ABSTRACT
Introducción. El entrenamiento físico puede mejorar la capacidad de ejercicio, la disnea y la calidad de vida (CV) en pacientes con enfermedades respiratorias crónicas (ERC). En este contexto, el uso de oxígeno suplementario a través de una cánula nasal de alto flujo (CNAF) podría ser un dispositivo que permita tolerar mayores niveles de actividad con menos síntomas de esfuerzo físico, optimizando en última instancia la capacidad de ejercicio y la CV. Objetivo. Este protocolo pretende conducir una revisión sistemática para evaluar el efecto terapéutico de la CNAF durante el ejercicio físico en pacientes con ERC. Fuente de búsqueda. Se realizarán búsquedas en el Registro Cochrane Central de Ensayos Controlados (CENTRAL), PUBMED, Embase, Lilacs, Physiotherapy Evidence Database (PEDro), International Clinical Trials Registry Platform (ICTRP), ClinicalTrials.gov y literatura gris. Criterios de elegibilidad. Examinaremos los ECA de acuerdo con los criterios de elegibilidad para su inclusión en nuestra revisión. Dos revisores examinarán de forma independiente cada estudio para la elegibilidad, la extracción de datos y la evaluación del riesgo de sesgo. Se combinarán los resultados mediante un metanálisis y se aplicará el sistema GRADE para evaluar la certeza de las pruebas para cada resultado. La medida de resultado primaria será la capacidad de ejercicio, y las medidas de resultado secundarias serán la calidad de vida, la disnea, la funcionalidad, la comodidad, las complicaciones y adherencia. Se realizarán metaanálisis para determinar la diferencia de medias (DM) o la DM estandarizada para los datos continuos y la razón de riesgo para los datos dicotómicos. Se realizarán análisis de subgrupos según los tipos y la gravedad de la enfermedad, las condiciones de ejercicio físico y el estado de los dispositivos de oxigenoterapia. Ética y difusión. Como los investigadores no accederán a información que pueda conducir a la identificación de un participante individual, no fue necesario a obtener aprobación ética. Número de registro de PROSPERO: CRD42022336263.
Background. Physical training can improve exercise capacity, dyspnoea, and quality of life (QoL) in patients with chronic respiratory diseases (CRDs). It has been suggested that using supplemental oxygen through a high-flow nasal cannula (HFNC) could lead to higher levels of activity to be tolerated with fewer symptoms of physical exertion, ultimately optimizing exercise capacity and QoL. Objective. To conduct a systematic review to assess the therapeutic effect of HFNC during physical exercise in patients with CRDs. We will search the Cochrane Central Register of Controlled Trials (CENTRAL), PUBMED, Embase, Lilacs, Physiotherapy Evidence Database (PEDro), International Clinical Trials Registry Platform (ICTRP), ClinicalTrials.gov, and grey literature. Eligibility criteria. We will examine RCTs according to the eligibility criteria for inclusion in our review. Two reviewers will independently examine each study for eligibility, data extraction, and risk of bias assessment. We will combine the results using meta-analysis and apply the GRADE system to assess the certainty of the evidence for each outcome. The primary outcome will be exercise capacity, and secondary outcomes will be QoL, dyspnoea, functionality, comfort, complications, and adherence. We will perform meta-analyses to determine the mean difference (MD) or standardized MD for continuous data and the risk ratio for dichotomous data. Subgroup analyses will be performed according to types and severity of disease, physical exercise conditions, and condition of oxygen therapy devices. Ethics and Dissemination. As researchers will not access information that could lead to the identification of an individual participant, obtaining ethical approval was waived. Prospero registration number: CRD42022336263.
ABSTRACT
Objective@#To study the effects of rehabilitation exercise training on sleep quality and fatigue in hemodialysis patients with uremia.@*Methods@#A convenient sampling method was used to select 94 patients with uremia who underwent hemodialysis from September 2016 to September 2017. The patients were divided into routine group and training group according to the random number table method. example. The routine group was given routine hemodialysis care, and the training group was instructed to perform rehabilitation exercise training on the basis of routine group nursing. Both groups were intervened for 16 weeks. Pittsburgh Sleep Index (PQSI) was used to assess the quality of sleep. The sleep quality of the two groups before intervention, intervention for 8 weeks, and intervention for 16 weeks was compared. The fatigue scale (Fatigue Scale-14, FS-14) was used to assess the degree of fatigue. The degree of fatigue in the two groups before intervention, 8 weeks of intervention, and 16 weeks of intervention.