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晚期慢性肾脏病患者身体活动水平与功能能力的关系

The Relationship between Physical Activity Levels and Functional Capacity in Patients with Advanced Chronic Kidney Disease.

作者信息

Junqué Jiménez Anna, Esteve Simó Vicent, Andreu Periz Lola, Segura Ortí Eva

机构信息

Nephrology Department, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain.

School of Nursing, University of Barcelona, Barcelona, Catalonia, Spain.

出版信息

Clin Nurs Res. 2021 Mar;30(3):360-368. doi: 10.1177/1054773820907757. Epub 2020 Feb 19.

DOI:10.1177/1054773820907757
PMID:32075428
Abstract

The purpose of this study is to assess whether the functional capacity of patients with chronic kidney disease stage V (CKD-5D) is different depending on their physical activity levels. We also compared functional capacity, quality of life, and symptoms of depression depending on treatment modalities (HD vs. PD). A Cross-sectional study included 52 patients (35HD and 17PD; males 61.5%, mean age 71 years). The main measurements were physical activity level using the Human Activity Profile questionnaire (HAP), muscle strength, functional capacity, health-related quality of life (HRQoL), and depressive symptomatology. The functional tests and physical activity levels correlated significantly. Participants on HD with low physical activity levels were older (* ≤ .039) and had worst physical function (* ≤ .01). The HAP is a useful tool to detect subjects with low functional capacity; there were no differences between the therapy modalities in terms of functional capacity, HRQoL, or depressive symptomatology.

摘要

本研究的目的是评估慢性肾脏病5期(CKD - 5D)患者的功能能力是否因其身体活动水平而异。我们还根据治疗方式(血液透析与腹膜透析)比较了功能能力、生活质量和抑郁症状。一项横断面研究纳入了52例患者(35例血液透析和17例腹膜透析;男性占61.5%,平均年龄71岁)。主要测量指标包括使用人类活动概况问卷(HAP)评估的身体活动水平、肌肉力量、功能能力、健康相关生活质量(HRQoL)和抑郁症状。功能测试与身体活动水平显著相关。身体活动水平低的血液透析参与者年龄更大(≤0.039)且身体功能更差(≤0.01)。HAP是检测功能能力低下受试者的有用工具;在功能能力、HRQoL或抑郁症状方面,治疗方式之间没有差异。

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