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研究生:趙麗敏
研究生(外文):Zhao, Li-min
論文名稱:居家快走運動在糖尿病微蛋白尿病患血糖血壓及微蛋白尿之改善成效
論文名稱(外文):The Effects of Home-based Brisk Walking Exercise on Blood Glucose, Blood Pressure, and Microalbuminuria in Type-2 Diabetic Patients with Microalbuminuria
指導教授:邱碧如邱碧如引用關係
指導教授(外文):Chiu, Pi-Ru
學位類別:碩士
校院名稱:輔仁大學
系所名稱:護理學系碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:81
中文關鍵詞:快走運動糖尿病微蛋白尿腎功能
外文關鍵詞:brisk walkingdiabetesmicroalbuminuriarenal function
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本研究目的為探討居家快走運動對糖尿病微蛋白尿病患在降低血糖、血壓及改善微蛋白尿成效。本研究為一12週之二組前後測準實驗研究設計,以立意取樣方式選取台灣北部某區域醫院新陳代謝門診之有微蛋白尿糖尿病患61位,依志願派分別入實驗組30位、控制組31位。實驗組研究對象接受快走之運動計畫及常規衛教,控制組研究對象僅接受常規衛教,比較二組研究對象在血糖、血壓及微蛋白尿之改善成效。研究工具為計步器和電子血壓計,所得資料以SPSS /window15.0套裝軟體進行資料處理與分析,使用統計方法包括百分比、平均值、標準差、最小值、最大值、χ²、獨立t檢定、配對t檢定、皮爾森相關積差。研究結果顯示實驗組快走運動可以改善糖尿病微蛋白尿病患空腹血糖 (t = 2.164, p = .039)、收縮壓 (t = 2.957, p = .006) 及微蛋白尿(t = 2.324, p = .027),而控制組檢驗值未顯示有意義改變。此外,運動時心跳速率與微蛋白尿改善成效有關(t = 2.128, p = .042),運動步數與空腹血糖改善成效有關(r = .204 , p = .012)。本研究結果可提供護理人員指導糖尿病微蛋白尿病患運動時之衛教參考。
The purpose of this study was to examine the effects of home-based brisk walking exercise on blood glucose, blood pressure and microalbuminuria in type-2 diabetic patients with microalbuminuria. A two-group pre-post test quasi-experimental resaech design was used. Sixty-one diabetics with microalbuminuria were selected from a outpatient department at regional hospital in northern Taiwan. These patients, by their own choice were assigned to the experimental group (n=30) and the control group (n=31). Patients in experimental group received a 12-week home-based brisk walking program and routine health education, while patients in the control group received routine health education only. Reseach instruments are pedometer and electronic sphygmomanometer. The independent variable was the home-based brisk walking and the dependent variable were blood glucose, blood pressure and microalbuminuria. All data were analyzed by SPSS/Windows 15.0 statistical package software, included percentage, mean, standard deviation, minimum, maximun, chi-square, independent t-test, paired-t test, pearson correlation. Results of the data in the experimental group showed a markarably decrease in fasting glucose (t = 2.164, p = .039), systolic blood pressure (t = 2.957, p = .006) and microalbuminuria (t = 2.324, p = .027), while data in the control group indicated no significant change in the above three variables. In the treatment group, decrease of micralbuminuria in the higher heart rate walking subgroup was greater significantly than those of the low heart rate walking subgroup (t = 2.128 , p = .046). walking steps correlated significantly with the lowering value of fasting glucose(r = .204 , p = .012). Clinical nursing staff can use the information generated from the study for diabetic micralbuminuria patient exercise education.
目錄 頁碼
中文摘要…………………………………………………………… Ⅳ
英文摘要…………………………………………………………… Ⅴ

第一章 緒論
第一節 研究動機與目的……………………………………… 1
第二節 研究架構與假說……………………………………… 2

第二章 文獻查證
第一節 糖尿病微蛋白尿現況………………………. 6
第二節 糖尿病微蛋白尿患者血糖血壓腎功能評估……. 8
第三節 糖尿病運動處方……………………………………… 13
第四節 運動在控制糖尿病微蛋白尿病患之血糖血壓微蛋白尿之效果18

第三章 研究方法
第一節 研究設計 ……………………………………………… 24
第二節 研究場所及對象………………………………………… 25
第三節 研究工具………………………………………………… 26
第四節 研究步驟………………………………………………… 27
第五節 資料整理與統計分析…………………………………… 30
第六節 倫理考量………………………………………………… 31

第四章 研究結果
第一節 研究對象基本資料之描述……………………. 38
第二節 居家快走運動描述 ……………………………………. 43
第三節 居家快走運動在改善血糖血壓微蛋白尿之效果……... 47
第四節 快走運動指標對血糖、血壓、微蛋白尿改善之相關分析50

第五章 討論
第一節 居家快走運動在改善血糖效果………………………... 53
第二節 居家快走運動在改善血壓效果……………………….. 54
第三節 居家快走運動在改善糖尿病患微蛋白尿之效果…….. 56
第四節 快走運動指標與血糖、血壓、微蛋白尿改善相關分析 57

第六章 結論與建議
第一節 結論…………………………………………………….. 60
第二節 護理上應用…………………………………………….. 62
第三節 研究限制與建議……………………………………….. 63

參考資料
中文部份…………………………………………………………. 64
英文部份…………………………………………………………. 66
附錄………………………………………………………………… 80












圖目錄
圖一 快走運動對改善糖尿病腎功能之研究架構………………. 3
圖二 收集資料流程………………………………………………. 29
圖三 實驗組每二週快走運動執行狀況 45

表目錄
表1 資料處理與統計分析……………………….…. 29
表2 實驗組人口學資料χ²適合度檢定…………………….…. 34
表3 實驗組就醫資料χ² 適合度檢定(續)…. 35
表4 對照組人口學資料χ² 適合度檢定………………….…… 36
表5 對照組就醫資料χ² 適合度檢定(續)…………….…. 37
表6 實驗組及對照組人口學資料χ² 檢定……………….….. 40
表7 實驗組及對照組就醫資料資料χ² 檢定…. 41
表8 實驗組與對照組前測生理及生化指標之獨立樣本t檢定…. 42
表9 實驗組運動指標描述性統計…………………….… 44
表10 實驗組每二週 運動指標描述性統計……. 44
表11實驗組與對照組前後測生理指標之相依樣本t檢定………. 49
表12 快走運動指標與血糖及血壓相關分析 51
表13 快走運動指標與微蛋白尿相關分析 52
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