抗阻力运动对老年2型糖尿病伴衰弱患者的应用效果

doi:10.16460/j.issn1008-9969.2019.03.051

摘要/Abstract

摘要： 目的探讨在老年2型糖尿病伴衰弱患者中实施抗阻力运动干预的效果。方法选取2017年4月—2018年4月收治的老年2型糖尿病伴衰弱患者180例,按病房单双号随机分为2组各90例,对照组给予糖尿病常规治疗及健康教育,按照纳入标准,让患者保持日常生活及运动状态;观察组在此基础上实施抗阻力运动干预,在干预前、干预1个月末、干预3个月末检测血糖、血脂、体质量等生理指标,应用衰弱症状学量表评估衰弱状况。结果 2组干预前血糖、血脂、体质量等生理指标比较差异无统计学意义（P>0.05）;干预1个月末、3个月末,观察组血糖、血脂、体质量等指标均优于对照组,观察组衰弱患者比例明显少于对照组（P<0.05）。结论在老年2型糖尿病伴衰弱患者中实施抗阻力运动干预,能够降低血糖、血脂等生理指标,改善患者的衰弱症状。

关键词: 2型糖尿病, 衰弱, 老年患者, 抗阻力运动

Abstract: Objective To investigate the effects of resistance exercise on elderly patients with type 2 diabetes mellitus and frailty. Methods Totally 180 elderly patients with type 2 diabetes mellitus and frailty in our hospital from April 2017 to April 2018 were selected and assigned into 2 groups, with 90 cases in each group. The control group was given conventional treatment and health education and the observation group was given resistance exercise intervention. The physiology indexes including blood sugar, blood fat and body weight were measured and the frailty level were assessed using Fried Frailty Phenotype before the intervention, 1 month and 3 months after the intervention. Results Before the intervention, there was no significant difference in physiology indexes and frailty between the two groups(P>0.05);1 month and 3 months after the intervention, physiology indexes including blood sugar, blood fat indexes and body weight in observation group were better than those in control group and the proportion of patients with frailty in the observation group was lower than that in the control group (P<0.05). Conclusion Resistance exercise in elderly patients with type 2 diabetes mellitus and frailty can lower blood sugar, blood fat and body weight, and improve patients' frailty.

Key words: type 2 diabetes mellitus, frailty, elderly patient, resistance exercise

中图分类号:

R473.5

靳瑜, 窦丽亚, 马慧珍. 抗阻力运动对老年2型糖尿病伴衰弱患者的应用效果[J]. 护理学报, 2019, 26(3): 51-55.

JIN Yu, DOU Li-ya, MA Hui-zhen. Effects of Resistance Exercise on Elderly Patients with Type 2 Diabetes Mellitus and Frailty[J]. Journal of Nursing, 2019, 26(3): 51-55.

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