开发和评估使用ADOPT模型对脆弱脏移植接受者进行家庭运动干预
Hui-Hui Fan1, Hong Yuan1, Bin Liu2,3
1Department of Nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan 030032, China.
Journal of nephrology
|March 10, 2026
概括
使用ADOPT模型的家庭炼计划改善了脆弱脏移植接受者的身体功能和生活质量. 这种干预是安全的和可行的,可以促进移植后的早期恢复.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植医学 移植医学
- 老年病的医生 老年病的医生
背景情况:
- 在移植接受者中,脆弱性很普遍,在中国影响高达41%.
- 国际研究报告说,在这个人群中,脆弱的患病率从13.3%到33.3%不等.
- 为脆弱的脏移植接受者开发有效的干预措施对于改善结果至关重要.
研究的目的:
- 为脆弱的脏移植接受者开发一个家庭运动干预计划.
- 为了评估ADOPT (态度-定义-开放思维-规划-试试) 基于模型的程序的有效性.
- 评估该计划对身体功能和生活质量的影响.
主要方法:
- 120名脆弱脏移植接受者被招募并随机分为干预组和对照组.
- 干预组接受了标准护理以及基于ADOPT模型的家庭炼计划.
- 结果包括脆弱性得分,身体表现,焦虑,抑郁和生活质量在48周内被测量.
主要成果:
- 干预组在脆弱性得分,握力,步行速度和身体表现方面显著改善.
- 与对照组相比,干预组的生活质量得分显著改善.
- 干预组中观察到焦虑和抑郁症的显著减少.
结论:
- 基于ADOPT模型的家庭炼干预是安全的,科学合理的,对于脆弱的脏移植接受者来说是可行的.
- 该计划显示了提高术后身体功能和恢复质量的潜力.
- 这种干预可以改善每日生活活动和在移植后的早期阶段的整体恢复.
相关概念视频
01:16Kidney Transplant III: Nursing Management
488
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
488
01:28Kidney Transplant I: Introduction
637
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
637
01:28Chronic Kidney Disease III: Interprofessional Care
565
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
565
01:18Chronic Kidney Disease IV: Nursing Management
523
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
523
01:25Chronic Kidney Disease I: Introduction
936
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
936
01:22Acute Kidney Injury VI: Nursing Management
624
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
624