干预措施的明确重点是实现行为改变对于维持慢性阻塞性肺病患者的培训相关收益很重要:系统性审查
Sarah Hug1, Vinicius Cavalheri2, Hollie Lawson-Smith3
1Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia; Physiotherapy Department, Royal Perth Hospital, Perth, Australia.
Journal of physiotherapy
|June 25, 2024
概括
在COPD患者的运动训练计划 (ETP) 中,运动耐受性和生活质量的小增长保持了12个月. 改变行为技巧对于长期维持这些好处至关重要.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 运动生理学 运动生理学
- 行为医学是一种行为医学.
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响患者的生活质量和功能能力.
- 运动训练计划 (ETP) 是肺部康复的基石,旨在提高运动耐受性和日常功能.
- 通过EPT在COPD患者中实现的长期维持收益仍然是研究的关键领域.
研究的目的:
- 为了确定与训练相关的运动耐受性和生活质量在COPD患者完成ETP后12个月内保持的程度.
- 调查行为变化技术的应用是否会缓和这些与训练相关的收益的维持.
主要方法:
- 进行了随机对照试验的系统审查,元分析和元回归.
- 包括在内的试验涉及全身ETP,在稳定的COPD患者中持续至少4周.
- 分析了来自EMBASE,PEDro,PubMed和Cochrane图书馆的数据,将ETP组与通常护理对照组进行了比较.
主要成果:
- 在ETP12个月后,实验组的参与者与对照组相比,表现出明显更好的运动耐受性 (SMD0.48) 和生活质量 (SMD0.22).
- 没有观察到对呼吸障碍有显著影响.
- 超回归表明,行为改变技术,特别是那些专注于将炼融入日常生活和程序期间使用的技术强度的行为改变技术,缓解了保持收益.
结论:
- 经过≥4周的ETP,慢性慢性病患者在运动耐受性和与健康相关的生活质量方面的小但显著的改善至少持续了12个月.
- 行为改变技术的战略应用,强调长期的炼坚持,对于维持肺部康复的好处至关重要.
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