医联体支持下的奥塔戈运动干预在老年2型糖尿病患者中的应用  

Effects of Otago exercise supported by medical alliance in elderly patients with type 2 diabetes

作　　者：古丽米兰·努尔买买提 安园园[1] 于萍 Gulimilan Nuermaimaiti;An Yuanyuan;Yu Ping(First Department of General Medicine,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学第一附属医院综合内一科,乌鲁木齐830011

出　　处：《中华现代护理杂志》2023年第11期1413-1417,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨医联体支持下的奥塔戈运动干预在老年2型糖尿病患者中的应用效果。方法采用便利抽样法,选择2020年6月—2021年5月在新疆医科大学第一附属医院住院的106例老年2型糖尿病患者为研究对象,将其随机分为对照组和观察组,各53例。出院后对照组实施常规院外管理,观察组实施医联体支持下的奥塔戈运动干预,两组干预期均为半年。比较干预前后两组患者的衰弱状况[Tilburg衰弱量表(TF)得分]、躯体功能[简易机体功能(SPPB)得分]。结果观察组干预后的TFI得分低于干预前,SPPB得分高于干预前,差异有统计学意义(P<0.05);观察组干预后的TFI得分低于对照组,SPPB得分高于对照组,躯体功能分级优于对照组,差异有统计学意义(P<0.05)。结论医联体支持下的奥塔戈运动干预可以有效改善老年2型糖尿病患者的衰弱状况和躯体功能。Objective To explore the effect of Otago exercise supported by the medical alliance in elderly patients with type 2 diabetes.Methods From June 2020 to May 2021,106 elderly patients with type 2 diabetes hospitalized in the First Affiliated Hospital of Xinjiang Medical University were selected by convenience sampling.The patients were randomly divided into the control group and the observation group,with 53 cases each.After discharge,the control group received routine out-of-hospital management,while the observation group received Otago exercise supported by the medical alliance.The intervention lasted for half a year in both groups.The frailty[(Tilburg Frailty Indicator,TFI)scores]and physical function[(Short Physical Performance Battery,SPPB)scores]of the two groups before and after the intervention were compared.Results After intervention,the TFI score of the observation group was lower than that before intervention,and the SPPB score was higher than that before intervention,with statistically significant differences(P<0.05).After intervention,the TFI score of the observation group was lower than that of the control group,and the SPPB score was higher than that of the control group,and the physical function grading of the observation group was superior to that of the control group,with statistically significant differences(P<0.05).Conclusions Otago exercise supported by the medical alliance can effectively improve the frailty and physical function of elderly patients with type 2 diabetes.

关 键 词：糖尿病 2型 老年人 奥塔戈运动 医联体 衰弱 躯体功能 

分 类 号：R473.5[医药卫生—护理学]