Research On The Effect Of Exercise Therapy On Peritoneal Dialysis Patients Under The Internet Medical Model

ObjectiveWith the rising incidence of Chronic Kidney Disease,the need for Peritoneal Dialysis patients with end-stage Chronic Kidney Disease is also more and more.On the basis of clinical routine therapy in patients with Peritoneal Dialysis,this study added the intervention about exercise therapy and the supervision of Internet medical,to observed exercise therapy in peritoneal dialysis patients under the Internet medical model,to discusses the Internet medical model and exercise therapy in the clinical effects of auxiliary treatment of peritoneal dialysis at home,provide patients with end-stage Chronic Kidney Disease new ideas and methods for the family treatment and management.MethodsA total of 60 patients with stage 5 chronic kidney disease who received regular peritoneal dialysis in the renal medicine clinic of the Second Affiliated Hospital of Harbin Medical University from November 2019 to August 2020 were enrolled.After signed informed consent,divided them into three groups,Internet medical joint exercise therapy group(group A)20 cases,exercise therapy group(group B)20 cases and blank control group(group C)20 cases,for group A and group B on the basis of conventional treatment added aerobic exercise and resistance exercise training about12 weeks,also,group A medical follow-up and management with the Internet carried out.Group C only do regular treatment.After 12 weeks,the changes of clinical efficacy,fatigue,psychological state and follow-up compliance were observed in the three groups.Results1.In terms of clinical efficacy indexes,there was no statistical significance between the three groups at week 0(P>0.05).After 12 weeks,group A in systolic pressure,diastolic blood pressure,heart rate,body mass index(BMI),blood urea,serum creatinine,blood uric acid,white blood cells,blood hypersensitive creactive protein difference has statistically significant(P<0.05),group B in systolic pressure,diastolic blood pressure,heart rate,blood urea,white blood cells,blood hypersensitive creactive protein difference has statistically significant(P<0.05),There was no statistically significant dfference in any of th e indicators in the group C(P>0.05).When compared between groups at week12,group A and group B in systolic pressure,diastolic blood pressure,heart rate and the difference was statistically significant between group C(P<0.05),there was both the Internet Medical and exercise therapy intervention in serum creatinine and blood group A hypersensitive c-reactive protein compared with g roup C difference was statistically significant(P<0.05).There was no signific-a nt difference in blood glucose,serum total cholesterol,triglyceride,low densi-t y lipoprotein,high density lipoprotein,serum sodium,serum potassium,serumc hloride,serum calcium and iron,serum phosphorus,serum albumin,hemoglo-bi n,platelet,alanine aminotransferase,glutamic oxalate aminotransferase and a-lk aline phosphatase among the three groups(P>0.05).2.In terms of fatigue scores,there was no statistically significant difference between the three groups before intervention(P>0.05).When compared within groups at week 12,there were statistically significant differences in total fatigue score and five subdivided items in group A(P<0.05),statistically significant differences in group B except for power decline(P<0.05),and no statistically significant differences in group C(P>0.05).When compared between groups at week 12,there was no statistical difference in each score of group A and B(P>0.05),there was statistical significance in total fatigue score,physical fatigue,mental fatigue and activity reduction between group A and B and group C(P<0.05),and there was no statistical significance in general fatigue and power decline(P>05).3.In terms of mental state,there was no statistical significance in the scores of the three groups before intervention(P>0.05).When compared within groups at week12,there were significant differences in scores of anxiety and depression among group A and B(P<0.05),wasn't significant differences in group C(P>0.05).Compared between groups at week 12,there was no statistical difference in anxiety and depression scores between group A and group B(P>0.05),but the differences were statistically significant when compared with group C respectively(P<0.05).4.In terms of follow-up compliance,the number of patients who were followed up on time was counted after the completion of the 12-week study in the three groups.The difference between group A and group B and group C was statistically significant(P<0.05),while there was no statistically significant difference between group B and group C(P>0.05).Conclusion1.Exercise therapy can adjust the blood pressure and heart rate of peritoneal dialysis patients,improve the status of renal function and inflammatory response of patients;Exercise therapy can improve the fatigue state and negative emotions of patients.2.The supervision and management under the Internet medical model plays a positive role in improving patients' follow-up compliance and enhancing the role of exercise therapy.