“血液透析期间的运动和促进健康的行为：一项临床试验”。
"Exercise during hemodialysis and health promoting behaviors: a clinical trial".
机构信息
Department of Dialysis, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Kidney Diseases Research Center, Department of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
BMC Nephrol. 2019 Mar 19;20(1):96. doi: 10.1186/s12882-019-1276-3.
BACKGROUND
Health promoting behaviors are among the determinants of health. Hemodialysis causes significant changes in the lives of patients and affects their health promoting behaviors. Accordingly, this study aimed at investigating the effect of exercise during hemodialysis on health promotion behaviors in patients undergoing hemodialysis.
METHODS
This study was a two-stage (before and after) clinical trial. The sample of the study consisted of 60 hemodialysis patients in two hospitals in Isfahan who were selected randomly and divided into two groups of control and intervention using random allocation method. A 8-week exercise program by stationary bicycles (Mini-bike) was designed for the intervention group, while the control group underwent a 10-min limbering exercise for 8 weeks. Data were collected using demographic questionnaire and the Health Promoting Lifestyle Profile II (HPLP-II) questionnaire before and after the intervention and were analyzed using SPSS21 software.
RESULTS
Based on the independent t-test results, no significant difference was observed between the mean score of health promoting behaviors and its areas before the intervention (P > 0.05). However, the results of this test showed that the mean score of health promoting behaviors and its areas, except for the areas of responsibility (P = 0.052) and spirituality (P = 0.211), was significantly different between the two groups after the intervention (p < 0.05).
CONCLUSIONS
The results of this study showed that exercise with stationary bicycle during hemodialysis could promote health promoting behaviors. Thus, this exercise is recommended to be considered as part of the therapeutic protocol of these patients in hemodialysis departments.
TRIAL REGISTRATION
The clinical trial was found to be in accordance to the ethical principles and the national norms and standards for conducting medical research in Iran. IRCT registration number: IRCT20150116020675N3 . Registration date: 2019-01-18, 1397/10/28 Approval ID: IR.MUI.
RESEARCH
REC.1397.014 Approval Date: 2018-07-01 Evaluated by: Vice-Chancellor in Research Affairs -Medical University of Isfahan.
背景
促进健康的行为是健康的决定因素之一。血液透析会给患者的生活带来重大改变，并影响他们的促进健康行为。因此，本研究旨在调查血液透析过程中的运动对血液透析患者健康促进行为的影响。
方法
这是一项两阶段（前后）临床试验。研究样本包括伊斯法罕两所医院的 60 名血液透析患者，采用随机分配方法将他们分为对照组和干预组。为干预组设计了为期 8 周的固定自行车（Mini-bike）运动方案，而对照组则在 8 周内进行 10 分钟的热身运动。干预前后使用人口统计学问卷和健康促进生活方式量表 II（HPLP-II）问卷收集数据，并使用 SPSS21 软件进行分析。
结果
根据独立 t 检验结果，干预前健康促进行为及其各领域的平均得分无显著差异（P>0.05）。然而，该检验结果表明，干预后健康促进行为及其各领域的平均得分除责任领域（P=0.052）和精神领域（P=0.211）外，两组间存在显著差异（p<0.05）。
结论
本研究结果表明，血液透析过程中使用固定自行车运动可以促进健康促进行为。因此，建议将这种运动作为血液透析科这些患者治疗方案的一部分。
试验注册
该临床试验符合伊朗进行医学研究的伦理原则和国家规范标准。IRCT 注册号：IRCT20150116020675N3 。注册日期：2019-01-18，1397/10/28 批准 ID：IR.MUI。
研究
REC.1397.014 批准日期：2018-07-01 评估人：伊斯法罕医科大学研究事务副校长。
Zotero 插件