团体爱笑瑜伽对维持性血液透析患者生活质量的影响

目的 探讨团体爱笑瑜伽对维持性血液透析患者生活质量的影响,为慢性病患者运动干预提供参考依据。方法 将邵阳市中心医院血透中心的血液透析患者将按入院先后顺序编号,用随机数字表法随机分配至干预组、对照组,对照组入选37例,干预组入选36例。2组均接受常规护理,干预组的患者接受12周的团体爱笑瑜伽干预。在干预前、干预结束12周时采用血压、肺活量、肌力、肾脏疾病生活质量量表评估干预效果。结果 干预组干预后肺活量、肌力、一般健康相关生活质量量表得分、肾脏病相关的生活质量量表得分、一般健康状况、生理职能、精力、精神健康、肾病给生活造成的负担、社会支持、总体健康评估、患者满意程度、透析工作人员的鼓励高于对照组,血压低于对照组,差异有统计学意义（P<0.05）。结论 团体爱笑瑜伽可以稳定维持性血液透析患者血压、增加其肌力、肺活量,从而提高其生活质量。

Effect of Group Laughter Yoga on Quality of Life of Maintenance Hemodialysis Patients

Objective To investigate the effect of group laughter yoga on the quality of life of maintenance hemodialysis(MHD) patients and provide reference for exercise intervention for patients with chronic diseases. Methods MHD patients in the hemodialysis center of Central Hospital of Shaoyang were randomly divided into the intervention group (n=36) and the control group (n=37). Both groups received routine care, and the intervention group additionally a 12-week group laughter yoga intervention. Blood pressure, lung volume and muscle strength were recorded, and Kidney Disease Quality of Life short Form (KDQOL-SFTM) were used to assess the intervention effect. Results After the intervention, there were better results in the intervention group in terms of lung volume, muscle strength, the score of SF-36 and Kidney Disease Target Areas, general health status, physiological function, energy, mental health, burden of kidney disease on life, social support, overall health assessment, patient satisfaction and the score of medical staff encouragement. The blood pressure of the intervention group was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Group laughter yoga can stabilize the blood pressure, increase their muscle strength and lung volume, improve the quality of life in MHD patients .