老年糖尿病長期合併症患者安全的運動

Safe Exercises for Elderly Diabetic Patients With Chronic Complications

老年糖尿病患者合併症的出現可能減少患者的運動能力，進而影響其自我照顧能力與增加醫療成本，因而給予清楚的運動指導是不可少的。鼓勵患者運動也應提供患者適合的運動方式，糖尿病患者運動前需先對身體功能完整的評估，並應進一步考量其伴隨的合併症，根據患者的疾病階段提供詳細的運動資訊，使患者可以自我管理並持續的運動，以獲得長期運動的好處。本文主要敘述運動前的評估、運動建議、糖尿病長期合併症的安全運動方式，做為健康照護人員指導老年糖尿病患者運動執行之參考，希望能協助糖尿病合併症患者安全並有效的進行運動。

Medical complications impair the ability of elderly diabetic patients to exercise independently, which often leads to increased medical costs. Detailed exercise guidance, in addition to encouragement, can help sustain and improve independent exercise abilities in this vulnerable population. Prior to adopting a exercise regimen, diabetic patients should receive a full physical examination and consider possible complications. Disease stage-appropriate exercise information can help patients self-manage their disease and exercise to achieve long-term benefits. This paper is a literature review that focuses on pre-exercise evaluation methodologies, exercise suggestions, and exercises recommended for diabetic patients with chronic complications. This review may serve as a reference for medical professionals responsible to provide exercise advice to elderly diabetic patients.