Observation on the effect of resistance exercise in alleviating fatigue symptoms in hemodialysis patients
抗阻力运动改善血液透析患者乏力症状的效果观察

摘要

目的 探究在血液透析患者的治疗中，抗阻力运动对患者乏力症状的改善效果。方法 筛选2024年2月至2026年2月在我院进行血液透析治疗的80例患者纳入样本展开研究，将随机数字表法作为分组依据，分两组各40例，对照组患者采取常规血液透析护理干预，观察组在其基础上开展个体化抗阻力运动干预，对比两组患者的干预效果。结果 观察组患者干预后的Piper疲乏修订量表（RPFS）评分比对照组更低（P＜0.05）；干预前两组患者的各项躯体功能指标间无显著差异（P>0.05），干预后观察组患者的6分钟步行距离、握力、30s坐立次数指标均高于对照组（P＜0.05）；干预前两组患者的实验室指标间无显著差异（P>0.05），干预后观察组患者血清白蛋白和血红蛋白指标均高于对照组，且C反应蛋白指标比对照组更低（P＜0.05）。结论 在血液透析患者的治疗中，抗阻力运动可有效改善患者的疲乏症状，提高患者的躯体功能，改善其营养失衡和微炎症状态，具有推广应用价值。

Abstract

Objective To explore the improvement effect of resistance exercise on fatigue symptoms in hemodialysis patients.
Methods Eighty patients who underwent hemodialysis treatment in our hospital from February 2024 to February 2026 were selected as the sample for the study. The random number table method was used as the grouping basis, with 40 patients in each group. The control group received routine hemodialysis nursing intervention, while the observation group received personalized resistance exercise intervention on top of it. The intervention effects of the two groups of patients were compared.
Results The Revised Piper Fatigue Scale (RPFS) score of the observation group patients after intervention was lower than that of the control group (P<0.05); There was no significant difference in various physical function indicators between the two groups of patients before intervention (P>0.05). After intervention, the observation group had higher 6-minute walking distance, grip strength, and 30s sitting and standing frequency indicators than the control group (P<0.05); There was no significant difference in laboratory indicators between the two groups of patients before intervention (P>0.05). After intervention, the serum albumin and hemoglobin indicators of the observation group were higher than those of the control group, and the C-reactive protein index was lower than that of the control group (P<0.05).
Conclusion   In the treatment of hemodialysis patients, resistance exercise can effectively improve their fatigue symptoms, enhance their physical function, improve their nutritional imbalance and micro inflammatory state, and has the value of promotion and application.