Bowman Ann Marie
School of Health Studies, Brandon University, Manitoba.
Can Nurse. 2008 Feb;104(2):23-7.
Exercise is a cornerstone in the management of type 2 diabetes. However, those who have neuropathy as a complication of the disease may have decreased capacities for exercise and a greater need for exercise instruction and monitoring. The author conducted a study with a random sample of elderly adults with type 2 diabetes to examine how the presence of neuropathy affects exercise participation in this group. Among the 427 respondents, those with neuropathy had significantly lower scores for health functioning and for positive beliefs about exercise than those without this complication. They also had significantly higher scores for the receipt of diabetes-specific exercise education and knowledge; perceived barriers to exercise; and exercise-related injuries, including foot injuries. Nurses need to ensure they use a health promotion and prevention approach with their clients with diabetes by promoting safe, appropriate exercise and educating clients about proper foot care.
运动是2型糖尿病管理的基石。然而，那些患有神经病变这一糖尿病并发症的人运动能力可能会下降，并且对运动指导和监测的需求更大。作者对一组患有2型糖尿病的老年人进行了随机抽样研究，以考察神经病变的存在如何影响该群体的运动参与情况。在427名受访者中，患有神经病变的人在健康功能以及对运动的积极信念方面的得分显著低于没有这种并发症的人。他们在接受糖尿病专项运动教育和知识、感知到的运动障碍以及与运动相关的损伤（包括足部损伤）方面的得分也显著更高。护士需要通过促进安全、适当的运动并就正确的足部护理对患者进行教育，确保他们对糖尿病患者采用健康促进和预防方法。
