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June 2020, Volume 23,No16 Abstracts(B)

 Exercise Status of Elderly Patients with Type 2 Diabetes and Its Influencing Factors in Community WANG Zhuo1*,YE Tong2,LIU Huihui2
1.Xiaobailou Street Community Health Service Center of Heping District,Tianjin 300040,China
2.Graduate College,Tianjin University of Traditional Chinese Medicine,Tianjin 120000,China
*Corresponding author:WANG Zhuo,Attending physician;E-mail:271067156@qq.com
【Abstract】 Background Physical exercise plays an important role in the comprehensive management of patients with type 2 diabetes.However,there are few studies on the exercise status of diabetic patients in China,especially the investigation on the exercise status of elderly patients with type 2 diabetes.Objective To investigate the exercise status of elderly patients with type 2 diabetes in community,and analyze its influencing factors so as to provide a basis for formulating targeted interventions.Methods A convenient sampling method was used to select elderly patients with type 2 diabetes who were treated at Xiaobailou Street Community Health Service Center of Heping District of Tianjin from June to September in 2017.A General Information Questionnaire and an Exercise Assessment Scale for Elderly Patients with Diabetes were used.A total of 230 questionnaires were distributed and 224(97.4%) valid questionnaires were recovered.Results The mean score of exercise was(116.70±8.24).The mean scores of items in five dimensions of exercise knowledge,exercise willingness,exercise behavior,social support,and professional support were(4.12±0.35),(3.44±0.38),(2.93±0.70),(2.89±0.71),and(2.59±0.67),respectively.Multivariate linear stepwise regression analysis showed that BMI,main source of life,number of children,family history of diabetes,duration of diabetes,the occurrence of hypoglycemia,and the presence of osteoarthropathy were main factors influencing the exercise status of elderly patients with type 2 diabetes in community(P<0.05).Conclusion The professional support and social support of exercise is poor in elderly patients with type 2 diabetes in community.Both living conditions and illness conditions will affect their exercise status.The medical staff,patients' family members and the community should strengthen the importance of exercise in the prevention and control of diabetes,and provide targeted and professional health guidance for different individuals.At the same time,the corresponding help and support should be provided to improve the quality of life of patients.
【Key words】 Diabetes mellitus,type 2;Exercise movement techniques;Root cause analysis;Health management;Community health services;Aged
 
Research Advances in Right Ventricular Dysfunction in Heart Failure with Preserved Ejection Fraction GOU Chunli1,LIU Yongming2*
1.The First School of Clinical Medicine of Lanzhou University,Lanzhou 730000,China
2.Division One of Department of Geriatrics,the First Hospital of Lanzhou University,Lanzhou 730000,China
*Corresponding author:LIU Yongming,Professor,Master supervisor;E-mail:cardtonm@263.net
【Abstract】 Right ventricular dysfunction(RVD) has been widely confirmed and recognized in heart failure with reduced ejection fraction(HFrEF),but it has not been paid much attention and made description in heart failure with preserved ejection fraction(HFpEF).Studies in recent years have shown that RVD accounts for a large proportion of HFpEF and is independently associated with poor prognosis in heart failure.In addition,comorbidities such as pulmonary hypertension and atrial fibrillation,type 2 diabetes,hypertension and coronary heart disease are pathogenic or contributing factors of RVD,and are also associated with poor clinical prognosis of heart failure.Meanwhile,improved recognization of the interaction between the right and left ventricular is crucial to further understand RVD.This article reviews the prevalence of RVD and the relationship between RVD and multiple comorbidities and the left ventricular in HFpEF,in order to provide guidance for clinical intervention and treatment decision-making though the assessment of right ventricular function in patients with HFpEF.
【Key words】 Heart failure;Heart failure with preserved ejection fraction;Right ventricular dysfunction;Prevalence;Comorbidity;Review
 
Research Progress on the Relationship between Stroke Environment and Social Participation WANG Wenna,ZHANG Leyun,FU Bo,LIN Beilei,ZHANG Zhenxiang*
School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China
*Corresponding author:ZHANG Zhenxiang,Professor,Doctoral supervisor;E-mail:Zhangzx6666@126.com
【Abstract】 Stroke is a serious threat to the health of residents globally,and eliminating or reducing environmental barriers may have a rapid and positive impact on the social participation of patients.This paper introduces the related concepts and assessment tools of stroke environment and social participation,summarizes the research progress of the relationship between stroke environment and social participation,and finds that the stroke environment is closely related to the social participation of patients.However,the specific relationship between stroke environment and social participation still needs to be further explored.The future research should pay attention to and optimize the stroke environment,so as to improve the level of social participation of community stroke patients,and then promote patients' rehabilitation.
【Key words】 Stroke;Environment factors;Social participation;Review
 

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