| 特集名 | CKDステージG3以降の診療と看護・生活支援 | |
|---|---|---|
| 題名 | 食事と運動療法 (2) 運動療法の実際 | |
| 発刊年月 | 2013年 06月 | |
| 著者 | 小関 裕二 | 増子記念病院リハビリテーション科・理学療法士 |
| 著者 | 朝倉 洋平 | 増子記念病院臨床栄養課・管理栄養士 |
| 著者 | 加藤 ふみ | 増子記念病院内科 |
| 【 要旨 】 | 慢性腎臓病（CKD）患者の運動療法は腎機能障害を悪化させる懸念から推奨されなかった．しかし，「エビデンスに基づくCKD診療ガイドライン2009」ではCKD 患者に一律に運動制限を行うのではなく，心血管疾患予防目的や身体機能維持のためにも，継続した運動に取り組むことが勧められている．CKD患者の運動療法は，リスク管理下にて低負荷な運動を継続的に取り組むことが重要である．医療スタッフは，CKD患者に対し運動療法の有用性を十分説明し，運動が継続しやすい環境を整え，安全に運動できるよう支援することが大切である． | |
| Theme | Medical treatment, nursing care, and life support for patients with advanced CKD stages | |
|---|---|---|
| Title | Diet and exercise therapy for CKD patients | |
| Author | Yuji Ozeki | Department of Rehabilitation, Masuko Memorial Hospital |
| Author | Yohei Asakura | Department of Clinical Nutrition, Masuko Memorial Hospital |
| Author | Fumi Kato | Department of Internal Medicine, Masuko Memorial Hospital |
| [ Summary ] | Exercise therapy for patients with chronic kidney disease has not been recommended due to concerns related to exacerbation of renal dysfunction. Rather than restricting movement across the board for chronic kidney disease patients the Clinical Practice Chronic Kidney Disease Guidelines of 2009, suggest maintainance of physical functions for the purpose of preventing cardiovascular disease. Therefore, continuing movement provide exercise to is advised. Exercise therapy for patients with chronic kidney disease, should consist of continuous movement under low loads to achieve risk management. For medical staff members, it is important to create an environment in which we may fully explain the effectiveness of exercise therapy to patients with chronic kidney disease. |
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