当个体处于衰弱态时，即使轻微的外界刺激

也可能引发严重并发症或不良事件，如跌倒，导致生活质量严重下降，甚至威胁生命[1]。血液透析是终末期肾病患者维