持续非卧床腹膜透析患者运动能力减退影响因素的路径分析

发布时间：2018-04-27 10:08

本文选题：持续非卧床腹膜透析 + 运动能力　；参考：《现代预防医学》2017年14期

【摘要】：目的对导致持续非卧床腹膜透析(CAPD)患者运动能力减退的影响因素进行路径分析。方法采用6 min步行试验(6MWT)、30 s起试验(CST)、自我管理量表和医院焦虑抑郁量表(HADS)对168例CAPD患者进行测评,分析影响CAPD患者运动能力减退的独立危险因素。采用Amos7.0软件进行路径分析。结果 CAPD患者6MWD中位数为421(345,478)m。Logistic回归分析示,下肢肌力、自我管理水平和抑郁是CAPD患者运动能力减退的独立危险因素。下肢肌力和自我管理水平对运动能力有直接正效应,也是抑郁对运动能力产生间接负效应的中介变量。结论 CAPD患者运动能力中等,其受到下肢肌力、自我管理水平和抑郁的直接、间接影响。护士可从各环节制定干预措施,以改善其运动能力状况。
[Abstract]:Objective to analyze the influencing factors of motor dysfunction in patients with continuous ambulatory peritoneal dialysis (CAPD). Methods Sixty-eight patients with CAPD were assessed with 6 min walking test (6 MWT), self-management scale and hospital anxiety and depression scale (HADS) for 30 s. The independent risk factors affecting motor dysfunction in CAPD patients were analyzed. Amos7.0 software is used for path analysis. Results 421(345478)m.Logistic regression analysis showed that lower limb muscle strength, self-management and depression were independent risk factors for motor dysfunction in patients with CAPD. Lower limb muscle strength and self-management level have direct positive effect on motor ability, and are also mediating variables of depression to produce indirect negative effect on motor ability. Conclusion the motor ability of CAPD patients is moderate, which is directly and indirectly affected by lower limb muscle strength, self-management and depression. Nurses can make intervention measures to improve their athletic ability.
【作者单位】：苏州大学附属第一医院;
【分类号】：R473.5

【参考文献】