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| Meta-analysis of the effects of traditional Chinese medicine exercise therapy baduanjin on hemodialysis patients |
| Hits 31 Download times 10 Received:January 17, 2026 |
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| DOI
10.11656/j.issn.1673-9043.2026.04.12 |
| Key Words
hemodialysis;baduanjin;adverse physical and mental symptom cluster;randomized controlled trial;Meta-analysis |
| Author Name | Affiliation | E-mail | | WANG Ziwei | Blood Purification Center, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China | | | WANG Shaohua | Blood Purification Center, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China | shaohua_wang2009@163.com | | LUAN Jie | Blood Purification Center, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China | | | YAN Erping | Blood Purification Center, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China | | | LIU Peng | Blood Purification Center, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China | | | ZHANG Tianxu | Blood Purification Center, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China | |
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| Abstract
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| [Objective] To systematically evaluate the intervention effect of Baduanjin on maintenance hemodialysis（MHD） patients. [Methods] CNKI，Wanfang，VIP，CBM，PubMed，Embase，The Cochrane Library，and Web of Science databases were searched by computer to collect clinical randomized controlled trials（RCTs） on Baduanjin for MHD patients from the inception of each database to December 2024. Two reviewers independently performed literature screening，data extraction，and quality assessment. Statistical analysis was conducted using RevMan 5.4.1 and Stata 18 software. [Results] A total of 15 studies involving 1 322 patients were included. Meta-analysis results showed that，compared with the control group，the Baduanjin intervention group significantly reduced the Pittsburgh Sleep Quality Index（PSQI） score in MHD patients [MD=-4.46，95%CI（-4.72，-4.20）]，the Revised Piper Fatigue Scale（RPFS） score [MD=-0.87，95%CI（-1.09，-0.66）]，the Hamilton Depression Scale（HAMD） score [MD=-4.47， 95%CI（-5.15，-3.79）]，the Hamilton Anxiety Scale（HAMA） score [MD=-4.68，95%CI（-5.46，-3.89）]，the Self-rating Depression Scale（SDS） score [MD=-7.22，95%CI（-7.94，-6.50）]，and the Self-rating Anxiety Scale（SAS） score [MD=-6.14，95%CI（-6.79，-5.49）]. [Conclusion] Current evidence indicates that Baduanjin has a good effect on improving sleep quality，fatigue，and adverse physical and mental symptoms such as depression and anxiety in MHD patients，providing a reliable basis for non-pharmacological treatment of MHD patients. However，due to the limited number of included studies，methodological quality，and potential publication bias，more high-quality studies are needed to further verify the exact conclusions regarding its efficacy and safety. |
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