Study on the application of physical activity promotion in discharged patients with chronic obstructive pulmonary disease after acute exacerbation
Objective To explore the effect of physical activity promotion based on pedometer on the average daily steps,lung function,exercise ability and quality of life of discharged patients with chronic obstructive pulmonary disease(COPD)after acute exacerbation.Methods A total of 57 discharged COPD patients after acute exacerbation from the Sixth People's Hospital of Nantong in Jiangsu Province from July 2022 to July 2023 were selected as the research objects,and were randomly divided into the control group and the intervention group by random number table method.The control group was given a pedometer to record daily steps on the basis of clinical routine discharge management regimen,while the intervention group was given a stepwise and goal-driven plan on the basis of the regimen for the routine group.The average daily steps of patients were evaluated at baseline and at the end of Weeks 4,8 and 12,and the pulmonary function,exercise ability and quality of life were measured and evaluated at baseline and at the end of Week 12.The evaluation indexes were the percentage of forced expiratory volume in one second in predicted value(FEV1%pre),the ratio of forced expiratory volume in one second to forced vital capacity(FEV1/FVC),the 6 min walking distance(6MWD)and the score of Saint George's Respiratory Questionnaire(SGRQ).Results The step count in each time period in the intervention group was higher than that in the control group,with statistically significant difference(P<0.05).There were no significant differences in lung function and exercise ability between the intervention group and the control group(P>0.05).The quality of life in the intervention group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion Stepwise physical activity promotion based on pedometer is more effective than traditional walking training based on pedometer in improving the average daily steps and quality of life of COPD patients with acute exacerbation after discharge.Therefore,it is worthy of clinical promotion.
万方数据
维普
