一个简单的炼计划,为患有末期脏疾病的患者改善力量和生活质量:临床研究协议
Rita S Suri1, Louise Moist2, Charmaine Lok3
1Department of Medicine, Research Institute of the McGill University Health Centre, Montreal, QC, Canada.
Canadian journal of kidney health and disease
|October 30, 2023
概括
患有末期病 (ESKD) 的患者可以通过北欧步行计划来提高力量并减少疲劳. 这项试点研究显示了在透析中ESKD患者的运动干预措施的可行性和患者喜欢的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 大多数末期病 (ESKD) 患者希望增加体力活动,但面临着缺乏指导,可访问的计划和成本等障碍.
- 患者优先考虑加强肌肉力量和减轻症状的运动计划,而不是预防心血管疾病.
研究的目的:
- 评估使用北欧步行杆进行结构化炼计划的可行性,用于透析中ESKD患者.
- 评估患者的招募,坚持和干预对力量,疲劳和睡眠的影响.
主要方法:
- 一个随机的多中心试验试验,将北欧步行计划 (杆子,计步器,视频,医生处方) 与维持透析患者的标准护理进行比较.
- 纳入标准侧重于能够使用行走杆的门诊ESKD患者;排除标准涉及禁忌和高基线活动水平.
- 通过招募率和坚持率 (>75%实现>80%规定的步骤) 评估可行性;通过手握强度,坐立测试,活力和睡眠质量衡量有效性.
主要成果:
- 该研究通过结合在线资源以保持参与者的参与,适应了COVID-19大流行.
- 招募和坚持数据,以及不良事件监测,为未来的大规模试验提供了洞察力.
结论:
- 北欧步行炼计划是透析的门诊ESKD患者的可行的干预措施,解决患者确定的改善力量和减少疲劳的需求.
- 这些发现支持制定定制,可访问的炼计划,以改善ESKD患者的生活质量.
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