慢性阻塞性肺病患者的身体活动轨迹及其决定因素:一项队列研究
Ran An1, Shifang Zhang1, Xiuxiu Huang1
1School of Nursing, Peking University, Beijing, China.
Journal of clinical nursing
|May 27, 2023
概括
在患有慢性阻塞性肺病 (COPD) 的成年人中发现了三个身体活动 (PA) 轨迹. 干预措施应针对身体功能,心理健康和社会支持,以促进COPD患者的PA.
科学领域:
- 这项研究的重点是健康行为的社会生态模型.
- 它研究了特定患者群体的身体活动模式.
背景情况:
- 身体活动 (PA) 与慢性阻塞性肺病 (COPD) 的不良结果有关.
- 关于COPD患者的PA轨迹及其预测因子的研究有限.
研究的目的:
- 在患有慢性阻塞性肺病 (COPD) 的成年人中识别潜在体力活动 (PA) 轨迹.
- 使用社会生态框架确定这些PA轨迹的预测因素.
主要方法:
- 分析了215名患有COPD的成年人的全国队列.
- 基于组的轨迹建模确定了PA模式.
- 多项逻辑回归和通用线性混合模型检查了预测器.
主要成果:
- 三个不同的PA轨迹出现了:稳定不活跃 (66.7%),急剧下降 (25.7%),和稳定活跃 (7.5%).
- 预测因素包括年龄,性别,收入,肺功能,上肢容量,抑郁症状和社交联系.
- 较弱的上肢容量和抑郁症状预测了PA的急剧下降.
结论:
- 在慢性阻塞性肺病 (COPD) 患者中存在明显的体力活动 (PA) 轨迹.
- 促进PA需要解决身体功能,心理健康和社会支持系统.
- 确定这些轨迹对于开发针对COPD的PA干预措施至关重要.
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