非药物干预措施改善血液透析病人不宁腿综合征的网状Meta分析

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Non-pharmacological interventions for improving restless legs syndrome in hemodialysis patients： anetworkMeta-analysis

CHANG Zhongwen1，ZHAO Qian，HE Yapeng'，XU Huize'， ZHAO Jian'，ZHU Dongge'，HAN Minghua’ 1.Nursing Colegeof Shanxi Medical University，Shanxi O3oo1China；2.ShanxiProvincialPeople's Hospital *Corresponding Author ZHAO Qian，E-mail： zhaoqian_sara 126.com

AbstractObjective：Toevaluatetheefectofdiferenton-pharmacologicalinterventionsonrestlesslegssyndromeinemodialysis patientsbynetworkmetaanalsis，andtoprovideevidenceforlinicalnursingMethods：Therelevantrandomiedcontroldtralsin PubMed，CINAHL，theCochraneLibrary，EMbase，WebofScience，CNKI，WanFang database，VIP，andCBMdatabaseswere searchedbycomputer.TheretrievaltimewasfromdatabaseestablishmentoNovember3O，223.Thequalityoftheincluedliteratures wasevaluatedusing theCochrane handbook.Anetwork Meta-analysis wasperformedusing StataSE15.Osoftware torank interventions bycumulativerankingofareasundertheprobablitycurve.Funnelplotwasdrawnforpublicationbiastest.Results：Atotalof33articles wereincluded，ling5tientsdin2racologicaleretiosNtoketaalsissultsodcool dialysate，laveereaselyias，tgeestiallssguptaioeiie footbathcombinedwithacupuncure，reflexology，Chinese medicinefootbathandpointmasage，bicycleexerciseandChineseedicine footbath weresuperiorto thecontrol groupin improving the symptomsof restless legs indialysispatients，SUCRA values were 99.6% ， 92.2% 75.4% 72.1% 67.9% 67.4% 65.6% 57.2% ， 47.7% ，and 41.9% ，respectively.Stretching exercises were the most effective in improving sleep，followed byreflexologyand aerobic exercise，SUCRAvalueswere 84.0%，80.7% and 79.4% ，respectively.Conclusion： Non-pharmacologicalinterventionhasobviousefectontheimprovementofrestlesslegssyndromeinhemodialysispatients.Low temperaturedialysisitebestinterventiomeasuretoiproverstlesslgsymptomsinemodialysispatientsAndstretchngeciseis thebestnterventiomeasuretoimprovesleeponditions.Inthefutureevidencebasednonharmacologicalinterventionsouldbeused in clinical practice.

Keywordsnonpharmacologicalintervention；hemodialysis；restlesslegssyndome；network Metaanalysis；evidence-based nursing

doi：10.12102/j.issn.1009-6493.2025.08.009

不宁腿综合征（restlesslegssyndrome，RLS）是一种常见的感觉运动障碍，通常表现为下肢在休息时出现阵痛或爬行感，尤其在夜间发作，通过运动可以缓解或改善症状1-2]。（剩余15334字）