护理研究2026，Vol.40Issue(16)：2804-2814,11.DOI:10.12102/j.issn.1009-6493.2026.16.006
维持性血液透析病人透析间期运动方案的构建及应用
Construction and application of exercise program for maintenance hemodialysis patients during the intermittent period of dialysis
摘要
Abstract
Objective:To develop the exercise program for maintenance hemodialysis patients during the intermittent period of dialysis based on"zero-time exercise",and to verify its application effect.Methods:The plan was constructed through the summary of best evidence,Delphi expert consultation,and pre-test.Using the convenience sampling method,a total of 90 maintenance hemodialysis patients from a tertiary grade A general hospital in Bengbu city from June 1st to September 10th,2025 were selected as the research subjects.According to the dialysis treatment schedule,the patients were divided into the observation group and the control group,with 45 cases in each.The control group received routine exercise guidance and nursing,while the observation group implemented the inter-dialysis exercise plan based on"zero-time exercise"on the basis of the routine.After 12 weeks of intervention,the objective indicators of physical function,exercise self-efficacy,dialysis symptom burden,blood biochemical indicators,and quality of life between two groups of patients were compared.Results:The exercise program for maintenance hemodialysis patients during the intermittent period of dialysis based on the"zero-time exercise"included 5 primary indicators,20 secondary indicators,and 54 tertiary indicators.A total of 88 patients completed the intervention,with 44 in the observation group and 44 in the control group.After 12 weeks of intervention,the 30-second sit-to-stand test,2.44 meters circuit walking test,exercise self-efficacy,dialysis symptom burden,and quality of life in the observation group were all better than those in the control group(all P<0.05).Conclusions:The implementation of the exercise program for maintenance hemodialysis patients during the intermittent period of dialysis based on"zero-time exercise"could improve the objective indicators of physical function of maintenance hemodialysis patients,enhance their exercise self-efficacy,improve the symptom burden of dialysis patients and their quality of life.关键词
维持性血液透析/透析间期/零时间运动/自我效能/症状负担/生活质量/护理Key words
maintenance hemodialysis/intermittent period of dialysis/zero-time exercise/self-efficacy/symptom burden/quality of life/nursing引用本文复制引用
赵纪玲,骆俊秀,尹晓丽,刘丽,彭明轩,王丽..维持性血液透析病人透析间期运动方案的构建及应用[J].护理研究,2026,40(16):2804-2814,11.基金项目
蚌埠医学院科技项目,编号:2022byzd127sk （）
