| Objective:To investigate the quality of life of maintenance hemodialysis(MHD)patients in single center and to study the clinical observation on the effect of Baduanjin on patients' quality of life.Method:During the first stage,a total of 60 MHD patients from Jiangsu provincial Hospital of traditional Chinese medicine were included in the study.Data was collected to investigate the quality of life,sleep quality,body composition and muscle strength,and analyze the relevant in fluencing factors of patients' quality of life,sleep quality and muscle strength.During the second stage,in the patients who were investigated in the first stage of our study,40 patients were selected to the second stage study according to the inclusion criteria.All patients were not randomly divided into Baduanjin treatment group and control group,with 20 patients in each group.The treatment group was treated with routine basic treatment and Baduanjin Exercise,while the control group was treated only with routine basic treatment.Observation for 6 months,to study the clinical observation of the effect of Baduanjin on patients'quality of life,sleep quality,blood pressure,heart rate,body composition and muscle strength in two groups.Result:During the first stage,the average score of physical component summary(PCS)is 59.63±24.91 points,including physical function70.75±26.47 points,role physical 49.17±43.41 points,bodily pain 70.55±22.50 points,and general health 48.08±26.76 points;the average score of mental component summary(MCS)is 63.65±23.14 points,including mental health 2.93±20.29 points,role emotional 64.45±45.47points,social function 65.95±22.55 points,vitality 51.27±22.88 points and the score of health transiton is 56.25±28.23 points.The average score of Pittsburgh sleep quality index(PSQI)is 9.05±4.83,and the incidence of sleep disorders is 66.7%.The average protein is 9.01±1.93kg,mineral is 3.11±0.61kg,body fat mass is 15.62±7.62kg,skeletal muscle mass is 25.22±5.82kg,body mass index(BMI)is 22.60±3.29kg/m2,and edema index is 0.383±0.010.The average muscle strength of the patients is 27.42±10.99kg,and the prevalence of sarcopenia is 40%.The score of PCS of the patients is related with age,comorbidity and edema index(P=0.002;P=0.044;P=0.017).The score of MCS is related with age(P=0.003).The score of PSQI is related with age and comorbidity(P<0.001;P=0.033).Muscle strength is related with gender,age,protein,mineral,skeletal muscle mass,and edema index(P<0.001;P=0.01 0;P<0.001;P<0.001;P<0.001;P=0.002).During the second stage,there are no statistical differences in general information,sleep quality,blood pressure,heart rate,body composition and muscle strength between two groups at the beginning of the study,but there are statistically significant differences in role emotional in quality of life between two groups(P=0.013).There are no statistical differences in the quality of life between two groups not only at the beginning of the treatment,but also at the end of treatment.Compared theses two groups,we found physical function scores,role emotional,health transition scores and MCS(P=0.024;P=0.022;P=0.041;P=0.031)are higher in the treatment group than the control group.The diastolic blood pressure in the control group increased at the end of treatment,which is statistically significant(P=0.001).While no statistical differences are found in the treatment group at the beginning of treatment or at the end of treatment.And there is no difference between two groups.There are no statistical differences in terms of the quality of sleep,human body composition and muscle strength between two groups of patients before and after the treatment,nor between two groups.Conclusion:The quality of life of MHD is low,in which PCS is even lower than MCS.Age,comorbidity and edema index are the relevant factors.Almost all of MHD patients have poor sleep quality,which is related with age and complications.The older age,the more complications,the worse sleep quality.MHD patients have lower levels of muscle strength than normal population,so the incidence of sarcopenia is high.Gender,age,protein,mineral,skeletal muscle and edema index are the relevant factors for the occurrence of sarcopenia.Baduanjin has a certain value to improve the quality of life of MHD patients,including physical and mental health,and also has a certain effect on the stability of blood pressure,which is worthy of clinical promotion. |
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