维持性血液透析病人体力活动与生活质量的相关性研究

[目的]了解维持性血液透析（MHD）病人体力活动水平及生活质量状况,探讨体力活动与生活质量的相关性。[方法]采用国际体力活动问卷（IPAQ）和简明健康状况量表（SF-36）对天津市某医院的维持性血液透析病人122例进行调查。[结果]在122例病人中,43例（35.2%）体力活动不足;MHD病人生活质量评分低于四川常模,差异有统计学意义;体力活动能量消耗与生理功能、生理职能、总体健康、活力、社会功能5个维度评分及生理健康总分、生活质量总分呈正相关。[结论]维持性血液透析病人体力活动水平和生活质量均有待提高,今后应重视病人的体力活动状况,鼓励病人适当增加体力活动,改善身体功能,提高生活质量。

Study on correlation between physical activity and quality of life of patients accepting maintenance hemodialysis

Objective：To know about the physical activity and quality of life among patients receiving maintenance hemodialysis（MHD）and probe into the correlation between physical activity and quality of life.Methods：A total of 122cases of patients who received hemodialysis in a hospital in Tianjin were investigated by using the international physical activity questionnaire（IPAQ）and MOS 36-item Short Form Health Survey（SF-36）.Results：In the 122cases,43（35.2%）cases were short of physical activity,the quality of life score of MHD patients was lower than the norm in Sichuan.There was statistical significant difference;Spearman correlation analysis demonstrated that the physical activity energy expenditure was positively correlated with the five dimension scores including physiological functions,physical function,general health,vitality,social function,total score of physical health and the total score of quality of life.Conclusion：Both the physical activity and quality of life of patients accepting maintenance hemodialysis are to be improved in the future.We should pay more attention to physical activity status of patients and encourage them to increase physical activity so as to improve their physical function and quality of life.