Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4217
Revised: May 10, 2024
Accepted: May 23, 2024
Published online: July 16, 2024
Processing time: 102 Days and 2.6 Hours
Pulmonary hypertension is a serious complication in the treatment of maintenance hemodialysis patients, which seriously affects the quality of life of patients and threatens their life safety. Prevention, treatment and improvement of pulmonary hypertension are of great significance to improve the quality of life of patients.
To investigate the intervention and control of pedal-powered bicycle in maintaining quality of life and pulmonary hypertension in hemodialysis patients.
73 patients with maintenance hemadialysis combined with pulmonary arterial hypertension at a hemodialysis center in a certain hospital from May 2021 to May 2022 are selected. Patients are divided into two groups, 37 cases in the control group (group C) and 36 cases in the intervention group (group I). Patients are divided into two groups, group C is treated with oral administration of betaglandin sodium combined with routine nursing care. Based on group C, group I conducts power cycling exercises.
After treatment, group I patients had higher muscle strength, 36-Item Short Form Health Survey scores, and Kidney Disease Targets Areas scores; The 6-minute walk distance test index level was higher and the Borg score was lower; The group I had lower systolic blood pressure, greater vital capacity, higher positive emotion, lower systolic pulmonary artery pressure index level, higher arterial partial oxygen pressure level, lower pulmonary vascular resistance index level, and higher blood oxygen saturation level [158.91 ± 11.89 vs 152.56 ± 12.81, 1795.01 ± 603.18 vs 1907.20 ± 574.15, 24.00 (22.00, 29.00) vs 24.00 (22.00, 28.00), P < 0.001].
Aerobic exercise combined with Western medicine treatment can effectively improve patients' pulmonary hypertension, alleviate their negative emotions, and enable them to achieve a higher level of quality of life.
Core Tip: This study investigates the effects of aerobic exercise, on the quality of life and pulmonary arterial hypertension (PAH) in patients undergoing hemodialysis. Employing a control design, the research divides patients into a control group receiving standard care and an intervention group undertaking power cycling in addition to standard care. The results demonstrate significant improvements in the intervention group, including enhanced muscle strength, better quality of life scores, reduced systolic blood pressure, and improved pulmonary function indicators. Incorporating aerobic exercise into the care regimen of hemodialysis patients with PAH can significantly improve their health outcomes and quality of life.