居家運動計畫介入對血液透析與腹膜透析病患體適能、骨密度和疲憊感之成效

The Effects of Home-Based Exercise Program on Physical Fitness, Bone Mineral Density, and Fatigue Among Hemodialysis and Peritoneal Dialysis Patients

陳秀枝(Hsiu-Chih Chen)

指導教授 ： 鄭綺

臺北醫學大學/護理學院/護理學研究所/碩士(2007年)

https://doi.org/10.6831/TMU.2007.00123

摘要

運動對透析病患的好處已受到肯定。國外關於透析病患已有許多不同訓練模式之相關研究，反觀國內對於透析病患居家運動訓練之相關研究仍十分匱乏。因此本研究目的主要探討居家運動訓練，對血液透析與腹膜透析病患體適能、骨密度和疲憊感之成效。本研究採行類實驗設計方式，以個案自身作為控制組，第一次測量後，進行八週觀察，然後第二次測量，進行居家運動訓練八週之後，完成第三次測量。以北部某醫院及透析中心之血液透析或腹膜透析病患為對象，採立意取樣，共19位血液透析及18位腹膜透析病患完成三次測量及八週運動訓練。居家運動訓練是每週三次快走，由每次15分鐘漸進式增至40分鐘。每次測量分別評估體適能，檢測骨密度及填寫疲憊評量表。所得資料以卡方檢定、t檢定、配對t檢定等方法進行分析。研究結果顯示居家運動訓練可顯著提升透析病患30秒連續坐椅站立次數、6分鐘步行距離，改善骨密度，減輕疲憊感，而且血液透析與腹膜透析病患在居家運動訓練之成效相近。本研究結果可提供臨床透析病患居家運動訓練之參考，期望能更加提升透析病患之健康。

關鍵字

血液透析 ； 腹膜透析 ； 體適能 ； 骨密度 ； 疲憊感 ； 居家運動訓練

並列摘要

The advantage of exercise for dialysis patients has been widely appoven. This study was to verify the efficacy of home-based exercise program on physical fitness, bone mineral density, and fatigue among dialysis patients.
This study was a quasi-experimental design, taking objects themselves as the control group. The measurement was done at the started of study, 8th, and 16th week. During the first 8 weeks, no exercise intervention occured. During the second 8 weeks, home-based exercise program was intervened. Each measurement included physical fitness, bone mineral density, and fatigue.The objects were recruited from 2 medical centers and 3 dialysis clinics in the Northern Taiwan by purposive sampling. Home-based exercise program was brisk walk 3days per week lasting for 8 weeks, duration of each brisk walk from 15 minutes gradually increased to 40 minutes.
The collected data were analysed by chi-square test, t-test, and pair-t test by statistic software. The results indicated that home-based exercise program could significantly increase the number of 30s chair stand test, extend the distance covered in the 6-minute walk test, improve bone mineral density, alleviate fatigue. In addition, the efficacy of home-based exercise program in hemodialysis patients was similar in peritoneal dialysis. The results implied that home-based exercise program can be a model for clinical dialysis patients to improve their health.

並列關鍵字

hemodialysis ； peritoneal dialysis ； physical fitness ； bone mineral density ； fatigue ； home-based exercise

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