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慢性维持血液透析患者的上肢功能和身体活动:一个病例控制研究
Fatma Cansu Aktas Arslan1, Arzu Demirguc2, Naime Ulug3
1Department of Therapy and Rehabilitation, Sakarya University of Applied Sciences, Akyazi, Sakarya, Turkey.
Medicine
|October 13, 2023
概括
持续的血液透析 (HD) 治疗显著损害了上肢功能,减少了握力和运动范围. 与健康人相比,患有HD的患者也表现出较低的体力活动和功能能力.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 持续血液透析 (HD) 是对末期脏疾病的维持生命的治疗方法.
- 疾病治疗与各种并发症有关,可能会影响身体健康.
- 持续性HD对上肢功能和身体活动的影响需要彻底调查.
研究的目的:
- 评估持续性HD患者上肢功能能力.
- 评估持续接受HD治疗的患者的体力活动水平.
- 为了确定持续的HD对整体身体功能的影响.
主要方法:
- 一项涉及50名HD患者和50名健康对照者的比较研究.
- 客观测量包括手握强度 (动力计) 和上肢运动范围 (数字气球计).
- 主观评估使用了肩膀,手臂和手的问题问卷 (DASH-T),国际体力活动问卷 (IPAQ-SF) 和人类活动概况 (HAP).
主要成果:
- 与对照组 (23.3 ± 1.44 kg) 相比,HD患者的手握强度显著降低 (15.75 ± 3.08 kg).
- 在HD患者的所有上肢关节中观察到运动范围的减少.
- HD患者报告DASH-T得分较高,身体活动水平较低 (72%低活动),HAP得分较低.
结论:
- 持续的血液透析治疗会对手握力和关节运动产生负面影响.
- 患有HD的患者体验到上肢功能减弱和体力活动水平降低.
- 这些发现强调了需要进行干预措施,以减轻HD患者的功能衰退.
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