Application of different levels of quantitative walking management in diabetic nephropathy patients
10.3760/cma.j.cn115682-20220425-02039
- VernacularTitle:不同等级量化步行管理在糖尿病肾病患者中的应用分析
- Author:
Jing MA
1
;
Jie WEI
;
Jian MA
;
Qianwei LIU
;
Liping WANG
Author Information
1. 新疆医科大学第一附属医院综合内四科/特需内科，乌鲁木齐 830054
- Keywords:
Diabetes mellitus, type 2;
Diabetic nephropathy;
Walking exercise;
Fatigue
- From:
Chinese Journal of Modern Nursing
2023;29(7):917-921
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of different levels of quantitative walking management in diabetic nephropathy patients.Methods:A total of 216 diabetic nephropathy patients who regularly visited Nephrology Outpatient Department of the First Affiliated Hospital of Xinjiang Medical University from September 2020 to February 2021 were selected as research objects by the convenient sampling method. According to the random number table method, they were divided into low walking volume group (5 000-7 499 steps/d) , medium walking volume group (7 500-9 999 steps/d ) and high walking volume group (≥10 000 steps/d) , with 72 cases in each group. They were given walking exercise for 8 weeks. Fasting blood glucose, glycosylated hemoglobin, 24-hour urinary protein, serum creatinine, glomerular filtration rate and Multidimensional Fatigue Inventory-20 Scale (MFI-20) scores were compared among all groups.Results:A total of 209 patients completed the study, including 71, 70 and 68 patients in the low, medium and high step groups, respectively. The average daily walking volume in the three groups was (6 973.52±536.47) , (8 461.35±721.38) and (11 134.28±632.69) steps per day, respectively. After intervention, fasting blood glucose, glycosylated hemoglobin, 24-hour urine protein, serum creatinine and MFI-20 scores in the three groups decreased compared with before intervention, and glomerular filtration rate increased compared with before intervention. And there were statistically significant differences in all indicators in the medium walking volume group ( P<0.05) . Fasting blood glucose, glycosylated hemoglobin, glomerular filtration rate and MFI-20 scores in the high walking volume group were significantly different from those before intervention ( P<0.05) . There was no statistically significant difference between the indexes of the low walking volume group and those before intervention ( P>0.05) . After intervention, fasting blood glucose, glycosylated hemoglobin, MFI-20 score were the lowest in the high walking volume group, the glomerular filtration rate was the highest in the medium walking volume group, and the 24-hour urinary protein quantity and serum creatinine were the lowest in the medium walking volume group. There were statistically significant differences among the three groups in variance analysis and pair comparison of each index ( P<0.05) . Conclusions:Medium and high walking volume exercise can effectively improve blood glucose level, renal function and fatigue state in diabetic nephropathy patients, and moderate walking volume has better effect on albuminuria and renal function.
