实用老年医学

实用老年医学

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双重任务训练在老年慢性阻塞性肺疾病伴认知障碍患者中的应用

  

  1. 211166 江苏省南京市，南京医科大学护理学院（郑爱玉，李现文）；225400 江苏省泰州市，泰兴市人民医院老年医学科（孙欣，殷祎）

Application of dual-task training in elderly patients with chronic obstructive pulmonary disease and cognitive impairment

  1. School  of Nursing,  Nanjing  Medical  University,  Nanjing  211166,  China(ZHENG  Aiyu,  LI  Xianwen);Department  of Geriatrics, Taixing People 's Hospital, Taizhou 225400, China(SUN Xin, YIN Yi)

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摘要：

目的 探讨基于全周期康复评估与治疗的双重任务训练，在老年COPD伴认知障碍患者中的应用效果。方法 选取 2024 年 1 月至2025 年 1 月江苏省泰兴市人民医院收治的老年COPD伴认知障碍患者为研究对象，采用随机数表法分为对照组（n=44）和试验组（n=45）。对照组采用常规护理及康复训练，试验组实施双重任务训练。比较2组患者干预前后肺功能、呼吸困难指标、认知功能、运动耐力、日常生活质量的差异。结果 干预 12 周后2组患者肺功能、认知功能、生活质量差异存在统计学意义（P<0.05）；干预 8 周和 12 周后试验组呼吸困难指标、运动耐力均优于对照组（P<0.05） 。结论 双重任务训练可有效地改善老年COPD伴认知障碍患者的肺功能、呼吸困难指标、认知功能，提高运动耐力及生活质量。

Abstract: Objective    To explore the application effect of dual-task training based on full-cycle rehabilitation assessment and treatment in the elderly patients with chronic obstructive pulmonary disease with cognitive impairment. Methods    The elderly patients with chronic obstructive pulmonary disease combined with cognitive impairment in Taixing People's Hospital from January 2024 to January 2025 were selected as the research subjects. The patients were divided into the control group (n=44) and the experimental group (n=45) by random number table method. The control group received routine care and rehabilitation training, while the experimental group received dual-task training. The changes of pulmonary function, dyspnea index, cognitive function, exercise endurance and daily life quality before and after intervention were compared between the two groups.  Results    After 12 weeks of intervention, there was a significant difference between the two groups in lung function, cognitive function and quality of life (P<0.05); After 8 weeks and 12 weeks of intervention, the dyspnea index and exercise endurance showed more significant improvement in the experiment group than those in the control group (P<0.05).     Conclusions    Dual-task training can effectively improve the pulmonary function, dyspnea indicators and cognitive function of the elderly patients with chronic obstructive pulmonary disease combined with cognitive impairment, and can improve the exercise endurance and quality of life.