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題名：運動訓練對血液透析病患生理、心理之效應
書刊名：中華公共衛生雜誌
作者：林秋菊 引用關係／賴曉蓉／周偉倪 引用關係
作者(外文)：Lin, Chiu-chu／Lai, Hsiao-jung／Chou, Willy
出版日期：2000
卷期：19:3
頁次：頁161-170
主題關鍵詞：末期腎病；血液透析；運動訓練；End-stage renal disease；Hemodialysis；Exercise training
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:29
  • 點閱點閱:60
　　　　　本文主要是針對運動訓練對血液透析病患生理、心理的影響，包括：活動無耐力、貧血、血糖、血脂、血壓控制和疲憊、憂鬱等方面進行文獻探討，期此能幫助健康專業人員更進一步認識運動訓練對血液透析病患在生理、心理上之效應，俾以鼓勵病人運動，進而將運動訓練納為其常規的照護模式，使透析病人達到健康促進的目標，提昇其生活品質。透析治療是末期腎病患者最主要的治療方式，目前國內絕大多數的病人係採行血液透析。由於末期腎病變及透析治療的合併症常引起許多生理、心理問題，進而影響其家庭、工作、社交活動及生活品質。許多文獻指出，定期足量的 運動對透析病患的生理、心理層面有良好效益。關於血液透析病人的運動原則，應包括：暖身運動、有氧運動及冷卻運動。而運動種類主要以踩固定式腳踏車的有氧運動為主；運動強度是依病人個別的耐受力來漸進調整，一般係以運動測試所得的最大負重量的40-85%作為訓練進度之指引。運動時間每次以20-25分鐘為宜，可施行於透析中、透析後或非透析日。運動訓練期限一般設在8至12週；運動頻率通常每週至少執行3次。
　　　　　This review was conducted to explore the effects of the exercise training on physiological and psychological status in hemodialysis patients, mainly focusing on activity intolerance, anemia, serum level of sugar and lipid, blood pressure control, fatigue, and depression. We hope this review will enable the health care professionals to realize the effects of exercise training in the patients undergoing hemodialysis and then encourage them to exercise. Furthermore, exercise training can be integrated into th e routine care and can achieve the goal of health promotion as well as enhance the quality of the life of hemodialysis patients. Dialysis is the primary treatment in those patients with end-stage renal disease (ESRD). In Taiwan, the majority of ESRD patients accepted the hemodialysis therapy, which often caused many physiological and psychological problems, and further, affected their family, employment, social activities and quality of life. The findings from research indicated that regular and adequate e xercises would be beneficial to the dialysis patients in physiological and psychological aspects. The exercise principle of hemodialysis patients should include warm-up, aerobic exercise and cool-down. The type of aerobic excise is mainly stationary bicycle; the exercise intensity can be adjusted according to the patient's tolerance. The guide of training progress was generally about 40 % to 85 % of maximal workload measured by exercise testing. The exercise can be done during hemodialysis or after dialysi s or non-dialysis day. The duration of exercise was suggested 20 to 25 minutes each time. The training course can be lasting 8 to 12 weeks and the exercise frequency has to be at least three times per week.
