开发一种行为改变干预措施,以改善COPD患者使用行为改变轮的身体活动:一个非随机试验
Xinyue Xiang1, Maomao Han2, Xiaolin Luo3
1Department of Nursing, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Scientific reports
|December 22, 2023
概括
基于理论的体力活动 (PA) 干预显著改善了PA,减少了久坐行为 (SB),提高了慢性阻塞性肺病 (COPD) 患者的运动能力,自我效能和生活质量. 对肺功能的长期影响需要进一步研究.
科学领域:
- 肺部医学 肺部医学
- 行为科学 行为科学
- 康复 康复 康复 康复
背景情况:
- 慢性阻塞性肺病 (COPD) 管理通常涉及解决身体活动 (PA) 和久坐行为 (SB).
- 行为变化理论可以为设计有效干预措施提供框架,以修改慢性病患者的PA和SB.
研究的目的:
- 评估基于理论的行为改变干预措施,以促进COPD患者中PA和SB的变化.
- 评估干预对呼吸障碍,肺功能,运动能力,自我效能和与健康相关的生活质量 (HRQoL) 的影响.
主要方法:
- 一个准实验性设计,涉及92名COPD患者.
- 实验小组接受了基于行为变化轮理论的PA程序,以及标准的医疗护理.
- 包括PA (IPAQ),SB (IPAQ),呼吸障碍 (mMRC),运动能力 (6MWD),自我有效性 (EX-SRES) 和HRQoL (CAT) 在内的结果在12周内被测量.
主要成果:
- 与对照组相比,干预组在12周后显示出PA,SB,呼吸障碍,运动能力,自我有效性和HRQoL的统计学上显著改善.
- 重复的测量分析揭示了对PA,SB,呼吸障碍,运动能力,自我有效性和HRQoL的显著群体和时间影响.
- 在干预后的组之间没有观察到肺功能的显著差异.
结论:
- 一个基于理论的PA程序有效地增加了PA,减少了SB,并在稳定的COPD患者中改善了运动能力,自我效能和HRQoL.
- 由于研究时间有限,干预对肺功能的影响需要进一步调查.
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