Renal Dialysis Unit and Physiotherapy Department, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China.
Perit Dial Int. 2003 Dec;23 Suppl 2:S99-S103.
Previous reports have documented the benefits of exercise on the well-being of renal patients. However, fewer than 50% of our end-stage renal disease (ESRD) patients engage in regular exercise. To promote exercise, we implemented a home-based exercise program. The aim of the program was to reduce barriers to exercise by helping patients to exercise at their convenience and without the need to travel. The effect of the program was evaluated 3 months after implementation.
Each study participant received a videotape that demonstrated 30 minutes of low-capacity aerobic exercise. Participants were advised to exercise by following the demonstration on the videotape. Encouragement was given over the telephone. Self-reports on practice were recorded in a log book that was also provided. The effect of the program was evaluated by comparing outcomes data before, and 3 months after, implementation of the program. Outcomes assessment included functional mobility (timed "Up & Go" test), muscle flexibility ("Sit & Reach" test), physical capacity ("Six-Minute Walk"), and quality of life [Kidney Disease Quality of Life Short Form (KDQOL-SF)].
The program began with 72 participants. Over time, 39 dropped out. The remaining 33 participants included 11 men and 22 women with a mean age of 52.8 +/- 9.8 years. They exercised 3 - 7 times weekly. Significant improvements were observed in the timed "Up & Go" (p = 0.003) and "Sit & Reach" (p < 0.001) tests. Improvements in the "Six-Minute Walk" (p = 0.130) and in KDQOL-SF scores for emotional well-being (p = 0.456), pain (p = 0.100), burden of kidney disease (p = 0.061), and general health (p = 0.085) were statistically insignificant.
Physically, patients with ESRD benefit from home-based low-capacity aerobic exercise. A home-based program provides an alternative to outdoor and group exercise. In view of a high drop-out rate, intensive promotion and encouragement should be considered to achieve a positive outcome.
先前的报告已经证明了运动对肾病患者健康的益处。然而，我们的终末期肾病（ESRD）患者中只有不到 50%进行有规律的运动。为了促进运动，我们实施了一项基于家庭的运动计划。该计划的目的是通过帮助患者在方便的时候、无需出行来进行锻炼，从而减少运动的障碍。该计划的效果在实施 3 个月后进行评估。
每位研究参与者都收到了一盘演示 30 分钟低容量有氧运动的录像带。参与者被建议按照录像带中的演示进行锻炼。通过电话给予鼓励。实践情况的自我报告记录在提供的日志本中。通过比较实施该计划前后的结果数据来评估该计划的效果。结果评估包括功能机动性（计时“Up & Go”测试）、肌肉柔韧性（“坐立伸手”测试）、体能（“六分钟步行”）和生活质量[肾脏病生活质量简表（KDQOL-SF）]。
该计划开始时有 72 名参与者。随着时间的推移，有 39 人退出。剩下的 33 名参与者包括 11 名男性和 22 名女性，平均年龄为 52.8 +/- 9.8 岁。他们每周锻炼 3-7 次。在计时“Up & Go”（p = 0.003）和“坐立伸手”（p < 0.001）测试中观察到显著的改善。“六分钟步行”（p = 0.130）和 KDQOL-SF 评分中情绪健康（p = 0.456）、疼痛（p = 0.100）、肾脏疾病负担（p = 0.061）和一般健康（p = 0.085）的改善无统计学意义。
身体上，终末期肾病患者从基于家庭的低容量有氧运动中受益。家庭为基础的计划为户外运动和团体运动提供了一种替代方案。鉴于高退出率，应考虑加强推广和鼓励，以取得积极的结果。
