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[物理康复对肾移植术后生活质量的影响]

[Influence of physical rehabilitation on quality of life after renal transplantation].

作者信息

Zhirnova T Iu, Achkasov E E, Tsirul'nikova O M, Shilov E M, Dobrovol'skiĭ O B

出版信息

Vestn Ross Akad Med Nauk. 2014(3-4):65-70. doi: 10.15690/vramn.v69i3-4.998.

Abstract

BACKGROUND

Aim of this study was to evaluate the role of physical rehabilitation to improve the quality of life (QOL) of people after kidney transplantation.

PATIENTS AND METHODS

Analyzes the results of treatment of 57 recipients (mean age 35 +/- 9.65 years) donor kidney at different times of the postoperative period. Depending on the physical rehabilitation program allocated 3 groups of patients: group II--physical rehabilitation was carried out only in the first week after surgery to prevent early postoperative complications, in group I--during the year; in group III combined 30 relatively healthy people do not need an organ transplant and with a mean age 33.7 +/- 8.7 years, leading a normal life, not engaged in regular recreational physical culture. Quality of life was assessed using a questionnaire SF36 at 1, 3, 6 and a 12 months after surgery.

RESULTS

One year after surgery in both groups compared with preoperative indicators marked improvement according to all scales of the questionnaire. However, in group I indicators of quality of life were higher than in group II from 11.4 to 19.7%, and even some items questionnaire SF-36 is higher than in group III which is associated with the physical rehabilitation.

CONCLUSION

It has been shown that exercises is an important component of treatment and rehabilitation after kidney transplantation and help improve both the psychological and the physical component of quality of life.

摘要

背景

本研究的目的是评估身体康复对提高肾移植术后患者生活质量(QOL)的作用。

患者与方法

分析57例接受供体肾移植患者(平均年龄35±9.65岁)在术后不同时间的治疗结果。根据身体康复计划将患者分为3组:第二组——仅在术后第一周进行身体康复以预防早期术后并发症;第一组——在一年期间进行康复;第三组由30名相对健康、平均年龄33.7±8.7岁、无需器官移植且过着正常生活、不参加定期休闲体育锻炼的人组成。在术后1、3、6和12个月使用SF36问卷评估生活质量。

结果

术后一年,与术前指标相比,两组在问卷的所有量表上均有显著改善。然而,第一组的生活质量指标比第二组高11.4%至19.7%,甚至SF - 36问卷的一些项目比第三组还高,这与身体康复有关。

结论

已表明运动是肾移植术后治疗和康复的重要组成部分,有助于改善生活质量的心理和身体方面。

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