期刊論文
1.Ross, D. L.、Grabeau, G. M.、Smith, S.、Seymour, M.(1989)。End stage-renal disease patients immediately following high-efficiency hemodialysis: A pilot study。America Journal Nephrol，9，376-383。  new window
2.Gurklis, J. A.、Menke, E. M.(1988)。Identification of Stressors and Use of Coping Methods in Chronic Hemodialysis Patients。Nursing Research，37(4)，236-239+248。  new window
3.Lok, P.(1996)。Stressor, coping mechanisms and quality of life among dialysis patients in Australia。Journal of Advanced Nursing，23(5)，873-881。  new window
4.陳美玲、顧乃平(19981000)。血液透析病患生活品質及其相關因素之探討。護理研究，6(5)，393-404。new window  延伸查詢new window
5.鍾麗娟、高紀惠(19951200)。血液透析患者疲憊定義特徵及相關因素之臨床效度測定。長庚護理，6(2)=12，13-25。new window  延伸查詢new window
6.Cardenas, D. D.、Kutner, N. G.(1982)。The problem of fatigue in dialysis patients。Nephron，30(4)，336-340。  new window
7.Ream, Emma、Richardson, Alison(1996)。Fatigue: A concept analysis。International Journal of Nursing Studies，33(5)，519-529。  new window
8.周偉倪、張光遜、龍淑慧、高木榮、郭振楠(19980600)。尿毒病患血液透析中之運動訓練：病例報告。復健醫學會雜誌，26(2)，95-101。  延伸查詢new window
9.Frantz, A.(1995)。Measuring activity tolerance: Perceived exertion。Home Health Focus，2(4)，30。  new window
10.Goldberg, A. P.、Geltman, E. M.、Gavin, J. R.、Carney, R. M.、Hagberg, J. M.、Delmez, J. A.、Naumovich, A.、Oldfield, M. H.、Harter, H. R.(1986)。Exercise training reduces coronary risk and effectively rehabilitates hemodialysis patients。Nephron，42(4)，311-316。  new window
11.Karmiel, J. C.(1996)。The easy bike program: An exercise-during-dialysis program。Top Clinical Nutrition，12(1)，74-78。  new window
12.Harter, H. R.(1994)。Exercise in the dialysis patient。Seminars in Dialysis，7(3)，192-198。  new window
13.Hagberg, J. M.、Goldberg, A. P.、Ehsani, A.、Heath, G. L. O.、Delmez, J. A.、Harter, H. R.(1983)。Exercise training improves hypertension in hemodialysis patients。American Journal of Nephrology，3，209-212。  new window
14.Painter, P.、Messer-Rehak, D.、Hanson, P.、Zimmerman, S. W.、Glass, N. R.(1986)。Exercise capacity in hemodialysis, CAPD, and renal transplant patients。Nephron，42(1)，47-51。  new window
15.Painter, P. L.、Nelson-Worel, J. N.、Hill, M. M.、Thorabery, D. R.、Shelp, W. R.、Harrington, A. R.、Weinstein, A. B.(1986)。Effects of exercise training during hemodialysis。Nephron，43(2)，87-92。  new window
16.Shalom, R.、Blumenthal, J. A.、Williams, R. S.、McMurray, R. G.、Dennis, V. W.(1984)。Feasibility and benefits of exercise training in patients on maintenance dialysis。Kidney International，25(6)，958-963。  new window
17.蔡仁貞(19961200)。冠狀動脈病患疲倦感受度、運動耐力與日常活動量之探討。護理研究，4(4)，312-320。new window  延伸查詢new window
18.Borg, Gunnar A. V.(1982)。Psychophysical Bases of Perceived Exertion。Medicine and Science in Sports and Exercise，14(5)，377-381。  new window
19.Pate, R. R.、Pratt, M.、Blair, S. N.、Haskell, W. L.、Macera, C. A.、Bouchard, C.、Buchner, D.、Ettinger, W.、Heath, G. W.、King, A. C.、Kriska, A.、Leon, A. S.、Marcus, B. H.、Morris, J.、Paffenbarger, R. S.、Patrick, K.、Pollock, M. L.、Rippe, J. M.、Sallis, J.、Wilmore, J. H.(1995)。Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine。The Journal of the American Medical Association，273(5)，402-407。  new window
圖書
1.Kim, M. J.、McFarland, G. K.、McLane, A. M.(1993)。Pocket guide to nursing diagnosis。Philadelphia, Pennsylvania。  new window
2.Brannon, F. J.、Foley, M. W.、Starr, J. A.、Black, M. G.(1993)。Cardiopulmonary rehabilitation: Basic theory and application。Philadelphia：Davis。  new window
3.American College of Sports Medicine(1995)。ACSM's guidelines for exercise testing and prescription。Waverly：Williams & Wilkins。  new window
其他
1.中華民國腎臟醫學會評估委員會(1997)。台灣地區86年度透析評估工作報告。  延伸查詢new window
2.黃志強(1994)。長期透析治療所產生的問題，台北：合記出版社。  延伸查詢new window
3.Hinrichsen GA, Lisberman JA, Pollack A, Stenberg H.(1989)。Depression in hemodialysis patients。  new window
4.Sensky T.(1993)。Psychosomatic aspects of endstage renal failure。  new window
