不同运动训练模式在自我管理能力低的COPD病人中应用效果比较

Effect comparison of different exercise training methods in COPD patients with lower self⁃management abilities

目的:比较间歇性运动训练与持续性运动训练在自我管理能力低的慢性阻塞性肺疾病(COPD)病人中的应用情况。方法:便利选取汕头市某三级甲等医院2021年7月—10月收治的99例轻中度稳定期且自我管理能力较低的COPD病人,随机分为试验组1(间歇性运动训练)、试验组2(持续性运动训练)和对照组(常规护理),干预3个月后比较3组病人的肺功能、运动能力、生活质量和参与度。结果:共有92例病人完成研究。与对照组相比,试验组1与试验组2的病人在肺功能、运动能力及生活质量方面均得到改善;在干预后2个月、3个月时,试验组1的肺功能均优于试验组2(P<0.05);在干预后2个月,试验组1的运动能力优于试验组2(P<0.05);在干预后1个月、2个月和3个月,试验组1的生活质量和运动次数优于试验组2(P<0.05)。结论:间歇性运动训练更符合自我管理能力低的COPD病人的运动偏好,随着训练时间的增加,间歇性运动组病人的肺功能、运动能力、生活质量和参与度均会得到更大的改善。

Objective:To compare interval exercise training with continuous exercise training in COPD patients with low self-management ability.Methods:99 patients with mild to moderate stable COPD and lower self⁃management abilities admitted from July to October 2021 in a hospital in Shantou were consecutively enrolled,and then randomly assigned to the interval exercise training group(group 1),the continuous exercise training group(group 2),and the usual control group(group 3).After 3 months of intervention,the lung function,exercise capacity,quality of life and participation of patients in the 3 groups were analyzed.Results:A total of 92 patients completed the study.Compared with the control group,patients in group 1 and group 2 had better lung function,exercise capacity and quality of life.And lung function was better in group 1 than in group 2 at both 2 and 3 months after the intervention(P<0.05),exercise capacity was better in group 1 than in group 2 at 2 months after intervention(P<0.05),quality of life was better in group 1 than in group 2 at 1,2 and 3 months after intervention(P<0.05),and times of exercises were higher in group 1 than in group 2 at 1,2 and 3 months after intervention(P<0.05).Conclusions:Interval exercise training may be more consistent with the exercise preferences of COPD patients with lower self⁃management abilities,and patients in the interval exercise group will have greater improvement in lung function,exercise capacity,quality of life and participation as the training time increases.