运动训练联合居家运动在老年肺康复病人中的应用

doi:10.3969/j.issn.1003-9198.2021.03.016

Abstract

Abstract: Objective To explore the application effect of exercise training combined with home exercise in elderly patients with pulmonary rehabilitation and its influence on the scores of St. George’s Respiratory Questionnaire (SGRQ) and dyspnea index (mMRC). Methods A total of 60 elderly patients who underwent pulmonary rehabilitation exercises from June 2017 to June 2019 were selected. They were divided into two groups by random number table method, with 30 cases in each group. The control group was given a routine rehabilitation mode, and the observation group received exercise training combined with home exercises. Both groups completed 4 weeks of intervention. The lung function, blood gas indexes, dyspnea score, 6-min walking distance (6MWD), SGRQ score and BODE index were compared between the two groups. Results The lung function in the observation group after intervention was better than that of the control group, and the arterial oxygen partial pressure was higher than that of the control group, and the blood carbon dioxide partial pressure was lower than that of the control group (P<0. 05). The score of mMRC in the observation group was lower than that of the control group, and 6MWT was longer than that of the control group (P<0. 05). The scores of SGRQ and BODE index in the observation group after intervention were lower than those in the control group (P<0. 05). Conclusions The application of exercise training combined with home exercise in the elderly patients undergoing pulmonary rehabilitation can significantly improve the patients' lung function, improve the ability to perform exercise endurance, and reduce the discomfort symptoms, the recurrence rate, and family and social stress.

Key words: exercise training program, home exercise, lung function, blood gas index, aged

CLC Number:

R 493

YU Chun-ni, WEI Jun, FAN Xiao-jun, GONG Yu-lei. Application of exercise training complicated with home exercise in elderly patients receiving pulmonary rehabilitation[J]. Practical Geriatrics, 2021, 35(3): 274-277.

References

[1] 张明明, 张琦, 舒勤琴, 等. 六字诀呼吸操辅助长期家庭氧疗在慢性阻塞性肺疾病患者中的效果评价[J]. 中国实用护理杂志, 2019, 35(27):2108-2113.
[2] 李士荣, 崔立慧, 孙明, 等. 肺康复综合干预对COPD稳定期患者心肺功能及6分钟步行距离的改善效果评价[J]. 国际呼吸杂志, 2018, 38(24):1883-1887.
[3] 李彩平, 李海荣, 夏仲年,等. 基于k-means聚类方法的分类肺康复对慢性阻塞性肺疾病稳定期患者的干预效果[J]. 实用心脑肺血管病杂志, 2019, 27(9):50-55.
[4] DOS SANTOS D O, DE SOUZA H C D, BADDINI-MARTINEZ J A,et al. Effects of exercise on secretion transport, inflammation, and quality of life in patients with noncystic fibrosis bronchiectasis: Protocol for a randomized controlled trial[J]. Medicine (Baltimore), 2018, 97(7):e9768.
[5] 陈瑞英, 马小花, 孙婷, 等. 短期强化肺康复训练对OSA-COPD共存患者呼吸、运动功能及生活质量的影响[J]. 中华物理医学与康复杂志, 2019, 41(5):353-358.
[6] 周璿, 刘志强, 李威, 等. 牙周基础治疗对慢性阻塞性肺疾病伴慢性牙周炎患者生命质量的影响[J]. 中华口腔医学杂志, 2019, 54(3):151-156.
[7] GLUPPES L, HILDE G, TENNFJORD M K, et al. Effect of a postpartum training program on prevalence of diastasis recti abdominis in postpartum primiparous women: A Randomized Controlled Trial[J]. Phy Ther, 2018, 98(4):260-268.
[8] 田家伟, 蔡丽婷, 侯昕珩. 呼吸训练器在稳定期慢性阻塞性肺疾病患者肺康复中的临床应用疗效分析[J]. 中国康复理论与实践, 2019, 34(6):295-298.
[9] 曾娟利, 谭双香, 胡瑞成,等. 体外膈肌起搏对稳定期慢性阻塞性肺疾病患者的康复作用[J]. 国际呼吸杂志, 2019, 39(16):1216-1221.
[10] 刘其兰, 江智霞, 王连红, 等. 过渡期护理对慢性阻塞性肺疾病患者生命质量影响的Meta分析[J]. 中国实用护理杂志, 2019, 35(6):475-480.
[11] 王美玲, 秦晓鸥, 王春荣, 等. 沙美特罗替卡松对慢性阻塞性肺疾病急性加重期患者炎症因子和肺功能的影响[J]. 国际呼吸杂志, 2019, 39(12):911-915.
[12] 姬莉, 张滢滢, 毛山,等. 呼吸训练器在社区慢性阻塞性稳定期肺病患者肺康复中的应用研究[J]. 临床肺科杂志, 2019, 24(9):1640-1644.

