健身气功·六字诀对Ⅳ期糖尿病肾病患者生活质量的影响

Effect of Exercise Qigong-Liuzijue on the Quality of Life of Patients with Type Ⅳ Diabetic Nephropathy

目的:探讨健身气功·六字诀对Ⅳ期糖尿病肾病患者生活质量的影响。方法:抽取辽宁中医药大学附属医院住院及门诊的Ⅳ期糖尿病肾病患者60例,随机分为实验组(n=30)及对照组(n=30)。实验组在保持原用药物和饮食习惯不变的基础上,规律练习健身气功·六字诀,每周练习3~5天,1次约30min左右,每周到医院集中练习1次。对照组不进行规律性锻炼。实验周期为12个月,分别在练功前、练功第6个月、练功第12个月应用SF-36生活质量量表,评价2组患者的生活质量。结果:实验组练功第6个月、第12个月时各维度得分及总评分较练功前均有所提升(P<0.05),尤其在练功第12个月生理功能(PF)、躯体疼痛(BP)、精力(VT)及生理健康总评(PCS)方面较练功前有非常显著性差异(P<0.01)。对照组实验后SF-36量表各维度得分均有不同程度的下降,差异无统计学意义(P>0.05)。且2组受试者练功第12个月在生理职能(RP)、躯体疼痛(BP)、社会功能(SF)、情感职能(RE)、生理健康总评(PCS)及心理健康总评(MCS)方面均产生了不同程度的显著性差异(P<0.05)。结论:长期规律练习健身气功·六字诀可有效改善Ⅳ期糖尿病肾病患者生活质量,尤其是在PF、BP、VT及PCS方面。

Objective： To investigate the effect of exercise Qigong-Liuzijue on the quality of life of patients with type Ⅳ diabetic nephropathy. Methods： Extraction of Liaoning University of Traditional Chinese Medicine Affiliated Hospital inpatient and outpatient of 60 patients with diabetic nephropathy, were randomly divided into experimental group（n=30） and control group（n=30）. The experimental group while maintaining the original unchanged with medicine and diet, on the basis of law practice Qigong-Liuzijue, 3-5 days per week, every practice lasted about 30 minutes, focus on practice to the hospital once a week. The control group did not regular exercise.The experiment period was 12 months, and the SF-36 living quality scale was applied to evaluate the quality of life of the two groups before the practice,at 6 th and 12 th months during the intervention. Results： The experimental group showed higher score at 6 th and12 th months of intervention than before intervention（P〈0.05）, especially in practice 12 th months of physiology function（PF）, body pain（BP）, energy（VT） and the physical component summary（PCS） than before practice, and there was a significant difference（P〈0.01）. In the control group, the scores of the SF-36 scales decreased in different degrees after the experiment, and the difference was not statistically significant（P〈0.05）.And the two groups 12 th months in physiological function（RP）, body pain（BP）, social function（SF）, emotional function（RE）, physical component summary（PCS）and mental component summary（MCS） were significant differences（P〈0.05）. Conclusion： Longterm regular exercise Qigong-Liuzijue can effectively improve the quality of life in patients with type Ⅳ diabetic nephropathy. especially in the area of PF, BP, VT and PCS.