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如何将运动纳入透析患者的常规护理中?

How can exercise be incorporated into the routine care of patients on dialysis?

作者信息

Kutner Nancy G

机构信息

Department of Rehabilitation Medicine, Emory University, 1441 Clifton Rd. NE, Atlanta, GA 30322, USA.

出版信息

Int Urol Nephrol. 2007;39(4):1281-5. doi: 10.1007/s11255-007-9281-z.

DOI:10.1007/s11255-007-9281-z
PMID:17899428
Abstract

Regular physical activity and exercise can have many beneficial effects for dialysis patients. The provision of an opportunity for patients to exercise at their treatment center has several advantages, but almost any method of increasing activity is likely to be beneficial. In addition to in-center programs such as cycling exercise before or during dialysis, other exercise options include participation in community-based walking programs, water exercise or swimming, yoga, Tai Chi, or low-level strengthening programs. Physical therapy that is individualized to meet patients' needs is also especially appropriate for older persons. The essential condition is that the unit and staff are committed to a treatment culture that makes physical activity a priority. Asking patients what they are doing for regular exercise should be part of routine patient assessment.

摘要

规律的体育活动和锻炼对透析患者有诸多益处。为患者提供在治疗中心锻炼的机会有若干优点,但几乎任何增加活动量的方法都可能有益。除了透析前或透析期间的骑行锻炼等中心内项目外,其他锻炼选择还包括参加社区步行项目、水上运动或游泳、瑜伽、太极拳或低强度强化项目。根据患者需求进行个性化定制的物理治疗对老年人也尤为合适。关键条件是单位和工作人员致力于营造一种将体育活动作为优先事项的治疗文化。询问患者日常锻炼情况应成为常规患者评估的一部分。

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