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梁梦瑶,陆艳▲.体力活动促进在急性加重后出院的慢性阻塞性肺疾病患者中应用研究[J].中国医药科学,2024,14(11):142-145        基金项目:江苏省南通市卫生健康委员会科研课题(MB2021072)
体力活动促进在急性加重后出院的慢性阻塞性肺疾病患者中应用研究
Study on the application of physical activity promotion in discharged patients with chronic obstructive pulmonary disease after acute exacerbation
  
DOI:
中文关键词:  体力活动;慢性阻塞性肺疾病;计步器;广义估计方程
英文关键词:Physical activity; Chronic obstructive pulmonary disease; Pedometer; Generalized estimating equation
作者单位
梁梦瑶,陆艳▲ 江苏省南通市第六人民医院 (上海大学附属南通医院)呼吸与危重症科,江苏南通 226001 
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中文摘要:
      [摘要] 目的 探讨基于计步器的体力活动促进对慢性阻塞性肺疾病患者(COPD)急性加重出院后每日平均步数、肺功能、运动能力和生活质量的效果。方法 选取2022年7月至2023年7月南通市第六人民医院57例急性加重出院后COPD患者为研究对象,采用随机数表法将其分为对照组和干预组。对照组在临床常规出院管理方案基础上给予计步器记录每日步数,干预组在常规组的基础上进行渐进式和目标驱动计划,分别于出院时、第4、8、12周末对患者每日平均步数进行评估,在基线和12周末对肺功能、运动能力、生活质量进行测定评估,评价指标为第1秒用力呼吸量占预测值百分比(FEV1%pre)、一秒率(FEV1/FVC)、6 min步行测试(6MWD)、圣乔治呼吸问卷(SGRQ)。 结果 干预组各时间段步数均高于对照组,差异有统计学意义(P < 0.05);干预组肺功能和运动能力与对照组比较,差异无统计学意义(P > 0.05);干预组生活质量低于对照组,差异有统计学意义(P < 0.05)。 结论 基于计步器的渐进式体力活动促进在提高COPD急性加重出院后的每日平均步数、生活质量方面较传统基于计步器的步行训练在该研究群体中的作用中更加明显,值得临床推广。
英文摘要:
      [Abstract] Objective To explore the effect of physical activity promotion based on pedometer on the average daily steps, lung function, exercise ability and quality of life of discharged patients with chronic obstructive pulmonary disease (COPD) after acute exacerbation. Methods A total of 57 discharged COPD patients after acute exacerbation from the Sixth People’s Hospital of Nantong in Jiangsu Province from July 2022 to July 2023 were selected as the research objects, and were randomly divided into the control group and the intervention group by random number table method. The control group was given a pedometer to record daily steps on the basis of clinical routine discharge management regimen, while the intervention group was given a stepwise and goal-driven plan on the basis of the regimen for the routine group. The average daily steps of patients were evaluated at baseline and at the end of Weeks 4, 8 and 12, and the pulmonary function, exercise ability and quality of life were measured and evaluated at baseline and at the end of Week 12. The evaluation indexes were the percentage of forced expiratory volume in one second in predicted value (FEV1%pre), the ratio of forced expiratory volume in one second to forced vital capacity (FEV1/FVC), the 6 min walking distance (6MWD) and the score of Saint George’s Respiratory Questionnaire (SGRQ). Results The step count in each time period in the intervention group was higher than that in the control group, with statistically significant difference (P < 0.05). There were no significant differences in lung function and exercise ability between the intervention group and the control group (P > 0.05). The quality of life in the intervention group was lower than that in the control group, with statistically significant difference (P < 0.05). Conclusion Stepwise physical activity promotion based on pedometer is more effective than traditional walking training based on pedometer in improving the average daily steps and quality of life of COPD patients with acute exacerbation after discharge. Therefore, it is worthy of clinical promotion.
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