弹力带抗阻运动对2型糖尿病合并骨质疏松中老年患者的影响研究  

Study on the effect of resistance training with elastic band on middle-aged and elderly patients with type 2 diabetes mellitus complicated with osteoporosis

作　　者：阮诗慧 刘琳[1] 章玉玲[2] 程丽红[3] 何朝珠[4] YUAN Shihui;LIU Lin;ZHANG Yuling;CHENG Lihong;HE Zhaozhu(Nursing Department,Jiangxi Provincial People′s Hospital/First Affiliated Hospital of Nanchang Medical University,Nanchang,Jiangxi 330006,China;Department of Endocrinology,Jiangxi Provincial People′s Hospital/First Affiliated Hospital of Nanchang Medical University,Nanchang,Jiangxi 330006,China;Department of Osteoporosis and Bone Disease,Jiangxi Provincial People′s Hospital/First Affiliated Hospital of Nanchang Medical University,Nanchang,Jiangxi 330006,China;Nursing College,Nanchang University,Nanchang,Jiangxi 330006,China)

机构地区：[1]江西省人民医院(南昌医学院第一附属医院)护理部,江西南昌330006 [2]江西省人民医院(南昌医学院第一附属医院)内分泌科,江西南昌330006 [3]江西省人民医院(南昌医学院第一附属医院)骨质疏松骨病科,江西南昌330006 [4]南昌大学护理学院,江西南昌330006

出　　处：《现代医药卫生》2024年第19期3320-3325,共6页Journal of Modern Medicine & Health

摘　　要：目的通过查阅文献及德尔菲专家函询法构建弹力带抗阻运动训练方案,评价其对2型糖尿病合并骨质疏松患者血糖和骨密度等指标的影响。方法便利选取江西省人民医院(南昌医学院第一附属医院)内分泌骨质疏松骨病科2023年4-8月收治的中老年患者81例,采用随机数字表法将其分为观察组和对照组。观察组在常规治疗和护理的基础上,给予3个月的弹力带抗阻运动训练方案,对照组给予常规治疗和护理措施,比较2组患者血糖及骨密度等指标。结果共74例患者完成研究,其中观察组36例,对照组38例。观察组空腹血糖、餐后2 h血糖、糖化血红蛋白低于对照组,差异均有统计学意义(P<0.05);2组运动依从性达标次数比较,差异有统计学意义(P<0.01);2组干预后骨密度比较,差异无统计学意义(P>0.05)。结论弹力带抗阻运动训练方案不仅降低了患者血糖指标,还能有效提高患者运动的依从性,但对改善患者骨密度的效果不明显。Objective To construct a resistance band exercise training program through literature review and Delphi expert consultation method,and to evaluate its effects on glycemic and bone density indicators in patients with type 2 diabetes complicated with osteoporosis.Methods A total of 81 middle-aged and elderly patients admitted to the department of endocrine osteoporosis in Jiangxi Provincial People′s Hospital/First Affiliated Hospital of Nanchang Medical University from April to August 2023 as the research subjects.They were divided into the observation group and the control group using the random number table method.The observation group was given a 3-month resistance band exercise training program in addition to routine treatment and nursing,while the control group was given routine treatment and nursing measures.The glycemic and bone density indicators of the two groups were compared.Results A total of 74 patients completed the study,including 36 in the observation group and 38 in the control group.The fasting blood glucose,postprandial 2-hour blood glucose,and hemoglobin A1c of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05);the number of compliance targets achieved by the two groups were compared,and the difference was statistically significant(P<0.01);the bone density of the two groups after intervention was compared,and there was no statistically significant difference(P>0.05).Conclusion The resistance band exercise training program can not only reduce the glycemic indicators of patients,but also effectively improve their compliance with exercise,but the effect on improving the patient′s bone mineral density is not obvious.

关 键 词：2型糖尿病 骨质疏松 骨密度 弹力带 抗阻运动 

分 类 号：R473[医药卫生—护理学]