探究肺癌根治术患者应用全程肺康复训练的效果。方法 选取时间:2023.1~2024.6。选取对象:南通市肿瘤医院的94例肺癌患者。以Excel表格法分为全程组(n=47)、基础组(n=47)。基础组采用常规干预方式,全程组加用全程肺康复训练。组间对比研...探究肺癌根治术患者应用全程肺康复训练的效果。方法 选取时间:2023.1~2024.6。选取对象:南通市肿瘤医院的94例肺癌患者。以Excel表格法分为全程组(n=47)、基础组(n=47)。基础组采用常规干预方式,全程组加用全程肺康复训练。组间对比研究指标。结果 全程组肺功能中一秒量(0.95±0.11 vs 0.82±0.14)L、用力肺活量(1.99±0.17 vs 1.85±0.20)L及一秒率(47.95±4.01 vs 44.11±3.75)%水平均高于基础组(t=5.006、3.657、4.795,P<0.05);全程组体力活动能力中高于基础组(P<0.05);全程组生活质量功能维度评分高于基础组(P<0.05),全程组生活质量中症状维度中疼痛维度、疲倦维度、恶心呕吐维度评分低于基础组(P<0.05)。结论 全程肺康复训练能够改善肺癌根治术患者的肺功能和体力活动能力,提高生活质量。展开更多
Background：Little is known about change in physical activity（PA） and its relationship to all-cause mortality among old people.There is even less information about the association between PA,fitness and all-cause mo...Background：Little is known about change in physical activity（PA） and its relationship to all-cause mortality among old people.There is even less information about the association between PA,fitness and all-cause mortality among people aged 80 years and above.The objective is to investigate persistence and change in PA over 5 years as a predictor of all-cause mortality,and fitnes as a mediator of this association,among people aged 80 and 85 years at the beginning of an 18-year mortality follow-up period.Methods：Using Evergreen Project data（started in 1989）,4 study groups were formed according to self-reported changes in PA level,over a 5-year period（starting in 1989–1990 and ending in 1994–1995）：remained active（RA,control group）,changed to inactive（CI）,remained inactive（RI）,and changed to active（CA）.Mortality was followed up over the 18-year period（1994–2012）.Cox models with different covariates such as age,sex,use of alcohol,smoking,chronic diseases,and a 10 m walking test were used to analyze the association between change in PA level and mortality.Results：Compared to RA,those who decreased their PA level（CI） between baseline and follow-up had higher all-cause mortality（hazard ratio（HR=2.09;95%CI：1.63–2.69） when adjusted for age,gender,and chronic diseases.RI showed the highest all-cause mortality（HR = 2.16;95%CI：1.59–2.93）.In CA,when compared against RA,the risk of all-cause mortality was not statistically significan（HR=1.51;95%CI：0.95–2.38）.In comparison with RA,when walking speed over 10 m was added as a covariate,all-cause mortality risk was almost statistically significan only in CI（HR=1.37;95%CI：1.00–1.87）.Conclusion：Persistence and change in PA level was associated with mortality.This association was largely explained by fitnes status.Randomized controlled studies are needed to test whether maintaining or increasing PA level could lengthen the life of old people.展开更多
文摘探究肺癌根治术患者应用全程肺康复训练的效果。方法 选取时间:2023.1~2024.6。选取对象:南通市肿瘤医院的94例肺癌患者。以Excel表格法分为全程组(n=47)、基础组(n=47)。基础组采用常规干预方式,全程组加用全程肺康复训练。组间对比研究指标。结果 全程组肺功能中一秒量(0.95±0.11 vs 0.82±0.14)L、用力肺活量(1.99±0.17 vs 1.85±0.20)L及一秒率(47.95±4.01 vs 44.11±3.75)%水平均高于基础组(t=5.006、3.657、4.795,P<0.05);全程组体力活动能力中高于基础组(P<0.05);全程组生活质量功能维度评分高于基础组(P<0.05),全程组生活质量中症状维度中疼痛维度、疲倦维度、恶心呕吐维度评分低于基础组(P<0.05)。结论 全程肺康复训练能够改善肺癌根治术患者的肺功能和体力活动能力,提高生活质量。
文摘Background：Little is known about change in physical activity（PA） and its relationship to all-cause mortality among old people.There is even less information about the association between PA,fitness and all-cause mortality among people aged 80 years and above.The objective is to investigate persistence and change in PA over 5 years as a predictor of all-cause mortality,and fitnes as a mediator of this association,among people aged 80 and 85 years at the beginning of an 18-year mortality follow-up period.Methods：Using Evergreen Project data（started in 1989）,4 study groups were formed according to self-reported changes in PA level,over a 5-year period（starting in 1989–1990 and ending in 1994–1995）：remained active（RA,control group）,changed to inactive（CI）,remained inactive（RI）,and changed to active（CA）.Mortality was followed up over the 18-year period（1994–2012）.Cox models with different covariates such as age,sex,use of alcohol,smoking,chronic diseases,and a 10 m walking test were used to analyze the association between change in PA level and mortality.Results：Compared to RA,those who decreased their PA level（CI） between baseline and follow-up had higher all-cause mortality（hazard ratio（HR=2.09;95%CI：1.63–2.69） when adjusted for age,gender,and chronic diseases.RI showed the highest all-cause mortality（HR = 2.16;95%CI：1.59–2.93）.In CA,when compared against RA,the risk of all-cause mortality was not statistically significan（HR=1.51;95%CI：0.95–2.38）.In comparison with RA,when walking speed over 10 m was added as a covariate,all-cause mortality risk was almost statistically significan only in CI（HR=1.37;95%CI：1.00–1.87）.Conclusion：Persistence and change in PA level was associated with mortality.This association was largely explained by fitnes status.Randomized controlled studies are needed to test whether maintaining or increasing PA level could lengthen the life of old people.
