不同等级量化步行管理在糖尿病肾病患者中的应用分析  

Application of different levels of quantitative walking management in diabetic nephropathy patients

作　　者：马静[1] 魏洁 马健[3] 刘茜巍 王丽萍[1] Ma Jing;Wei Jie;Ma Jian;Liu Qianwei;Wang Liping(Forth Department of General Internal Medicine/Internal Medicine Department of Special Needs,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Department of Encephalopathy,Urumqi Hospital of Traditional Chinese Medicine,Urumqi 830099,China;Department of Urology,Affiliated Cancer Hospital of Xinjiang Medical University,Urumqi 830054,China;Department of Nephrology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院综合内四科/特需内科,乌鲁木齐830054 [2]乌鲁木齐市中医医院脑病科,乌鲁木齐830099 [3]新疆医科大学附属肿瘤医院泌尿外科,乌鲁木齐830054 [4]新疆医科大学第一附属医院肾病科,乌鲁木齐830054

出　　处：《中华现代护理杂志》2023年第7期917-921,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨不同等级量化步行管理在糖尿病肾病患者中的应用效果。方法采用便利抽样法,选取2020年9月—2021年2月在新疆医科大学第一附属医院肾内科门诊规律就诊的216例糖尿病肾病患者为研究对象,按照随机数字表法分为低步量组(5000~7499步/d)、中步量组(7500~9999步/d)、高步量组(≥10000步/d),各72例,进行为期8周的步行运动管理,比较各组空腹血糖、糖化血红蛋白、24 h尿蛋白定量、血肌酐及肾小球滤过率和多维疲劳量表(MFI-20)的得分。结果最终209例患者完成全部研究,低、中、高步量组分别纳入71、70、68例患者,3组患者每日步行量分别为(6973.52±536.47)、(8461.35±721.38)、(11134.28±632.69)步。干预后3组患者空腹血糖、糖化血红蛋白、24 h尿蛋白定量、血肌酐和MFI-20得分均较干预前下降,肾小球滤过率较干预前上升,其中,中步量组各指标与干预前比较差异均有统计学意义(P<0.05),高步量组空腹血糖、糖化血红蛋白、肾小球滤过率及MFI-20得分与干预前比较差异均有统计学意义(P<0.05),低步量组各指标与干预前比较差异均无统计学意义(P>0.05)。干预后,空腹血糖、糖化血红蛋白、MFI-20得分以高步量组最低,肾小球滤过率以中步量组最高,24 h尿蛋白定量和血肌酐以中步量组最低,3组间各指标方差分析及两两比较差异均有统计学意义(P<0.05)。结论中、高等步量步行运动可以有效改善糖尿病肾病患者血糖水平、肾功能和疲劳状态,中等步量对改善蛋白尿和肾功能效果更好。Objective To explore the application effect of different levels of quantitative walking management in diabetic nephropathy patients.Methods A total of 216 diabetic nephropathy patients who regularly visited Nephrology Outpatient Department of the First Affiliated Hospital of Xinjiang Medical University from September 2020 to February 2021 were selected as research objects by the convenient sampling method.According to the random number table method,they were divided into low walking volume group(5000-7499 steps/d),medium walking volume group(7500-9999 steps/d)and high walking volume group(≥10000 steps/d),with 72 cases in each group.They were given walking exercise for 8 weeks.Fasting blood glucose,glycosylated hemoglobin,24-hour urinary protein,serum creatinine,glomerular filtration rate and Multidimensional Fatigue Inventory-20 Scale(MFI-20)scores were compared among all groups.Results A total of 209 patients completed the study,including 71,70 and 68 patients in the low,medium and high step groups,respectively.The average daily walking volume in the three groups was(6973.52±536.47),(8461.35±721.38)and(11134.28±632.69)steps per day,respectively.After intervention,fasting blood glucose,glycosylated hemoglobin,24-hour urine protein,serum creatinine and MFI-20 scores in the three groups decreased compared with before intervention,and glomerular filtration rate increased compared with before intervention.And there were statistically significant differences in all indicators in the medium walking volume group(P<0.05).Fasting blood glucose,glycosylated hemoglobin,glomerular filtration rate and MFI-20 scores in the high walking volume group were significantly different from those before intervention(P<0.05).There was no statistically significant difference between the indexes of the low walking volume group and those before intervention(P>0.05).After intervention,fasting blood glucose,glycosylated hemoglobin,MFI-20 score were the lowest in the high walking volume group,the glomerular filtration rate was the highes

关 键 词：糖尿病 2型 糖尿病肾病 步行运动 疲劳 

分 类 号：R473.5[医药卫生—护理学]