体育锻炼对肾移植受者生活质量的影响

背景:国外研究证实体育锻炼能提高肾移植受者的生活质量,而国内报道较少。目的:探讨体育锻炼对肾移植受者生活质量的影响。方法:选择53例稳定期肾移植受者,随机分为试验组(n=28)和对照组(n=25),试验组受者进行有计划的体育锻炼,对照组不参加体育运动;同时随机选取常规血液透析者51例比较其与肾移植受者生活质量差异。健康调查量表进行生活质量评分,观察规律体育运动6个月后两组在躯体功能、社会功能等8个维度方面的区别。结果与结论:肾移植6周左右受者在躯体功能、生理职能、躯体疼痛、总体健康、活力领域分值均高于血液透析患者(P<0.05),但情感职能、心理健康及社会功能领域比较,差异无显著性意义(P>0.05)。经过6个月的体育锻炼,试验组与对照组各项评分比移植后6周时均有所升高,但对照组在活力、心理健康、社会功能领域与移植后6周时改善不明显;试验组比对照组躯体功能、生理职能、躯体疼痛、活力、心理健康及社会功能领域评分均明显升高(P<0.05),说明体育锻炼能显著改善肾移植受者的生活质量。

Effects of physical exercise on life quality of kidney transplant recipients

BACKGROUND:A great number of researches abroad have demonstrated that exercise training has beneficial effects on the life quality of kidney transplant recipients.OBJECTIVE:To assess the effects of physical exercise training on life quality of kidney transplant recipients.METHODS:Fifty-three patients with renal transplantation were randomly divided into experimental group (n=28) and control group (n=25).The patients in the experimental group received systematic physical exercise training and continued at least 6 months and patients in the control group without physical exercise training.Fifty-one cases of hemodialysis patients were randomly selected to compare the differences of life quality with kidney transplant recipients.Health survey was used for the life quality scores.The eight dimensions,such as physical function,and social function were compared between two groups after systematic physical exercise for 6 months.RESULTS AND CONCLUSION:Exercising patients had higher scores in the physical functioning,physical performance,bodily pain,vitality,role-emotional functioning and social functioning scales than the ones in the control group (P < 0.05).There was no significant difference in role-emotional functioning,mental health and social functional areas (P > 0.05).After 6 months physical exercise,the scores in the experimental group and the control group were increased compared with those at 6 months after transplantation.In the control group,the vitality,role-emotional functioning and social functioning scales were not improved obviously.Compared with the control group,the physical functioning,physical performance,bodily pain,vitality,role-emotional functioning and social functioning scales in the experimental group were increased obviously (P < 0.05).Evidence gathered from the studies shows that physical exercise has beneficial effects on the life quality of kidney transplant recipients.