The life readiness program: a physical rehabilitation program for patients on hemodialysis.

The life readiness program: a physical rehabilitation program for patients on hemodialysis.
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生活准备计划:针对血液透析患者的身体康复计划。

DOI:
10.1053/ajkd.2000.16197
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发表时间:
2000
期刊:
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子:
--
通讯作者:
M. Y. Lee
M. Y. Lee
中科院分区:
--
文献类型:
--
作者:
K. Tawney;P. J. Tawney;G. Hladik;S. Hogan;R. Falk;C. Weaver;D. T. Moore;M. Y. Lee

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接受血液透析 (HD) 的终末期肾病 (ESRD) 患者通常需要久坐,并且由于病情的原因,其功能受到限制。本研究的目的是测试生活方式身体康复计划(生命准备计划)对接受 HD 的 ESRD 患者身体功能的影响。身体功能通过肾脏疾病生活质量简表 (KDQOL-SF) 身体功能评分(范围:0 至 100)来测量。 82 名患者被随机分配接受为期 6 个月的康复计划(干预;n = 39)或单独接受标准临床管理(对照;n = 43)。这些组根据年龄、性别、种族和糖尿病作为 ESRD 的原因进行频率匹配。使用身体功能评分变化的一般线性模型进行多变量分析。基线时各组之间的身体功能评分没有差异。当根据匹配变量和透析充分性调整数据时,与对照组相比,干预组的身体功能评分变化显着增加(3.2,-3.6;P = 0.04)。此外,对照组因情绪问题而出现更多工作或日常功能问题(P:</= 0.05)。在这个为期 6 个月的简短干预中,生活准备计划展示了生活方式康复计划对接受血液透析的 ESRD 患者的功能结果和健康相关生活质量的治疗益处。
Patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) are typically sedentary and functionally limited as a consequence of their condition. The purpose of this study is to test the effect of a lifestyle physical rehabilitation program (The Life Readiness Program) on physical function in patients with ESRD undergoing HD. Physical function was measured by the Kidney Disease Quality of Life Short Form (KDQOL-SF) physical function score (range, 0 to 100). Eighty-two patients were randomly assigned to a 6-month rehabilitation program (intervention; n = 39) or to standard clinical management alone (control; n = 43). The groups were frequency matched by age, sex, ethnicity, and diabetes as the cause of ESRD. General linear modeling of the change in physical function score was used for multivariate analysis. Physical function scores were not different between groups at baseline. Change in physical function score increased significantly in the intervention group compared with the control group when data were adjusted for the matching variables and adequacy of dialysis (3.2, -3.6; P = 0.04). Additionally, the control group reported more problems with work or daily functions because of emotional problems (P: </= 0.05). In this brief 6-month intervention, The Life Readiness Program showed the therapeutic benefit of a lifestyle rehabilitation program on functional outcomes and health-related quality of life for patients with ESRD undergoing hemodialysis.
开始血液透析患者的心理功能、生活质量和行为依从性。
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发表时间: 1996
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影响因子: --
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