保健医学研究与实践2023，Vol.20Issue(10)：47-51,5.DOI:10.11986/j.issn.1673-873X.2023.10.009
渐进式抗阻训练联合肺康复运动对老年COPD稳定期患者心理状态、肺功能及生活质量的影响
Effect of progressive resistance training combined with pulmonary rehabilitation exercise on psychological state,pulmonary function and quality of life in elderly patients with stable COPD
摘要
Abstract
Objective This paper aims to investigate the effect of progressive resistance training combined with pulmonary re-habilitation exercise on psychological state,pulmonary function,and quality of life in elderly patients with stable chronic ob-structive pulmonary disease(COPD).Methods Overall,108 elderly patients with stable COPD who visited Ma'anshan People's Hospital from March to December 2021 were randomly assigned to the observation group(n=54)and control group(n=54)by a random number table.Patients in the control group received pulmonary rehabilitation exercise;patients in the observation group,progressive resistance training based on pulmonary rehabilitation exercise intervention.The Ham-ilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA),maximum ventilatory volume/Minute(MVV),forced vital capacity(FVC),ratio of forced expiratory volume in 1 second to forced vital capacity(FEV1/FVC),St.George's Respiratory Questionnaire(SGRQ),6-min walking distance(6MWT),diaphragmatic mobility,maximum ex-piratory pressure(MEP),maximum inspiratory pressure(MIP),and COPD clinical questionnaire(CCQ)scores were com-pared between the groups before and at 8 weeks of intervention.Results Before intervention,no significant difference was observed in HAMD and HAMA scores between the two groups(P＞0.05).At 8 weeks of intervention,the HAMD and HAMA scores of the two groups were significantly lower than those before intervention,and the observation group was sig-nificantly lower than the control group(P＜0.05).Before intervention,no significant differences were found in MVV,FVC,and FEV1/FVC between the two groups(P＞0.05).At 8 weeks of intervention,MVV,FVC,and FEV1/FVC were significantly increased in the two groups,and these indicators in the observation group were significantly higher than those in the control group(P＜0.05).Before intervention,there was no significant difference in SGRQ score and 6 MWT between the two groups(P＞0.05).At 8 weeks of intervention,the SGRQ scores of patients in both groups were significantly de-creased,and the observation group was significantly lower than the control group(P＜0.05);the 6 MWT in the two groups was significantly increased,and the observation group was significantly greater than the control group(P＜0.05).Before intervention,no significant difference was observed in diaphragmatic mobility,MEP,and MIP between the groups(P＞0.05).At 8 weeks of intervention,diaphragmatic mobility,MEP,and MIP were greater in the 2 groups than before inter-vention,with the observation group significantly greater than the control group(P＜0.05).Before intervention,there was no significant difference in the symptoms,activity scores,and total scores in the CCQ between the two groups(P＞0.05).At 8 weeks of intervention,the symptoms,activity scores,and total scores in the CCQ of the two groups were lower than those before intervention,and the observation group was lower than the control group,with statistical significance(P＜0.05).Conclusion Progressive resistance training combined with pulmonary rehabilitation exercise can potentiate the psy-chological state,pulmonary function,and quality of life of elderly patients with stable COPD,holding promise for a wider clinical application.关键词
渐进式抗阻训练/肺康复运动/慢性阻塞性肺疾病/稳定期/心理状态/生活质量Key words
Progressive resistance training/Pulmonary rehabilitation exercise/Chronic obstructive pulmonary disease/Stable phase/Psychological state/Quality of life分类
医药卫生引用本文复制引用
秦晋,韦振平,宋萍..渐进式抗阻训练联合肺康复运动对老年COPD稳定期患者心理状态、肺功能及生活质量的影响[J].保健医学研究与实践,2023,20(10):47-51,5.基金项目
安徽省自然科学基金(2008085QH397). （2008085QH397）
