| Objective: To investigate the effect of Zhuang medicine ball exercise on muscle strength,muscle quality,muscle function and quality of life in patients with maintenance hemodialysis(MHD),and to provide new ideas and references for improving the symptoms of MHD patients with sarcopenia,delaying or even reversing the development of MHD patients with sarcopenia and increasing the awareness of medical workers on sarcopenia.Methods: Taking the diagnostic criteria and recommendations of the new consensus on myosis issued by the European Working Group on Sarcopenia in Older People(EWGSOP)in 2018 as the main reference basis,110 dialysis patients(grip: male<27kg,female<16kg)who met the criteria of sarcopenia were selected for three months in the period from January 2019 to July 2019.Use grip measurement to assess myodynamia,upper arm circumference to assess muscle mass,timed up & go test(TUG)to assess muscle function and endurance;and the 36-item health survey(SF-36)was used to systematically assess the quality of life of the subjects studied.Zhuang medicine ball exercise intervention treatment was carried out on the subjects,the experimental group under the supervision of the guidance staff to complete the Zhuang medicine ball exercise trainin,30 min,3 times a week;the control group with quick walk training instead of Zhuang medicine ball exercise,30 min,3 times a week.The intervention time of the two groups was 24 weeks,the exercise intensity was moderate,and there was no discomfort such as dizziness and nausea during the exercise.SPSS 20.0 statistical software was used for statistical analysis of the collected data,and P<0.05 was considered statistically significant.Results: 1.A total of 110 subjects were enrolled,of whom 47 were women,accounting for 42.7% of the total and 63 men,accounting for 57.3% of the total.average age(48.79±10.37)years,and mean dialysis age(29.6±5.58)months.There were 19 cases of shedding during the intervention of Zhuang medicine ball exercise,91 patients completed the intervention of Zhuang medicine ball exercise,of which 55 were male(60.4%)and 36 were female(39.6%).2.Before and after the intervention training,the grip strength and TUG of the subjects in the zhuang medicine ball exercise group were improved,and the difference was statistically significant(P<0.05).The upper arm circumference value did not increase significantly,and the change was not statistically significant(P>0.05).3.Compared with the control group before and after intervention,TUG of the study subjects was improved,and the difference was statistically significant(P<0.05).No significant increase was observed in grip strength and upper arm circumference,and no statistically significant change was observed after intervention(P>0.05).4.Compared with the control group,the improvement of grip strength and TUG in the Zhuang medicine ball exercise group was better than that in the control group after intervention,and the difference was statistically significant(P<0.05).5.Zhuang medicine ball exercise group intervention training before and after the intervention training,the research object of physical functioning(PF),role-physical(RP),social functioning(SF)and SF-36 total increase,compared with before,and the difference was statistically significant(P < 0.05),bodily pain(BP),general health(GH),mental health(MH),role-emotional(RE),vitality(VT)no significant change(P>0.05).6.Compared with the control group before and after intervention,the study subjects' PF was improved,and the difference was statistically significant(P<0.05).The total score of RP,BP,GH,MH,RE,VT,SF and sf-36 did not change significantly(P>0.05).7.Compared with the control group,the total score of PF,RP,SF and sf-36 in the Zhuang medicine ball exercise group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion: 1.Zhuang medicine ball exercise intervention can effectively improve muscle strength and muscle function in patients with maintenance hemodialysis.2.Zhuang medicine ball exercise intervention can effectively improve the physiological function,social function and total SF-36 score of patients.3.The intervention of Zhuang medicine ball exercise training can improve the symptoms of MHD patients,delay and delay the occurrence and development of sarcopenia,and improve the quality of life. |
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