基于步计的步骤反对重度COPD患者的身体活动的影响
Yasuhiko Tsujimura1,2, Ayumu Akiyama1, Tetsuo Hiramatsu3
1Department of Rehabilitation, Hiramatsu Clinic of Internal and Respiratory Medicine, Komaki, Aichi, Japan.
International journal of chronic obstructive pulmonary disease
|October 23, 2023
概括
将步骤反添加到肺部康复计划中,在严重的COPD患者中显著增加了身体活动. 这种基于计步器的方法提供了一个可行的策略,用于在COPD管理中不断改进PA.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 运动生理学 运动生理学
背景情况:
- 严重的慢性阻塞性肺病 (COPD) 通常与低体力活动 (PA) 相关,影响患者的预后和生活质量.
- 肺部康复 (PR) 是COPD的基石治疗,旨在提高运动耐受性和减少症状.
- 除了传统的PR计划之外,提高PA水平仍然是严重COPD患者面临的关键挑战.
研究的目的:
- 为了评估将步行计的步骤反 (step-FB) 纳入肺部康复 (PR) 计划的有效性,用于重度COPD的低活动患者.
- 为了确定步骤FB是否可以增加通过标准PR实现的身体活动水平的改善.
- 评估步骤FB对该患者群体每日步骤和能源消耗的影响.
主要方法:
- 一项前性研究,涉及重症慢性肺炎的低活动患者,他们正在接受他们的第一个PR计划.
- 形成了两个组:一个接受标准PR的对照组和一个在第二次8周的会议期间 (PR2+step-FB) 接受添加步骤-FB的干预组.
- 主要结局包括每天的步数和用步表测量的能量消耗;次要结局是呼吸障碍和运动耐受性,在基线,PR1后和PR2后进行评估.
主要成果:
- 与基线相比,这两组在第一次PR会话 (PR1) 后,呼吸障碍,运动耐受性,每日步数和能量消耗均显著改善.
- 在第二次PR会话 (PR2) 中,与PR1.1相比,两组的呼吸障碍和运动耐受性继续改善.
- 重要的是,只有步骤FB组在PR2期间在每日步骤和能源支出方面表现出显著的进一步改善,而对照组没有.
结论:
- 标准的肺部康复疗法有效地改善了严重的COPD患者的身体功能和PA.
- 将基于踏步计的步骤反集成到公关计划中,提供了一个明确的活动目标,导致体育活动的增强和持续改善.
- 基于步行表的步骤FB是PR的实用和有效补充,证明了在严重COPD管理中持续增强PA的潜力.
相关概念视频
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.9K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.9K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:26COPD: Management Using Bronchodilators and Corticosteroids
217
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
217
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
01:22Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.3K