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
中文摘要
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。
The Effects of Home-Based Exercise Program on Physical Fitness, Bone Mineral Density, and Fatigue Among Hemodialysis and Peritoneal Dialysis Patients
英文摘要
The advantage of exercise for dialysis patients has been widely appoven. This study was to ver ify 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. T he 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 w as 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 Taiwa n by purposive sampling. Home-based exercise program was brisk walk 3days per week lastin g 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 numb er 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 e xercise program can be a model for clinical dialysis patients to improve their health.
