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題名：探討瑜珈對糖尿病患者之血糖與血脂成效之整合分析
書刊名：長庚護理
作者：張曉雲 引用關係／劉芊葳／林昕璇／曾麗娥／劉美鳳
作者(外文)：Chang, Hsiao-yun／Liu, Chien-wei／Lin, Hsin-hsuan／Tzeng, Li-o／Liu, Mei-feng
出版日期：2019
卷期：30:3=107
頁次：頁318-332
主題關鍵詞：瑜珈；糖尿病；整合分析；Yoga；Diabetes；Meta-analysis
原始連結：連回原系統網址new window
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  • 共同引用共同引用:6
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背景：糖尿病為國人十大死因之一，其造成的後遺症不容忽視，是目前急需要自我控制改善的慢性疾病。瑜珈運動可以調節身體機能、達到身心平衡，陸續有學者探討瑜珈對於糖尿病病人執行瑜珈的成效，但國內文獻中鮮少提供具體實證性結論。目的：本研究經由文獻整合分析探討瑜珈對於糖尿病病人血糖與血脂控制之成效。方法：搜尋七個中英文資料庫，使用關鍵字瑜珈（yoga）和糖尿病（diabetes）進行搜尋，時間自2008年1月至2018年6月，依納入與排除條件篩選文章，以modified Jadad quality scale評值文獻品質，並使用RevMan 5.3.5軟體進行統合分析。結果：最後納入12篇文獻符合篩選標準，實驗組有691位執行瑜珈運動；控制組502位執行一般衛教或伸展運動。分析結果顯示瑜珈實驗組在空腹血糖-FPG（p ＜ .001; EF：4.16）、糖化血色素-HbA1c（p ＜ .001; EF：5.21）、高密度脂蛋白-HDL（p ＜ .01; EF：2.50）與低密度脂蛋白-LDL（p ＜ .004; EF：2.90）皆比控制組有顯著成效，顯示持續性的瑜珈課程對於血糖與血脂的控制有顯著性效果。結論：糖尿病病人平時規律的服藥控制，倘若再加上瑜珈輔助治療，對於血糖與血脂控制皆有顯著性改善。
Background: Diabetes and its complications are among one of the top 10 causes of death in Taiwan. It is a chronic disease that requires a self-management for improvement. Yoga exercise can regulate body functions in order to balance between body and mind. Some scholars have explored the effectiveness of performing yoga for diabetic patients. However, conclusive evidence is limited in Taiwan. Purposes: This study synthesized the effects of yoga on glycaemia and lipidemia in patients with diabetes. Methods: The systematic review and meta-analysis was undertaken to search seven Chinese and English databases with the following keywords: yoga and diabetes from Jan 2008 to Jun 2018. The articles were selected by inclusive and exclusive criteria and appraise the quality of the study by modified Jadad quality scale. The RevMan 5.3.5 software was used to perform the meta-analysis. Results: A total of 12 eligible study was included, including 691 patients in experimental group with yoga exercises and 502 people in control group with regular health education and/or stretching exercises. The findings indicated that yoga exercise has significantly improved effects on FPG (p ＜ .001; EF: 4.16), HbA1c (p ＜ .001; EF: 5.21), HDL (p ＜ .01; EF: 2.50), and LDL (p ＜ .004; EF: 2.90). Conclusion: Patients with diabetes with regular medications in addition to yoga as complementary therapy have a significantly better control of blood sugar and blood lipid.
期刊論文
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14.黃秋玲、黃佳進、張耿維、戴研光(20180300)。彈力帶低阻力訓練對第二型糖尿病病患功能性體適能、血糖及血脂之影響。醫學與健康期刊，7(1)，29-39。new window  延伸查詢new window
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17.趙明玲、陳威廷、汪素敏(20180400)。老年糖尿病人自我效能、社會支持與自我照顧行為相關之探討。臺灣健康照顧研究學刊，18，1-12。  延伸查詢new window
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研究報告
1.行政院衛生福利部(2018)。106年國人死因統計結果。  延伸查詢new window
圖書
1.社團法人中華民國糖尿病學會(2018)。2018糖尿病臨床照護指引。社團法人中華民國糖尿病學會。  延伸查詢new window
其他
1.譚健民(20110300)。2011年美國糖尿病協會(ADA)糖尿病診療標準指引摘要。  延伸查詢new window
2.衛生福利部國民健康署(2017)。世界糖尿病日由來與國內宣導響應，https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1090&pid=6426。  延伸查詢new window
3.糖尿病醫療品質資訊(2018)。認識糖尿病，http://www1.nhi.gov.tw/mqinfo/Content.aspx?List=1&Type=DM。  延伸查詢new window
 
 
 
 
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