个体化运动处方联合阶梯式心理干预在尿毒症伴睡眠障碍患者中的应用
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Application of Individualized Exercise Prescription Combined with Stepped Psychological Interventionin PatientswithUremiaand SleepDisorders
HE Sha，JIANG Xiaojuan
（Second People's Hospital of Taixing City，Taizhou 22540O，China）
AbstractObjective：Toexploretheapplicationof individualizedexercise prescriptioncombined with stepped psychological intervention during maintenance hemodialysistreatment in patientswith uremiaand sleepdisorders.Methods：Atotalof116patientswithuremiaandslpdisorderswhounderwentmaintenance hemodialysistreatmentattheNephrology BloodPurification Centerof Second People's HospitalofTaixing Cityfrom January 2022 to October 2024 were selected as the studysubjects.They wererandomlydividedintoacontrol groupandanobservation group，with 58 patients ineach group，using arandom numbertable method.Thecontrol groupreceivedasteppedpsychological intervention，hiletheobservationgroupreceivedindividualizedexerciseprescriptioncombined withstepped psychological intervention.The HamiltonAnxietyScale（HAMA）and HamiltonDepression Scale（HAMD）wereusedtocompare theimprovement efects ofanxietyanddepresion intwo groups beforeandafterintervention.ThePitsburgh SleepIndex（PSQI）wasused toevaluatesleepeffciency，duration，degreeofimpairment，andtimeto sleepbeforeandafter intervention.TheFatigue Scale-14（FS-14）wasusedtoevaluatethefatiguesymptomsof patients beforeand afterintervention，with hgherscores indicating moresevere fatigue.Results：Afterintervention，the HAMAandHAMDscoresin theobservationgroupweresignificantlylowerthanthoseithecontrol group.Thesleepfcienyduration，degreofobstruction， andsleeponset timescores oftheobservationgroup weresignificantlylowerthanthoseofthepsychologicalcontrol group.The physicaland mentalfatigue scoresof heobservation groupweresignifcantlylower thanthoseofthepsychologicalcontrolgroup， and the diferences between the two groups were statistically significant（ P<0.05 ）. Conclusion： Individualized exercise prescriptioncombinedwithsteppedpsychologicalinterventionhassignificantefectsonthemaintenancehmodialysistreatmentofpatients withuremiaandsleepdisorders.Ithassignificantbenefitsinimprovingtheiranxietyanddepression，reducingsleepdisordersand fatigue levels.
KeywordsUremia；Individualization；Exerciseprescription；Steppedpsychological intervention；Hemodialysis；Sleepdisorders;； Fatigue; Anxiety
中图分类号：R338.63；R459.5 文献标识码：A doi：10.3969/j. issn. 2095-7130.2025.02.053
尿毒症标志着肾功能衰竭的晚期阶段，虽然这是一种不可逆的疾病，但通过适当的临床治疗和管理，可以有效地控制并发症，保护剩余的肾功能，并提高患者的生存率[1]。（剩余5471字）