Application Of BaDuanJin In Improving Quality Of Life Of Patients After Renal Transplantation In A Hospital

ObjectiveOn the basis of literature review,the study analysis the quality of life and exercise situation of the renal transplant recipients,to find the insufficiency,By referring to the domestic and foreign adult kidney transplant recipients’ exercise guidelines,combined with national conditions,through literature retrieval,expert consultation and other methods,the exercise program for renal transplant recipients mainly composed of Baduanjin was constructed,and then by verifying the clinical practical effect,to establish renal transplant recipients from the continuity of the "admission-discharge-outside " exercise mode.Our study aim to provide a scientific,standardized exercise plan for the renal transplant recipients and improve the life quality of them.Contents1.Status survey: we researched the literature on the rehabilitation and exercise rehabilitation for patients suffered from kidney transplantation,particularly international guidelines,systematic reviews and multicenter clinical trials.From September 2016 to January 2018,265 renal transplant recipients admitted to the organ transplantation center of Shanghai Changhai Hospital were selected as the study objects.Through the general patient information questionnaire and SF-36,the quality of life of renal transplant recipients was investigated.The scores of Physical and mental health were(61.71 ± 6.261)and(56.31 ± 7.90).Occupation,DGF and exercise had significant effects on the quality of life of renal transplant recipients.2.Literature review and Expert Meeting: Literature review of the literature on adult DCD renal transplant recipients physical exercise,based on the preliminary study of renal transplant recipients to form a preliminary program of physical exercise,and then through the expert meeting method to organize transplant department,Chinese medicine department,sports medicine,rehabilitation medicine experts to hold an expert meeting to demonstrate the preliminary physical exercise program of renal transplant recipients.3.Empirical research: From June to December 2018,35 renal transplant patients admitted to the organ transplantation outpatient of our hospital were selected as the control group,and routine nursing measures were given;from January to June 2019,35 renal transplant patients admitted to the organ transplantation outpatient of the same hospital were selected as the experimental group,and Ba Duan Jin were given to the renal transplant patients practice.The improvement of BMI was compared and had no effect of physical exercise prescription.The improvement of renal function,heart function,quality of life and self-care ability were compared and analyzed to verify the effect of physical exercise prescription.Results and Conclusion1.Through the investigation of the current situation of renal transplant recipients,it is found that the quality of life of renal transplant recipients is in the lower middle level,and the research shows that the occupation,DGF and physical exercise have a significant impact on the quality of life of renal transplant patients.Through literature review,it was found that in the first year of organ transplantation,the weight of renal transplant patients generally increased.Meanwhile,renal transplant patients also hope to have appropriate physical exercise as soon as possible.Further research is needed to develop a physical exercise program suitable for the age of adult renal transplant recipients who are at high risk of obesity and cardiovascular disease for a long time recovery.2.Based on the literature review,a preliminary physical exercise program for patients after kidney transplantation has been formed,including four parts: the physical exercise program for patients in hospital,the physical exercise program for early patients out of hospital,the physical exercise program for long-term patients out of hospital,and the tools to ensure the quality of physical exercise.3.The results showed that there were no significant differences in BMI,but the weight had reduced to the normal group;after the intervention,the renal function,heart function,quality of life and ability of daily life had remarkable differences between the two groups(P < 0.05).However,there were more significant differences in serum creatinine index,6-minute walking test,quality of life and ability of daily life in the experimental group(P < 0.05).Therefore,it is concluded that the physical exercise program for kidney transplantation can significantly improve the renal function and quality of life of kidney transplantation patients,so as to improve the effect of kidney transplantation recovery.