家庭有氧运动结合呼吸训练在COPD合并衰弱患者中的应用

Application of family aerobic exercise combined with respiratory training in chronic obstructive pulmonary disease patients with frailty

目的探讨家庭有氧运动结合呼吸训练对COPD合并衰弱患者肺功能、自理能力和生活质量的影响。方法采用便利抽样法选取2018年9月—2019年3月在郑州大学第一附属医院门诊就诊的COPD合并衰弱患者86例,随机分为对照组(n=43)和观察组(n=43),对照组给予常规健康教育,观察组接受家庭有氧运动结合呼吸训练指导。干预3个月后,采用肺功能仪比较两组肺功能指标,采用Barthel指数和COPD患者生活质量评估问卷(CAT)比较两组ADL和生活质量。结果观察组38例、对照组40例患者完成研究。干预3个月后,观察组肺功能指标与对照组差异无统计学意义(P>0.05)。干预3个月后,观察组Barthel指数评分(71.28±10.02)分,高于对照组;CAT评分(13.68±5.16)分,低于对照组;两组比较差异均有统计学意义(t值分别为-2.102、2.736;P<0.05)。结论家庭有氧运动结合呼吸训练能够改善COPD合并衰弱患者的肺功能,提高其自理能力和生活质量,具有一定的临床推广应用价值。

Objective To explore effects of family aerobic exercise combined with respiratory training on pulmonary function,self-care ability and quality of life in chronic obstructive pulmonary disease(COPD)patients with frailty.Methods A total of 86 COPD patients with frailty who were treated in the Outpatient Department in the First Affiliated Hospital of Zhengzhou University from September 2018 to March 2019 were selected by the convenient sampling method.They were randomly divided into the control group(n=43)and the observation group(n=43).The control group was given routine health education while the observation group was given family aerobic exercise combined with respiratory training guidance.After 3 months of intervention,pulmonary function meters were used to compare lung function indexes between two groups.Barthel index and COPD Assessment Test(CAT)were used to compare activity of daily living(ADL)and quality of life of patients.Results 38 patients in the observation group and 40 patients in the control group completed the study.After 3 months of intervention,there was no statistically significant difference in lung function indexes between the observation group and the control group(P>0.05).After 3 months of intervention,the Barthel index score of the observation group(71.28±10.02)was higher than that of the control group while CAT score(13.68±5.16)was lower than that of the control group.The differences between the two groups were statistically significant(t=-2.102,2.736;P<0.05).Conclusions Family aerobic exercise combined with respiratory training can improve the lung function of COPD patients with frailty and improve their self-care ability and quality of life,which has certain clinical application values.