主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (7): 898-903.doi: 10.3969/j.issn.1672-1756.2018.07.009

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老年2型糖尿病患者双重任务行走跨步时间变异性水平及其影响因素分析

徐忠梅 于卫华   

  1. 安徽医科大学第三附属医院护理部,230061 合肥市
  • 出版日期:2019-01-07 发布日期:2019-01-07

The level and influencing factors of stride time variability under dual task walking among elderly patients with type 2 diabetes

  • Online:2019-01-07 Published:2019-01-07

摘要: 目的:调查老年2型糖尿病患者双重任务行走跨步时间变异性水平并分析其影响因素。方法:采用便利抽样法,选取符合标准的192例老年2型糖尿病患者作为研究对象,进行一般资料调查、害怕跌倒评估、计时起立行走测试、5次坐到站测试及步态测量。结果:老年2型糖尿病患者双重任务行走状况下跨步时间变异性为7.3%,多元回归分析显示双重任务干扰、步速及害怕跌倒是跨步时间变异性的影响因素,共解释54.7%的变异量。结论:老年2型糖尿病患者双重任务行走跨步时间变异性水平偏高,指导患者进行运动锻炼特别是双重任务训练以及缓解患者害怕跌倒心理有助于降低其双重任务行走跨步时间变异性水平,进而有利于改善患者安全状况,提高生活质量。

关键词: 糖尿病, 老年人, 双重任务, 步态, 跨步时间变异性

Abstract: Objective: To explore the level and influencing factors of stride time variability under dual task walking among elderly patients with type 2 diabetes. Methods: A total of 192 elderly patients with type 2 diabetes were selected. Data were collected by general information questionnaire, fear of falling assessment, Timed "Up and Go" Test, Five Times Sit to Stand Test and portable gait analyzer. Results: The stride time variability under dual task walking among elderly patients with type 2 diabetes was 7.3%. Multivariate regression analysis showed that the dual task interference, velocity and fear of falling were influencing factors of stride time variability, explaining a total of 54.7% of the variance. Conclusion: The level of stride time variability under dual task walking among elderly patients with type 2 diabetes was relatively high. Guiding patients to exercise, especially dual task training, and relieving fear of falling were beneficial to reduce the level of stride time variability under dual task walking, which can improve patients' safety condition and quality of life.

Key words: diabetes mellitus, elderly patients, dual task, gait, stride time variability