Study On The Design And Application Of Home Exercise Guide For Maintenance Hemodialysis Patients

Research Purpose:The Home exercise guide for maintenance hemodialysis patients was made by Delphi method,and the guiding effect of the manual on home rehabilitation for MHD patients was verified.Research Methods:1 Based on the theory of self-determination,the Home exercise guide for maintenance hemodialysis patients was constructed by Delphi method on the basis of literature review and clinical practice.2 From August to December 2020,72 patients with regular hemodialysis in a tertiary hospital of Huzhou City were selected to investigate the general information,family sports behavior stage,sports self-efficacy,six minute walking distance and quality of life of the subjects.They were randomly divided into experimental group and control group by SPSS software.The control group was given routine nursing,and the experimental group was given nursing intervention based on self-determination theory combined with Home exercise guide for maintenance hemodialysis patients.Four months later,the differences of family exercise behavior stage,exercise self-efficacy,six minute walk test and quality of life between the two groups were compared.Research Results:1 Two rounds of expert consultation were conducted in the manual formulation part.The positive coefficients of experts are 95% and 100% respectively.The degree of authority of experts in the two rounds of expert consultation is 0.87 and 0.895 respectively,and the Kendall coefficient is 0.416 and 0.353 respectively.Finally,the content of Home exercise guide for maintenance hemodialysis patients was established.2 Before the intervention,the home exercise situation of the patients was not ideal,and the overall home regular exercise percentage was only 40.3%.There was no significant difference in the home exercise behavior stage between the experimental group and the control group.After the intervention,the regular exercise at home in the experimental group increased from 38.9% to72.2%,while that in the control group increased from 41.7% to 44.4%.The experimental group was better than the control group,and the difference was statistically significant.3 Before the intervention,the ESE of the experimental group: 42.32 ± 13.12,6MWT:409.25 ± 52.12 m,KDQ score: 124.75 ± 11.78;the ESE of the control group: 40.31 ± 10.60,6MWT: 408.81 ± 53.20 m,KDQ score: 123.08 ± 10.77.The ESE,6MWT and KDQ of the two groups were not ideal,and there was no significant difference.After the intervention,the ESE,6MWT and KDQ of the experimental group increased to 48.49 ± 11.13,430.75 ± 51.24 m and131.44 ± 10.74 respectively.In the control group,the scores of ESE,6MWT and KDQ were 40.18± 9.94,406.61 ± 55.10 and 122.61 ± 10.65 respectively.Compared with the control group,the scores of ESE and KDQ in the intervention group were better,and the difference was statistically significant;after the intervention,there was no significant difference in 6MWT between the two groups,but the walking distance of the experimental group was improved compared with the control group.Research Conclusion:1 The authority and enthusiasm of the experts invited by our institute are high,and the consultation results are reliable.The construction of Home exercise guide for maintenance hemodialysis patients is more scientific and reasonable.2 The rehabilitation intervention based on self-determination theory combined with Home exercise guide for maintenance hemodialysis patients can improve the ESE of MHD patients,improve the home exercise behavior stage of MHD patients,and effectively improve the KDQ of MHD patients.