| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 94 === ABSTRACT
The purpose of this study was to investigate the physical activity level among hemodialysis patients, and to explore the associations among the basic attribute, disease attribute, combine chronic disease, physiological state, depressed status, social supports for exercise. The study was used to cross-section design. Four questionnaires including the International Physical Activity Questionnaire Version Self - Administered Long Format (IPAQ), Subjective Global Assessment (SGA), The Beck Depression Inventory-Second Edition (BDI-II) and Social Supports for Exercise Scale were used in interviews and 212 hemodialysis patients participated in this study. Data were analyzed by frequency, percentage, mean, standard deviation, Mann-Whitney U test, Kruskal-Wallis one-way analysis of variance by ranks, Spearman’s rank - correlation, Stepwise regression.
The major findings of this study were follows:
1. The metabolic equivalent of the physical activity was 5158.1 mins-MET/week, relative amount of physical activity was 12.3 Kcal/Kg/day and absolute amount of physical activity was 697.5 Kcal/day.
2. This study finds sex (Z = -2.712, p = .007), marital status (X2 = 8.419, p = .015), combining diabetes mellitus (Z = -2.494, p = .013) have differences relative amount of physical activity level.
3. The relative amount of physical activity level significantly was positively correlated with the social supports for exercise (r = .234, p < .001), SGA (r = .337, p < .000), Kt/V (r = .167, p = .015), Urea reduction ratio (r = .165, p = .024) and i-PTH (r = .146, p = .034). The relative amount of physical activity level significantly was negatively correlated with C/T ratio (r = - .295, p < .000), Triglyceride (r = - .143, p = .034) and AC sugar (r = - .180, p = .009)
4. Absolute amount of physical activity level significantly was positively correlated with the social supports for exercise (r = .245, p < .001), SGA (r = .421, p < .000), BMI (r = .370, p < .000), Serum creatinine (r = .186, p < .007) and i-PTH (r = .141, p = .041). The relative amount of physical activity level significantly was negatively correlated with C/T ratio (r = - .334, p < .000).
5. The SGA, marital status, the social supports for exercise, C/T ratio and sex and combining diabetes mellitus disease; explaining 28.7% variation respectively achieved in relative amounts of physical activity.
This research proposes improving the hemodialysis the patient's nutrition state and heart and lungs function is worse ahead of time, consider the progressive movement way, is begun by the activity of the low intensity, increase the health activity that the hemodialysis the patient plan; The medical personnel can utilize and contact the chance that the hemodialysis patients, discuss the topic of the movement and design sport educational activities with patient more, in order to promote the physical activity that the hemodialysis patient.
|
|---|