@*Results@#Before the intervention, there was no significant difference in PQSI scores between the two groups (P>0.05). After 8 weeks of intervention, the PQSI values of the training group were significantly lower than those before the intervention (t=4.20, P<0.05). There was no significant change in the conventional group before the intervention. (t=1.43, P>0.05), and the PQSI value of the training group (8.21±2.26) was significantly lower than that of the conventional group (10.15±3.19) (t=3.40, P<0.05); after 16 weeks of intervention, training The PQSI values of the patients were significantly lower than those at 8 weeks (t=2.62, P<0.05). There was no significant change in the conventional group compared with 8 weeks (t=0.33, P>0.05). The PQSI values of the training group (6.97±2.32). PQSI values (8.93 ± 3.28) were significantly lower than those in the conventional group (t = 5.50, P<0.05). Before the intervention, there was no significant difference in FS-14 total score, physical fatigue score and mental fatigue score between the two groups (P>0.05). After 8 weeks of intervention, the FS-14 total score, physical fatigue score and mental fatigue of the training group. The scores were significantly lower than those before the intervention (t=3.83, 3.29, 2.64, P<0.05). The FS-14 total score, physical fatigue score and mental fatigue score of the routine group were not significantly different from those before the intervention (t=0.38, 0.05, 0.10, P>0.05), and the FS-14 total score (7.02±1.12), physical fatigue score (5.30±1.55), and mental fatigue score (1.83±1.02) in the training group were significantly lower than those in the conventional group. -14 total score (9.01±2.14), physical fatigue score (6.23±1.72), mental fatigue score (2.66±1.37) (t=5.65, 2.75, 3.33, P<0.05); after 16 weeks of intervention, the training group The FS-14 total score, physical fatigue score, and mental fatigue score were significantly lower than those at 8 weeks of intervention (t=3.36, 2.39, 2.19, P<0.05). The FS-14 total score, physical fatigue score, and mental fatigue score of the conventional group. There was no significant change at 8 weeks of intervention (t=0.16, 0.27, 0.25, P>0.05), and The FS-14 total score (6.05±1.58), physical fatigue score (4.58±1.36), and mental fatigue score (1.35±1.10) in the training group were significantly lower than those in the conventional group (8.94±2.17), body. Fatigue score (6.33±1.82) and mental fatigue score (2.59±1.36) (t=7.34, 5.28, 4.86, P<0.05).@*Conclusion@#Rehabilitation exercise training can significantly improve the sleep quality of hemodialysis patients with uremia and reduce the fatigue degree of hemodialysis patients with uremia. It is worthy of clinical promotion.
ABSTRACT
Objective To study the effects of rehabilitation exercise training on sleep quality and fatigue in hemodialysis patients with uremia. Methods A convenient sampling method was used to select 94 patients with uremia who underwent hemodialysis from September 2016 to September 2017. The patients were divided into routine group and training group according to the random number table method. example. The routine group was given routine hemodialysis care, and the training group was instructed to perform rehabilitation exercise training on the basis of routine group nursing. Both groups were intervened for 16 weeks. Pittsburgh Sleep Index (PQSI) was used to assess the quality of sleep. The sleep quality of the two groups before intervention, intervention for 8 weeks, and intervention for 16 weeks was compared. The fatigue scale (Fatigue Scale-14, FS-14) was used to assess the degree of fatigue. The degree of fatigue in the two groups before intervention, 8 weeks of intervention, and 16 weeks of intervention. Results Before the intervention, there was no significant difference in PQSI scores between the two groups (P＞0.05). After 8 weeks of intervention, the PQSI values of the training group were significantly lower than those before the intervention (t=4.20, P<0.05). There was no significant change in the conventional group before the intervention. (t=1.43, P＞0.05), and the PQSI value of the training group (8.21 ± 2.26) was significantly lower than that of the conventional group (10.15±3.19) (t=3.40, P<0.05); after 16 weeks of intervention, training The PQSI values of the patients were significantly lower than those at 8 weeks (t=2.62, P<0.05). There was no significant change in the conventional group compared with 8 weeks (t=0.33, P＞0.05). The PQSI values of the training group (6.97±2.32). PQSI values (8.93 ± 3.28) were significantly lower than those in the conventional group (t = 5.50, P<0.05). Before the intervention, there was no significant difference in FS-14 total score, physical fatigue score and mental fatigue score between the two groups (P＞0.05). After 8 weeks of intervention, the FS-14 total score, physical fatigue score and mental fatigue of the training group. The scores were significantly lower than those before the intervention (t=3.83, 3.29, 2.64, P<0.05). The FS-14 total score, physical fatigue score and mental fatigue score of the routine group were not significantly different from those before the intervention (t=0.38, 0.05, 0.10, P＞0.05), and the FS-14 total score (7.02±1.12), physical fatigue score (5.30±1.55), and mental fatigue score (1.83±1.02) in the training group were significantly lower than those in the conventional group.-14 total score (9.01± 2.14), physical fatigue score (6.23±1.72), mental fatigue score (2.66±1.37) (t=5.65, 2.75, 3.33, P<0.05);after 16 weeks of intervention, the training group The FS-14 total score, physical fatigue score, and mental fatigue score were significantly lower than those at 8 weeks of intervention (t=3.36, 2.39, 2.19, P<0.05). The FS-14 total score, physical fatigue score, and mental fatigue score of the conventional group. There was no significant change at 8 weeks of intervention (t=0.16, 0.27, 0.25, P＞0.05), and The FS-14 total score (6.05±1.58), physical fatigue score (4.58±1.36), and mental fatigue score (1.35± 1.10) in the training group were significantly lower than those in the conventional group (8.94±2.17), body. Fatigue score (6.33±1.82) and mental fatigue score (2.59±1.36) (t=7.34, 5.28, 4.86, P<0.05). Conclusion Rehabilitation exercise training can significantly improve the sleep quality of hemodialysis patients with uremia and reduce the fatigue degree of hemodialysis patients with uremia. It is worthy of clinical promotion.