任务导向性运动训练对住院老年糖尿病患者的效果分析  

The effect of task-oriented exercise training on hospitalized elderly diabetic patients

作　　者：邢进[1] 顾新[1] 刘庆梅 朱世杰[1] 刘若琳[1] 郭艾鑫 王昫垚 Xing Jin;Gu Xin;Liu Qingmei;Zhu Shijie;Liu Ruolin;Guo Aixin;Wang Xuyao(Department of Rehabilitation Medicine,Beijing Hospital,National Center of Gerontology Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]北京医院康复医学科,国家老年医学中心、中国医学科学院老年医学研究院,北京100730

出　　处：《中华老年医学杂志》2024年第1期39-44,共6页Chinese Journal of Geriatrics

基　　金：中央高水平医院临床科研业务费(BJ-2023-195);中国医学科学院中央级公益性科研院所基本科研业务费专项资金(2019TX320003)。

摘　　要：目的研究任务导向性运动训练对住院老年糖尿病患者的有效性、可行性、安全性。方法评测者单盲、阳性对照的平行随机对照试验。2020年7月至2021年7月在北京医院内分泌科住院的84例2型糖尿病老年人被纳入研究,随机分为任务导向性运动训练组(TOE组)和常规运动训练组(常规组),TOE组采用本课题组原创的任务导向性运动方案,常规组采用经典的运动要素组合方案。每例受试者在住院期间接受连续10 d的一对一运动训练,以体适能、可行性分级、运动相关不良事件分别作为有效性、可行性、安全性的评价指标。结果TOE组40例、常规组39例完成干预及随访并纳入分析。有效性方面,相比干预前,两组的各项体适能指标在干预后均不同程度改善,每个指标的改善程度在两组间的差异均无统计学意义(均P>0.05)。可行性方面,可行性高级别比例TOE组和常规组的预期值分别为87.5%(35/40)和71.8%(28/39),实际值分别为75.0%(30/40)和53.8%(21/39),TOE组在实际可行性中的组间优势有统计学意义(χ^(2)=3.862,P=0.049)。安全性方面,TOE组和常规组在住院干预期间均无运动相关不良事件发生。结论任务导向性运动训练对住院老年糖尿病患者的有效性、安全性与常规方案相当,可行性优于常规方案。ObjectiveTo investigate the efficacy,feasibility,and safety of task-oriented exercise training for hospitalized elderly diabetic patients.MethodsThis study is a parallel randomized controlled trial with a positive control and a single-blinded assessor.From July 2020 to July 2021,we included 84 elderly patients with type 2 diabetes who were hospitalized in the Department of Endocrinology at Beijing Hospital.These patients were randomly divided into two groups:the task-oriented exercise training group(TOE group)and the regular exercise training group(regular group).The TOE group participants were trained using a task-oriented exercise program that was specifically developed by our research team.On the other hand,the regular group participants were trained using a classical program that comprised of all exercise modes.Each subject received individualized exercise training for 10 consecutive days while staying in the hospital.We evaluated the efficacy,feasibility,and safety of the training programs by measuring the physical fitness of the participants,assessing the feasibility of the program,and monitoring any exercise-related adverse events that occurred.ResultsA total of 79 subjects completed the entire intervention and follow-up period,with 40 subjects in the TOE group and 39 subjects in the regular group.In terms of efficacy,both groups showed improvement in their physical fitness indexes after the intervention,with no significant differences in the degree of improvement between the two groups(all P>0.05).When considering feasibility,the TOE group had a higher proportion of prospective feasibility at 87.5%(35 out of 40)compared to the regular group at 71.8%(28 out of 39).Similarly,the TOE group had a higher proportion of practical feasibility at 75.0%(30 out of 40)compared to the regular group at 53.8%(21 out of 39).The TOE group showed a significant advantage in practical feasibility between the two groups(χ^(2)=3.862,P=0.049).As for safety,there were no exercise-related adverse events during the intervention i

关 键 词：运动疗法 糖尿病 治疗结果 可行性研究 

分 类 号：R587.1[医药卫生—内分泌]