在COPD患者的肺部康复期间,认知行为疗法与体育活动行为修改策略相结合
Matthew Armstrong1,2, Emily Hume2, Laura McNeillie3
1Department of Rehabilitation and Sport Sciences, Faculty of Health and Social Sciences, Bournemouth University, Poole, UK.
ERJ open research
|September 13, 2023
概括
通过认知行为疗法添加行为修改策略到肺部康复中,可显著改善COPD患者焦虑或抑郁的身体活动.
科学领域:
- 肺部医学 肺部医学
- 行为科学 行为科学
- 心理学 心理学 心理学
背景情况:
- 患有慢性阻塞性肺部疾病 (COPD) 的患者经历焦虑和/或抑郁症,在肺部康复 (PR) 后,症状和身体活动的改善通常是有限的.
- 增加的焦虑和抑郁会对接受PR的COPD患者的治疗坚持和治疗结果产生负面影响.
研究的目的:
- 为了确定在PR期间将行为修改策略 (BPA) 添加到认知行为疗法 (CBT) 中,与单独使用CBT的PR相比,是否会提高身体活动结果.
- 提供综合干预方法的概念证明.
主要方法:
- 32名COPD患者被随机分配,接受PR+CBT+BPA或PR+CBT.
- BPA组件包括动机面试,步数监测,计步器反和目标设定.
- 测量结果包括加速计衍生步骤,运动强度,6分钟步行距离 (6MWD),以及医院焦虑和抑郁量表 (HADS) 评分.
主要成果:
- 与PR+CBT+BPA组相比,PR+CBT+BPA组的每日步数 (829步/天) 和运动强度 (80±39VMU) 的改善明显更大.
- 在HADS焦虑得分 (-2单位) 和6MWD (33±20m) 中观察到有临床意义的改善.
结论:
- 在PR期间结合CBT和BPA,使COPD焦虑或抑郁患者的体力活动结果更好.
- 这种综合方法提供了一种更有效的策略,以提高这个患者群体的功能能力和心理健康.
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