老年COPD患者运动训练处方实施方案的构建及应用

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目的:构建老年COPD稳定期患者运动训练处方实施方案,并评价其应用效果。方法:采用便利抽样法,选择北京市某三甲医院呼吸内科2019年2—5月的COPD稳定期患者为研究对象。计算机检索美国/欧洲/英国呼吸专科协会网站(ATS/ERS/BTS)及UpToDate、JBI循证卫生保健数据库、Cochrane、PubMed、Embase等网站及数据库,提取并总结关于COPD患者运动训练处方的最佳证据,通过专家讨论,构建并实施老年COPD患者运动训练处方实施方案,比较干预前后患者呼吸症状、生活质量和焦虑、抑郁情绪等指标。采用SPSS 24.0统计软件进行统计分析。结果:老年稳定期COPD患者干预后的自我评估测试问卷、焦虑、抑郁评分均低于干预前,圣乔治呼吸问卷的症状和活动维度评分低于干预前,差异均有统计学意义(n P<0.05)。n 结论:老年COPD患者运动训练处方实施方案可以改善患者的生活质量和情绪状态,安全可行。“,”Objective:To construct implementation plan of exercise training prescription for elderly patients with stable chronic obstructive pulmonary disease (COPD) and evaluate its application effect.Methods:The convenient sampling method was adopted to select patients with stable COPD in Department of Respiratory Medicine of a Class Ⅲ Grade A hospital in Beijing from February to May 2019 as the research objects. American Thoracic Society, European Respiratory Society, British Thoracic Society websites (ATS/ERS/BTS) , UpToDate, JBI evidence-based health care database, Cochrane, Pubmed, Embase were conducted computer retrieval to extract and summary the best evidence of exercise training prescription for COPD patients. Through expert discussion, exercise training prescription implementation plan for elderly COPD patients was constructed and implemented. Respiratory symptoms, quality of life, anxiety and depression were compared before and after intervention. SPSS 24.0 statistical software was used for statistical analysis.Results:The scores of COPD Assessment Test (CAT) , anxiety and depression in elderly patients with stable COPD after intervention were all lower than those before intervention, and scores of symptoms and activity dimensions in St George's Respiratory Questionnaire (SGRQ) were lower than those before intervention, and the differences were statistically significant (n P<0.05) .n Conclusions:The implementation plan of exercise training prescriptions for elderly COPD patients can improve quality of life and emotional state of patients, which is safe and feasible.
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