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| Application of incremental resistance exercise training combined with WeChat health education platform in the nursing of patients with chronic renal failure after maintenance hemodialysis#br# |
| LIU Fang WU Han ZHANG Yingying CHENG Li |
| Blood Purification Center, Bozhou People’s Hospital, Anhui Province, Bozhou 236800, China |
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Abstract Objective To explore the application effect of incremental resistance exercise training combined with WeChat health education platform in the nursing of patients with chronic renal failure after maintenance hemodialysis (MHD). Methods A total of 100 MHD patients with chronic renal failure admitted to Bozhou People’s Hospital from January 2019 to January 2021 were selected, according to the random number table method, they were divided into control group and observation group, with 50 cases in each group. The control group received routine intervention, and the observation group received incremental resistance exercise training combined with WeChat health education platform intervention. Cardiopulmonary endurance and fatigue were measured and compared before and three months after intervention. The self-made knowledge questionnaire was used to evaluate and compare the knowledge of disease between the two groups. General self-efficacy scale (GSES) and chronic kidney disease patients self-management scale were used to evaluate and compare the self-efficacy and self-management ability of the two groups. Results After three months of intervention, the scores of maximal oxygen uptake, metabolic equivalent, and fatigue scale 14 in both groups were lower than before intervention (P ＜ 0.05). The scores of each dimension of disease knowledge, medication knowledge, diet knowledge, and related behavior knowledge and total scores of both groups were increased than before intervention, and the observation group was higher than the control group (P ＜ 0.05). The general self-efficacy scale score and self-management scale score of both groups were increased than before intervention, and the observation group was higher than the control group (P ＜ 0.05). Conclusion Incremental resistance exercise training combined with WeChat health education platform is more conducive to improving the cardiopulmonary endurance and fatigue of MHD patients with chronic renal failure, and improving their disease cognition and self-management ability.
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