個體化運動處方聯(lián)合階梯式心理干預(yù)在尿毒癥伴睡眠障礙患者中的應(yīng)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

中圖分類號：R338.63；R459.5 文獻標(biāo)識碼：A doi：10.3969/j. issn. 2095-7130.2025.02.053

尿毒癥標(biāo)志著腎功能衰竭的晚期階段，雖然這是一種不可逆的疾病，但通過適當(dāng)?shù)呐R床治療和管理，可以有效地控制并發(fā)癥，保護剩余的腎功能，并提高患者的生存率[1]。（剩余5471字）