[1]	LI Jiang, QIU Yan, WANG Ting, WANG Dan, YU Yifan, PU Lingli, BU Ling. Correlation between preoperative SII/ALB and clinicopathologic features in elderly patients with lung adenocarcinoma [J]. Practical Geriatrics, 2024, 38(9): 893-896.
[2]	DAI Jing, CUI Yan. Correlation between glycosylated hemoglobin variability and cognitive dysfunction in elderly patients with type 2 diabetes mellitus [J]. Practical Geriatrics, 2024, 38(9): 931-935.
[3]	ZHENG Hong, QI Zhenbo, XU Peng, XU Jie, YU Xinyu, ZANG Yanan, ZHANG Zhaoyan. Effects of hypnotics on cognition function and daytime sleepiness in the elderly [J]. Practical Geriatrics, 2024, 38(9): 936-939.
[4]	ZHANG Xingxing, ZHANG Haiyang, HE Xiaojing, LU Xiang. Investigation on the relationship between different physical indexes and the risk of diabetes mellitus in the elderly [J]. Practical Geriatrics, 2024, 38(9): 940-943.
[5]	NI Hongyan, CHEN Yun, ZHANG Qibing, MA Yiming, XIE Chenglan. Effects of electroacupuncture on cognitive function and inflammatory factors in elderly patients undergoing lower limb orthopedic surgery during the perioperative period [J]. Practical Geriatrics, 2024, 38(9): 944-947.
[6]	LI Xiaomin, LI Xiaolin, LI Jie, WU Lei, HAO Ranran. Efficiency influencing factors of transanal double-balloon enteroscopy in elderly patients [J]. Practical Geriatrics, 2024, 38(9): 958-961.
[7]	CAI Huicui, CHEN Yan, WANG Yan, YE Jinjun, ZHU Yuying. Effects of diversified health education model with simple respiratory function exercise on cancer-related fatigue and compliance behavior in elderly patients with lung cancer receiving radiotherapy [J]. Practical Geriatrics, 2024, 38(9): 968-972.
[8]	WANG Xiaojiao, WANG Ning, CUI Hong, YE Tong, WANG Xiaoming. Influence of exercise rehabilitation in elderly patients with mild to moderate chronic heart failure [J]. Practical Geriatrics, 2024, 38(8): 775-778.
[9]	SHEN Chenjun, WANG Xiaoqing, TANG Degang, NING Ping. Correlation between standardized uric acid and renal function in elderly patients with chronic kidney disease aged 90 and over [J]. Practical Geriatrics, 2024, 38(8): 779-782.
[10]	HAO Shijie, ZOU Jianpeng, WEI Chen, LIU Qingjiang. Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease [J]. Practical Geriatrics, 2024, 38(8): 783-787.
[11]	XIANG Chao, LUO Caidong. Analysis of the diagnostic value of T wave change of avL lead for the degree of coronary artery stenosis in elderly patients with coronary heart disease [J]. Practical Geriatrics, 2024, 38(8): 788-791.
[12]	LI Huiying, CAI Lili, ZHU Qiwei. Predictive value of plasma N-terminal pro-brain natriuretic peptide for prognosis in patients aged ≥80 years old with left ventricular hypertrophy [J]. Practical Geriatrics, 2024, 38(8): 797-801.
[13]	WANG Xinping, XIE Baimei, WEI Guo, YE Xiaoli, ZHAO Yayun, TAN Xiaotian. Expression levels and clinical significance of serum S100A9 and sCD163 in elderly patients with idiopathic interstitial pneumonia [J]. Practical Geriatrics, 2024, 38(8): 802-807.
[14]	LIU Meijuan, WANG Ning, WANG Dong, LU Fangzhou, LIU Juan. Effect of low-dose lidocaine combined with propofol on motor evoked potential in elderly patients undergoing intracranial tumor resection [J]. Practical Geriatrics, 2024, 38(8): 808-811.
[15]	LI Jingbing, WANG Huijun, WANG Shaoying, ZHAO Can, WANG Lidi, CAO Yujiao. Impacts of pentoxifylline combined with lipoic acid intervention on physical function and quality of life in elderly patients with frailty syndrome [J]. Practical Geriatrics, 2024, 38(8): 812-815.

Application of exercise training complicated with home exercise in elderly patients receiving pulmonary rehabilitation

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Recommended 10