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。
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.
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