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支持性運動衛教融入健走運動對中高齡第二型糖尿病患者之效益
Benefits of Integrating Supportive Exercise Education Into Walking for Middle-Aged and Older Adults With Type 2 Diabetes
Abstracts
缺乏規律身體活動，是導致提升第二型糖尿病發生率因素之一。因此，本研究目的針對無規律運動習慣之中高齡第二型糖尿病患者，以12週支持性運動衛教融入健走運動，觀察其體適能、血糖與健康生活品質。研究招募83位45歲至75歲之第二型糖尿病患者，以隨機分派方式分為實驗組及控制組，至實驗結束有效樣本為58位（31位男性、27位女性）。實驗組（n=30）進行每週三次，每次30分鐘之支持性運動衛教融入健走運動，且全程配戴計步器記錄身體活動量，而控制組（n=28）則維持靜態活動之規律日常生活，各組於實驗前後皆進行體適能、血糖與「SF-36臺灣版健康量表」之檢測。研究結果發現，實驗組之步行能力與下肢肌耐力，以及身體生理功能、因身體生理問題角色受限、一般健康狀況、活力狀況、心理健康等皆有顯著的提升，且實驗組的後測表現顯著優於控制組。另外，實驗組之空腹與飯後兩小時血糖控制能力顯著優於控制組，而糖化血色素表現則無顯著效果。本研究結論認為支持性運動衛教融入健走運動可有效提升中高齡第二型糖尿病患者之體適能、血糖控制能力與健康生活品質的表現。研究結果可提供社區及地方醫院建立支持性運動衛教融入健走運動之系統網絡的參考，以提高患者參與身體活動之自主管理行為。
Parallel abstracts
Lack of regular physical activity is one of the factors contributing to the increased incidence of type 2 diabetes. Therefore, the purpose of this study was to integrate 12 weeks of supportive exercise education into walking for middle-aged and older adults with type 2 diabetes who have irregular exercise habits, and to compare their physical fitness, blood glucose and health-related quality of life. The study recruited 83 patients with type 2 diabetes aged 45 to 75 years old and randomly divided them into an experimental group and a control group. By the end of the experiment, there were 58 valid samples remained (31 males and 27 females). The experimental group (n = 30) underwent supportive exercise education and walking three times a week for 30 minutes per session, and wore a pedometer to record the amount of physical activity throughout the whole process, while the control group (n = 28) maintained a regular daily life of sedentary activities. Physical fitness, blood glucose and SF-36 Taiwan version Health Survey were tested before and after the experiment in each group. Results revealed that the experimental group exhibited significant improvements in walking ability, lower limb muscular endurance, and physical functioning, as well as in areas such as role limitations due to physical problems, general health, vitality, and mental health. These improvements were significantly greater than those in the control group. Furthermore, the experimental group showed significant improvements in fasting and postprandial blood glucose control compared to the control group, although there were no significant effects on glycated hemoglobin (HbA1c) levels. We conclude that integrating supportive exercise education into walking is effective in improving physical fitness, blood glucose control and health-related quality of life for middle-aged and older adults with type 2 diabetes. The findings provide a reference for establishing supportive exercise education networks within community settings and local hospitals, promoting self-management behaviors in patients to increase their participation in physical activity.