Shahgholian Nahid, KarimiFard Ozra, Shahidi Shahrzad
Department of Critical Care Nursing, Kidney Diseases Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2015 Mar-Apr;20(2):165-70.
Peritoneal dialysis has a number of complications including increased blood glucose. Although exercise has been suggested to resolve this complication, most patients are not active. The present study aimed at determining the effects of twice-weekly, 40-min sessions of pedaling on a stationary bicycle on mean fasting blood sugar (FBS) and 2-h postprandial blood sugar (PPBS) among continuous ambulatory peritoneal dialysis patients.
In this clinical trial, convenience sampling was used to select 22 patients [age: 51.4 (12.3) years] undergoing continuous ambulatory peritoneal dialysis [mean duration: 12.5 (8.5) months] from university hospitals in Isfahan, Iran. The subjects were randomly divided into two groups (test and control). The test group participated in an 8-week exercise program in which they pedaled a stationary bicycle with an intensity of four on Borg Scale of Perceived Exertion. FBS and PPBS were measured at baseline and at the end of the 8(th) and 16(th) sessions of exercise. Data were analyzed with Student's t-test and repeated measures analysis of variance.
After the eighth session, the mean FBS and PPBS levels were lower in the test group than in the control group. However, the differences were not statistically significant. After 16 sessions of exercise, the mean FBS and PPBS levels in the intervention group were significantly less than the in control group.
Forty minutes of pedaling on a stationary bicycle for two times a week can significantly reduce mean FBS and PPBS levels in continuous ambulatory peritoneal dialysis patients.
腹膜透析有许多并发症，包括血糖升高。尽管有人建议通过运动来解决这一并发症，但大多数患者并不活跃。本研究旨在确定连续非卧床腹膜透析患者每周两次、每次40分钟的固定自行车蹬踏运动对平均空腹血糖（FBS）和餐后2小时血糖（PPBS）的影响。
在这项临床试验中，采用便利抽样法从伊朗伊斯法罕的大学医院选取了22例接受连续非卧床腹膜透析的患者[年龄：51.4（12.3）岁，平均透析时间：12.5（8.5）个月]。受试者被随机分为两组（试验组和对照组）。试验组参加了一项为期8周的运动计划，他们以Borg自觉用力程度量表上的4级强度蹬踏固定自行车。在基线时以及运动的第8次和第16次结束时测量FBS和PPBS。数据采用学生t检验和重复测量方差分析进行分析。
在第8次运动后，试验组的平均FBS和PPBS水平低于对照组。然而，差异无统计学意义。在进行16次运动后，干预组的平均FBS和PPBS水平显著低于对照组。
每周两次、每次40分钟的固定自行车蹬踏运动可显著降低连续非卧床腹膜透析患者的平均FBS和PPBS水平。
