体育锻炼对肝移植受体者健康相关生存质量的影响

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体育锻炼对肝移植受体者健康相关生存质量的影响

周琛;张林颖;王宇

【期刊名称】《中华现代护理杂志》 【年(卷),期】2012(018)025

【摘 要】目的 了解肝移植受体的健康相关生存质量(HRQOL)及参加体育锻炼的情况,分析体育锻炼对HRQOL的影响.方法 按照每周是否进行1次有氧体育活动,每次持续30 min以上的标准,将2004年1月至2010年12月第四军医大学西京医院器官移植中心进行术后随访的110例肝移植受体分为锻炼组26例和非锻炼组84例.以简明健康调查量表(SF-36)为主要研究工具,对110例肝移植受体者进行HRQOL调查,同时收集肝移植受体的一般资料、并发症情况和参加体育锻炼情况.结果 肝移植受体中锻炼组患者的高血压(11％)、关节炎(2％)和骨质疏松(3％)发生率明显低于非锻炼组(56％,25％,29％),两组比较,差异有统计学意义(x2分别为4.95,5.22,5.29；P ＜0.05).锻炼组BMI指数为(22.9±4.6),非锻炼组为(27.4±6.8),两组比较,差异有统计学意义(t=3.16,P=0.002)；乙型肝炎、糖尿病、恶性肿瘤的发生率比较,差异无统计学意义(P＞0.05)；与非锻炼组相比,锻炼组的总评分值、生理功能健康总评分(PCS)、PF、RP、BP、GH、VT分值均有不同程度升高[(65.89±24.57)比(49.92±20.59),(69.24±29.64)比(40.71±20.96),(81.35±32.53)比(34.56±17.40),(75.12±39.27)比( 55.85±29.26),( 60.26±27.68)比

(27.23±16.69),(61.29±25.32)比(46.02±22.58),(54.84±20.45)比(44.25±25.83)],两组比较,差异有统计学差异(x2分别为3.31,2.13,9.57,4.57,7.61,2.94,1.92,P＜0.05)；RE、SF和MCS分值比较,差异无统计学意义(x2分别为1.39,0.45,1.17;P ＞0.05).多因素回归分析表明,体育锻炼、BMI指数及患关节炎和骨质疏松是肝移植


受体生理健康和HRQOL的主要影响因素.结论 体育锻炼对于肝移植受体保持生理健康,改善生存质量,具有积极意义.%Objective To investigate the effects of physical activty on the health-related quality of life (HRQOL) in liver transplant recipients.Methods According with the standard of physical activity participation in cardiovascular exercise one or more times per week for 30 min,totally 110 liver tranplantation recipients from Xi Jing Hospital,Affiliated to the Fourth Military Medical University between January 2004 and December 2011 were divided into active group ( 26 cases ) and inactive group ( 84 cases).And the patients were investigated with the medical outcomes study short form 36 (SF-36).The general datas,coexisting medical conditions and participation in regular physical activity were collected additionally.Results Significant differences between active and inactive subjects in the scores for the following scales were found:total score of SF-36 [ (65.89 ±24.57) vs (49.92 ±20.59) ],PCS[ (69.24 ±29.64) vs (40.71 ±20.96)],PF[(81.35 ±32.53) vs (34.56 ±17.40) ],RP[(75.12 ±39.27) vs (55.85 ±29.26) ],BP[ (60.26 ±27.68) vs (27.23

±16.69)],GH[(61.29±25.32) vs (46.02±22.58)],VT[(54.84±20.45) vs (44.25±25.83)] (x2 =3.31,2.13,9.57,4.57,7.61,2.94,1.92,respectively; P ＜ 0.05 ).But the score of RE,SF and MCS has no difference between active and inactive group( x2 =1.39,0.47,1.71,respectively; P ＞ 0.05).Compared with active group,the morbidity of hypertension,arthritis and osteopotosis and the value of BMI index of inactive group were higher.Multiple regression analysis indicated the related main factors of the recipients' physical health and HRQOL were physical activity,time


posttransplantation,BMI and the morbidity of arthritis and

osteopotosis.Conclusions Physical activity is very important to maintain physical health and improve HRQOL for liver transplant recipients. 【总页数】4页(P3001-3004) 【作 者】周琛;张林颖;王宇

【作者单位】710032西安,第四军医大学西京医院外科手术室;710032西安,第四军医大学西京医院肝胆胰脾外科;710032西安,第四军医大学西京医院外科手术室 【正文语种】中 文 【相关文献】

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