强化肺康复联合有氧运动对老年慢性阻塞性肺疾病患者睡眠质量的影响

Effect of Intensive Pulmonary Rehabilitation Combined with Aerobic Exercise on Sleep Quality in Elderly Patients with Chronic Obstructive Pulmonary Disease

目的:研究强化肺康复(PR)联合有氧运动对老年慢性阻塞性肺疾病(COPD)患者睡眠质量的影响。方法:选取2021年3月至2022年12月厦门大学附属第一医院老年COPD患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组给予强化肺康复锻炼,观察组在对照组基础上联合给予有氧运动干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用多导睡眠监护器(PSG)对睡眠总时间(TST)、睡眠潜伏期(SL)及睡眠效率(SE)进行监测,采用圣乔治呼吸问卷(SGRQ)比较2组患者生活能力的变化,采用汉密尔顿焦虑量表(HAMA)评估护理前后患者的焦虑情绪严重程度,采用汉密尔顿抑郁量表(HAMD)对患者护理前与护理后的抑郁程度进行评估。结果:干预后,观察组TST、SE评分显著高于对照组,观察组SL评分显著低于对照组,差异有统计学意义(P<0.05);干预后,观察组PSQI评分、HAMA评分、HAMD评分、SGRQ评分均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:强化PR锻炼联合有氧运动可以改善老年COPD患者的睡眠质量,减轻呼吸困难症状,调节不良心理状态,降低疾病对生活的影响,值得临床推广应用。

Objective:To study the effect of intensive pulmonary rehabilitation(PR)combined with aerobic exercise on sleep quality in elderly patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 80 elderly patients with COPD in the First Affiliated Hospital of Xiamen University from March 2021 to December 2022 were selected as research objects and divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given intensive pulmonary rehabilitation exercise,and the observation group was given aerobic exercise intervention on the basis of the control group.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference in sleep quality between the two groups.Polysleep monitor(PSG)was used to monitor total sleep time(TST),sleep latency(SL)and sleep efficiency(SE).St.George′s Breathing Questionnaire(SGRQ)was used to compare the changes in living ability between the two groups.Hamilton Anxiety Scale(HAMA)was used to evaluate the severity of anxiety before and after nursing,and Hamilton Depression Scale(HAMD)was used to evaluate the severity of depression before and after nursing.Results:After intervention,TST and SE scores in the observation group were significantly higher than those in the control group,and SL scores in the observation group were significantly lower than those in the control group,with statistical significance(P<0.05);after intervention,PSQI scores,HAMA scores,HAMD scores and SGRQ scores in the observation group were significantly lower than those in the control group,and the differences between the two groups were statistically significant(P>0.05).Conclusion:Intensive PR exercise combined with aerobic exercise can improve the sleep quality of elderly patients with COPD,reduce the symptoms of dyspnea,regulate the adverse psychological state,and reduce the impact of the disease on life,which is worthy of clinical application.