维持性血液透析患者衰弱前期多组分运动训练方案的构建及应用研究

doi:10.3761/j.issn.2096-7446.2026.05.001

Abstract

Abstract:

Objective To construct a multicomponent exercise training program for pre-frail patients undergoing maintenance hemodialysis（MHD） and explore its application effects. Methods The final multicomponent exercise training program was developed through literature analysis and Delphi expert consultation. 46 pre-frail MHD patients were selected by convenience sampling from a tertiary hospital in Zhejiang Province between November 2024 and December 2024. And then they were randomly divided into an experimental group and a control group，with 23 cases in each group. The experimental group received the multicomponent exercise training program，while the control group received conventional care. Frailty-related indicators were compared between the two groups. Results The constructed program included 4 first-level items，10 second-level items，and 25 third-level items. The preliminary application results of the program showed that the incidence of frailty was 26.1% in the control group and 4.3% in the experimental group. The experimental group was superior to the control group in frailty total score，grip strength，physical activity，and fatigue（P<0.05）. Conclusion The multicomponent exercise training program constructed in this study helps to reduce the occurrence of frailty，enhance the grip strength and physical activity levels，and alleviate fatigue in MHD patients.

Key words: Hemodialysis, Pre-Frailty, Multicomponent Exercise, Delphi Method, Nursing Care

YING Jinping, CHEN Linglin, CAI Genlian, ZHANG Yujiao, ZHANG Liuqian, ZHANG Jing, ZHOU Jinjin, YING Yayong. Construction and application of a multicomponent exercise training program for pre-frail patients undergoing maintenance hemodialysis[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 517-523.

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Construction and application of a multicomponent exercise training program for pre-frail patients undergoing maintenance hemodialysis

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