【摘要】 目的 了解老年糖尿病患者运动锻炼情况。 方法 以成都某教学医院2009年2-8月住院的老年糖尿病患者106例为调查对象，采用自行设计的问卷对老年糖尿病患者进行运动锻炼和相关知识及自我效能调查。 结果 35.8%的患者近1个月有运动锻炼，仅有25.5%坚持运动锻炼，43.4%的患者运动锻炼效能低，不同年龄、性别、文化水平、婚姻状况、收入、糖尿病病程与是否有锻炼行为无明显差异。 结论 老年糖尿病患者运动锻炼行为较差，运动锻炼相关知识缺乏，需要提高老年糖尿病患者对运动锻炼相关知识的认识，增加患者运动锻炼行为，提高患者的自我效能，提高老年人的生活质量。【Abstract】 Objective To understand the situation of exercise in the elderly diabetic patients. Methods At a teaching hospital in Chengdu, adopting the self-designed questionnaire, we investigated 106 elderly diabetic patients on their situation of doing exercises, the related knowledge and the self-potency, from February to August 2009. Results A total of 35.8% of the elderly diabetic patients did exercises within the recent month. Only 25.5% insisted doing exercises, and 43.4% of the patients’ exercise potency was low. There was no correlation between the exercise situation and age, sex, educational level, marital status, income, and duration of diabetes (Pgt;0.05). Conclusions The elderly diabetic patients′ exercise behavior is poorer, and they lack the related knowledge. Consequently, they need to enhance their exercise related knowledge, increase their exercise behavior to improve their self-efficacy and the quality of life.
Objective To evaluate the efficiency and security of physical exercise with low intensity against malnutrition and sarcopenia in patients with cirrhosis. Methods Between December 2014 and October 2015, 37 patients with cirrhosis were divided into two groups according to their willings, with 19 in the exercise group and 18 in the control group. Endurance of the exercise for 3 months were recorded. Mid-arm circumference, " up and go” time, width of portal vein and Child-Pugh score were compared before and after the research between the two groups. Results Three months later, the mid-arm circumference and the " up and go” time of the exercise group [(33.99±2.15) cm, (9.17±0.35) s] were better than those before the exercise [(32.09±2.58) cm, (9.77±0.46) s] and those in the control group [(31.93±2.04) cm, (9.76±0.30) s], and the differences above were all statistically significant (P<0.05). The change of the width of portal vein was positively correlated with pre-exercise body mass index in overweight patients (r=0.93, P=0.007). Conclusions Physical exercise with low intensity is safe and effective against malnutrition and sarcopenia in patients with cirrhosis. Overweitht patiens or malnutrition at the early stage may benefit more.