The Investigation of Clinical Outcome, Exercise Motivations and Exercise Intervention Effect with Chronic Kidney Disease Patients in Taiwan

• Main Authors: Yi-Jing Lin, 林宜靜
• Other Authors: Lan-Yuen Guo
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/15312675222372789543

碩士 === 高雄醫學大學 === 運動醫學系碩士班 === 104 === The National Health Insurance used on kidney become a huge burden in the society, even the prevalence of chronic kidney disease was higher than 10%. Its risk factor was hypertension, hyperlipidemia, and hyperglycemia. Cardiovascular mortality was about twice to three times as high in patients with chronic kidney disease that in individuals with normal kidney function. Increasing the physical activity can control the risk factor, but the patient with chronic kidney disease had low physical activity. The influence of patient’s exercise behavior included exercise attitude of patients and medical personnel’s opinions towards recommending exercise to patients during treatment. Our purpose was to compare arteriosclerosis index, body function between different stages chronic kidney disease. Using questionnaire to investigate exercise motivations and barrier with patients with chronic kidney disease. Seventy-nine CKD patients was recruited and divided into three groups (Ⅰ: 1,2 stage;Ⅱ:3 stage;Ⅲ:4, 5 stage). Using the regular blood sample exam report to get the biochemical data. The arteriosclerosis index measurements carried out Non-invasive Vascular Screening Device. The fitness assessment include 2 minutes step test, 30 seconds chair stand, grip strength and sit and reach. WHOQOL-BREF was used to assessment patient’s quality of life. Exercise attitude of patients and medical personnel’s opinions towards recommending exercise to patients during treatment were also investigated using questionnaire. The age with Ⅰ,Ⅱ and Ⅲ was 50.43, 64.40 and 60.97. The percent of mean artery pressure, upstroke time, systolic blood pressure, pulse pressure and pulse wave velocity was significant different between three groups. The fat tissue index was significant correlate with kidney function. The two minutes step test was significant different between three groups. The identified of Behaviral of regulation in exercise questionnaire was significant different between three groups. The medical personnel was strong agree with “In my opinion exercise is beneficial during treatment” and “My patients believe they should exercise during treatment”. “Exercise during treatment for my patients is easy” was most disagree. Our study provide evidence that difference stage of chronic kidney disease has difference arteriosclerosis characteristic and level fitness. Giving patient exercise suggestion should consider the difference. The fitness had correlation with patient’s exercise behavior. They maybe affect each other. Although medical personnel support the patients to exercise, the time of discussion with medical personnel about exercise was few. Medical personnel prescribed exercise and supported increasing the exercise motivation.