慢性阻塞性肺病患者的体育活动指导:一个系统的文献综述与元分析
Nicola S Diciolla1,2,3, Maria José Yuste-Sánchez1,4, Maria Torres-Lacomba1,4
1Physiotherapy in Women's Health Research Group - FPSM, Department of Nursing and Physiotherapy, University of Alcalá, 28805, Alcalá de Henares, Madrid, Spain.
概括
身体活动 (PA) 辅导显著增加了慢性阻塞性肺病 (COPD) 患者的日常步骤. 自我监测和目标设定等关键组成部分提高了有效性,尽管其他生活质量指标不受影响.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 行为医学是一种行为医学.
- 运动科学 运动科学
背景情况:
- 身体活动 (PA) 辅导是一种使用行为改变技术的结构化干预,在患有慢性阻塞性肺病 (COPD) 的患者中显示出增加PA的潜力.
- 进行了一项系统性审查,以评估单个PA辅导组件对COPD患者的PA水平的影响.
研究的目的:
- 评估个体体育活动辅导组件对改善COPD患者体育活动的影响.
- 确定PA辅导的哪些具体组成部分在增强日常步骤和其他相关结果方面最有效.
主要方法:
- 进行了对随机临床试验的系统搜索,比较PA辅导与COPD患者的通常护理.
- 效果方向图用于合成,并进行元分析和子组分析以评估单个PA辅导组件.
- 包括32项涉及5483名COPD患者的研究,通常在12周内远程提供PA指导.
主要成果:
- 在73%的研究中,PA指导对PA产生了积极的影响,每天的步骤显著增加了806.84步/天 (P <0.01).
- 诸如自我监测和目标设定/审查等组件在每日步骤 (分别为861步和916步/天) 中显示出临床相关的改善.
- 在情绪,身体,症状或与健康有关的生活质量领域没有观察到显著的变化;遵守率高达86%.
结论:
- 辅导PA有效地增加了COPD患者的日常步骤.
- 自我监测和目标设定/审查似乎是提高PA指导提高步骤有效性的关键组成部分.
- 虽然PA辅导可以改善步数,但它不会显著影响COPD患者其他生活质量领域.
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