Shahgholian Nahid, Eshghinezhad Ameneh, Mortazavi Mojgan
Department of critical care in Nursing and Midwifery School, Kidney diseases Research Center, Esfahan, Iran.
Student of Medical Surgical Nursing in Learning, Nursing and Midwifery School, Esfahan, Iran.
Iran J Nurs Midwifery Res. 2014 Mar;19(2):152-8.
Today, despite remarkable advances in the care of hemodialysis patients, the quality of life (QOL) for these patients is still unsatisfactory. Although previous reports confirmed the effect of exercise on the well-being of renal patients, less than 50% of end-stage kidney patients participate in a regular sports program. Tai chi is a slow and gentle exercise that is suitable for people with chronic illnesses and those with severe intolerance of exercise. Therefore, this study aimed to determine the effect of tai chi exercise on the QOL of hemodialysis patients.
This was a quasi-experimental study conducted in a single group and in two steps. Twenty-five hemodialysis patients, admitted to hospitals in Isfahan, Iran, were selected, and their QOL was compared before and after intervention in two domains of satisfaction and importance. Convenience sampling was used. The sampling was convenience. The subjects were trained in the intervention through a single session of tai chi exercise class for one hour weekly, for 12 weeks, with a training compact disc (CD) that helped the patients to exercise at least twice a week at home. Data were collected by the completion of a demographic characteristics form and a researcher-made QOL questionnaire adopted from Ferrans and Powers Quality of Life Index Dialysis Version and the Kidney Disease Quality of Life-Short Form (KDQOL-SF) questionnaire by the researchers. The data were analyzed by a paired t-test through SPSS software version 18.
Data analysis showed that there was a statistically significant difference in health and functioning (P < 0.001), socioeconomic (P < 0.001), and psychospiritual (P < 0.001) dimensions, and the family dimension had P = 0.002 in the satisfaction domain and P = 0.008 in the importance domain; the total score of quality of life in both domains was P < 0.001.
According to the research findings, tai chi exercise improves the QOL score significantly in all dimensions, and adding tai chi classes to the rehabilitation program of hemodialysis patients can have a positive effect including an improved QOL for them. Therefore, this study supports the results of other research studies that showed positive effects of tai chi on QOL.
如今，尽管血液透析患者的护理取得了显著进展，但这些患者的生活质量（QOL）仍不尽人意。虽然先前的报告证实了运动对肾病患者健康的影响，但不到50%的终末期肾病患者参与常规体育项目。太极拳是一种缓慢而柔和的运动，适合慢性病患者和运动耐受力极差的人群。因此，本研究旨在确定太极拳运动对血液透析患者生活质量的影响。
这是一项单组、分两步进行的准实验研究。选取了伊朗伊斯法罕医院收治的25名血液透析患者，并在满意度和重要性两个领域对其干预前后的生活质量进行比较。采用便利抽样法。每周通过一节一小时的太极拳课程对受试者进行干预培训，共12周，同时提供一张训练光盘，帮助患者在家中每周至少锻炼两次。研究人员通过填写人口统计学特征表格以及一份研究人员自制的生活质量问卷来收集数据，该问卷采用了费兰斯和鲍尔斯生活质量指数透析版以及肾脏病生活质量简表（KDQOL-SF）问卷。通过SPSS 18版软件进行配对t检验对数据进行分析。
数据分析表明，在健康与功能（P < 0.001）、社会经济（P < 0.001）和心理精神（P < 0.001）维度上存在统计学显著差异，家庭维度在满意度领域P = 0.002，在重要性领域P = 0.008；两个领域的生活质量总分均为P < 0.001。
根据研究结果，太极拳运动在所有维度上均显著提高了生活质量得分，在血液透析患者的康复计划中增加太极拳课程可产生积极效果，包括改善他们的生活质量。因此，本研究支持了其他显示太极拳对生活质量有积极影响的研究结果。
