The Effects of Exercise Training on Walking Function and Percetion of Health Status in Elderly Patients with Peripheral Arterial Occlusive Disease

• Main Authors: Wang Chia-hui, 王佳慧
• Other Authors: Jen-Chen Tsai
• Format: Others
• Language: zh-TW
• Published: 2001
• Online Access: http://ndltd.ncl.edu.tw/handle/8n3z95

碩士 === 台北醫學院 === 護理學研究所 === 89 === There are great impact on the walking function and perception of health status due to limited arterial blood supply to lower extremities and intermittent claudication among patients with peripheral arterial occlusive disease. However, studies regarding the effects of exercise training on the patients'' walking function and perception of health status are very rare in Taiwan. The purpose of this study is to explore the effects of exercise training on the walking function and perception of health status in elderly patients with peripheral arterial occlusive disease. A quasi-experimental design was used to guide the study. Subjects who met the criteria were referred by a cardiovascular surgeon at a medical center in Taipei. Twenty two patients enrolled in our study who were randomly assigned into either exercise or conrtrol group. The exercise group was assigned to join an 8-week treadmill exercise program. The control group remained their living pattern. Data were collected by the structural questionnaires, 6-minute walking test and treadmill exercise test. Percentage, mean, standard deviation, Spearman correlation, Mann-Whitney U test and Wilcoxon Sign-Rank test were used for the data analysis. Research results were shown as follows: （1） Patients perceived moderate degree of health status and reported lower scores in physical function dimension than in psychological dimension. （2） Age was negatively correlated with 6-minute walking distance. Systolic blood pressure was negatively correlated with perceived walking function. （3） The perception of health status of patients was improved by 20%~178% after exercise training program. The physical function dimension of perceived of health status improved more significant than the psychological dimension. （4） Patients perceived better of walking function by 17%~36% after exercise training program. （5） The actual walking function by 168.9% to 157.5% of the patients was increased after exercise training. Based on the results of this study, it was concluded that there was a great impact on patients'' perception of health status due to their limited walking function. After paticipating in an 8-week treadmill exercise training program, the patients indeed improved their perception of health status and walking function.