| Summary: | 碩士 === 輔仁大學 === 護理學系碩士班 === 97 === The purpose of this study was to examine the effects of home-based brisk walking exercise on blood glucose, blood pressure and microalbuminuria in type-2 diabetic patients with microalbuminuria. A two-group pre-post test quasi-experimental resaech design was used. Sixty-one diabetics with microalbuminuria were selected from a outpatient department at regional hospital in northern Taiwan. These patients, by their own choice were assigned to the experimental group (n=30) and the control group (n=31). Patients in experimental group received a 12-week home-based brisk walking program and routine health education, while patients in the control group received routine health education only. Reseach instruments are pedometer and electronic sphygmomanometer. The independent variable was the home-based brisk walking and the dependent variable were blood glucose, blood pressure and microalbuminuria. All data were analyzed by SPSS/Windows 15.0 statistical package software, included percentage, mean, standard deviation, minimum, maximun, chi-square, independent t-test, paired-t test, pearson correlation. Results of the data in the experimental group showed a markarably decrease in fasting glucose (t = 2.164, p = .039), systolic blood pressure (t = 2.957, p = .006) and microalbuminuria (t = 2.324, p = .027), while data in the control group indicated no significant change in the above three variables. In the treatment group, decrease of micralbuminuria in the higher heart rate walking subgroup was greater significantly than those of the low heart rate walking subgroup (t = 2.128 , p = .046). walking steps correlated significantly with the lowering value of fasting glucose(r = .204 , p = .012). Clinical nursing staff can use the information generated from the study for diabetic micralbuminuria patient exercise education.
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