5.Painter P, Zimmerman SW.(1983)。The role of exercise in the long term rehabillitation of patients with end stage renal disease。  new window
6.Painter P.(1994)。The importance of exercise training in rehabilitation of patients with endstage renal disease。  new window
7.Porter GA.(1994)。Assessing the outcome of rehabilitation in patients with end-stage renal disease。  new window
8.Sklar AH, Riesenberg LA, Silber AK, Ahmed W, Ali A.(1996)。Postdialysis fatigue。  new window
9.Fitts SS.(1997)。Physical benefits and challenges of exercise for people with chronic renal disease。  new window
10.Carney RM, McKevitt PM, Goldberg AP, Hagberg J, Delmez JA, Harter HR.(1983)。Psychological effects of exercise training in hemodialysis patients。  new window
11.Moore GE, Parsons DB, Stray-Gundersen J, Painter PL, Brinker KR, Mitchell JH.(1993)。Uremic myopathy limits aerobic capacity in hemodialysis patients。  new window
12.Painter P, Carlson L.(1994)。Case study of anemia patient: epoetin alfa-focus on exercise。  new window
13.Moore GE, Brinker KR, Stray-Gundersen J, Mitchell JH.(1993)。Determinants of VO2 peak in patients with end-stage renal disease: on and off dialysis。  new window
14.Fitts SS, Guthrie MR, Blagg CR.(1996)。Rehabilitation should Parallel the course of the disease: Counseling and exercise coaching for patients。  new window
15.Castellino P, Bia M, DeFronzo RA.(1987)。Metabolic response to exercise in dialysis patient。  new window
16.Brass EP, Hiatt WR.(1994)。Carnitine metabolism during exercise。  new window
17.Rostand SG, Brunzell JD, Cannon RO 3d, Victor RG.(1991)。Cardiovascular complications in reanl failure。  new window
18.Parfrey PS, Vavasour HM, Henry S, Bul-lock M, Gault MH.(1988)。Clinical features and severity of nonspecific symptoms in dialysis patients。  new window
19.Chiou CP.(1997)。Correlations of functional status of hemodialysis patients in Taiwan。  new window
20.Schreiber WK, Huber W.(1985)。Psychological situation of dialysis patients and their families。  new window
21.林秋菊、張素凰(1985)。血液透析病人的壓力與應對型態。  延伸查詢new window
22.Aistars J.(1987)。Fatigue in the cancer patient: a conceptual to a clinical problem。  new window
23.Piper B.(1986)。Fatigue. In: Pathophysiological Phenomena in Nursing: Human Response to Illness。  new window
24.Brunier G, Graydon J.(1993)。The inflecence of physical activity on fatigue in patients with end Stage renal disease on hemodialysis。  new window
25.Shephard RJ, Kavanagh T, Klavora P.(1985)。Mood state during post-coronary cardiac rehabilitation。  new window
26.Markoff RA, Ryan P, Young T.(1982)。Endorphins and mood change in long-distance running。  new window
27.Synder T.(1989)。An exercise program for dialysis patients。  new window
28.Kutner NG, Curtin RB, Oberley E, Sacksteder P.(1997)。Fulfilling the promise:linking rehabilitation interventions with ESRD patient outcomes。  new window
29.Carney RM, Wetzel RD, Hagberg J, Goldberg AP.(1986)。The relationship between depression and aerobic capacity in hemodialysis patients。  new window
30.Williams A, Stephens R, McKnight T(1991)。Factors affecting adherence of end-stage Renal disease patients to an exercise programme。  new window
31.Tesch PA, Kaiser P.(1983)。Effects of beta-adrenergic blockage on O₂ uptake during submax imal and maximal exercise。  new window
32.Siskovick DS, Weiss NS, Feltcher RH, Lasky T.(1984)。The incidence of primary cardiac arrest during vigorous exercise。  new window
33.Horton ES.(1988)。Exercise and diabetes mellitus。  new window
34.Moore GE.(1995)。Selecting dialysis patients for an exercise program。  new window
圖書論文
1.Moore, G. E.(1998)。Exercise prescription in renal failure。Exercise prescription。Philadelphia：Hanley & Belfus。  new window
2.Painter, P. L.(1997)。Renal failure。ACSM's exercise management for persons with chronic diseases and disabilities。Champaign, IL：Braun-Bramfield。  new window
 
 
 
 
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