Frontiers in medicine · 2026
Change trajectory of fluid load management behavior ability in peritoneal dialysis patients and its association with physical activity.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zheng Yan, Wang Jie, Chen Zhenzhen, Zhang Lina, Shang Fei, Fu Panpan, Lian Jinge
Аннотация
OBJECTIVE: This study aims to explore the change trajectory of fluid load management ability in peritoneal dialysis (PD) patients and the correlation between different trajectories and physical activity.
METHODS: A total of 243 patients who underwent peritoneal dialysis were selected. A longitudinal investigation was carried out using the Peritoneal Dialysis Patient Volume Management Behavior Scale and the International Physical Activity Questionnaire-Long Form (IPAQ-LF).
RESULTS: Three trajectories of volume overload management behavioral ability were identified, namely C1 (low-level increasing group), C2 (medium-level increasing group), and C3 (low- to medium-level fluctuation group). There were significant differences between these categories in cultural-level trials (χ 2 = 15.344, p = 0.018), diabetic nephropathy (χ 2 = 11.267, p = 0.004), peritonitis during the study period (χ 2 = 11.340, p = 0.003), and hypoalbuminemia (χ 2 = 7.700, p = 0.021). During the first 6 months of initial peritoneal dialysis (T1-T4), each patient's physical activity score increased [C1: (F = 107.250, p < 0.001); C2: (F = 45.383, p < 0.001); C3: (F = 30.194, p < 0.001)]. At the T1 stage, the physical activity score of group C2 was significantly higher than those of groups C1 and C3 (p < 0.01). At the T2 stage, the physical activity score of group C2 was significantly higher than that of group C3 (p < 0.001), and the physical activity score of group C1 was significantly higher than that of group C3 (p < 0.01). At the T3-T4 stage, the score of group C1 was significantly higher than that of groups C2 and C3 (p < 0.01), and the score of group C2 was significantly higher than that of group C3 (p < 0.001).
CONCLUSION: Education level, diabetic nephropathy, concurrent peritonitis, and hypoproteinemia affect the change trajectory of volume load. Additionally, volume overload management at different stages influences the physical activity of patients.
METHODS: A total of 243 patients who underwent peritoneal dialysis were selected. A longitudinal investigation was carried out using the Peritoneal Dialysis Patient Volume Management Behavior Scale and the International Physical Activity Questionnaire-Long Form (IPAQ-LF).
RESULTS: Three trajectories of volume overload management behavioral ability were identified, namely C1 (low-level increasing group), C2 (medium-level increasing group), and C3 (low- to medium-level fluctuation group). There were significant differences between these categories in cultural-level trials (χ 2 = 15.344, p = 0.018), diabetic nephropathy (χ 2 = 11.267, p = 0.004), peritonitis during the study period (χ 2 = 11.340, p = 0.003), and hypoalbuminemia (χ 2 = 7.700, p = 0.021). During the first 6 months of initial peritoneal dialysis (T1-T4), each patient's physical activity score increased [C1: (F = 107.250, p < 0.001); C2: (F = 45.383, p < 0.001); C3: (F = 30.194, p < 0.001)]. At the T1 stage, the physical activity score of group C2 was significantly higher than those of groups C1 and C3 (p < 0.01). At the T2 stage, the physical activity score of group C2 was significantly higher than that of group C3 (p < 0.001), and the physical activity score of group C1 was significantly higher than that of group C3 (p < 0.01). At the T3-T4 stage, the score of group C1 was significantly higher than that of groups C2 and C3 (p < 0.01), and the score of group C2 was significantly higher than that of group C3 (p < 0.001).
CONCLUSION: Education level, diabetic nephropathy, concurrent peritonitis, and hypoproteinemia affect the change trajectory of volume load. Additionally, volume overload management at different stages influences the physical activity of patients.