Effect of exercise rehabilitation on quality of life and depression in patients after lung transplantation
Objective To investigate the effects of exercise rehabilitation on quality of life and depression in patients after lung transplantation.Methods Twenty patients with lung transplantation trea-ted in Henan Provincial People's Hospital from June 2018 to January 2024 were selected as the study ob-jects and divided into control group and exercise intervention group according to random number table meth-od.The control group received routine rehabilitation treatment,while the exercise intervention group was given detailed exercise rehabilitation treatment based on routine treatment.The pulmonary function of the patients was measured by Master Screen PFT System.The exercise ability of patients was analyzed by self-made questionnaire.Adopted.The lung transplant specific quality of life scale was used to evaluate the specific quality of life of lung transplant patients.Anxiety and depression were measured by anxiety and de-pression scale.The exercise-related adverse events of the two groups were analyzed.Independent sample t test was used to compare the measurement data between groups.Results The predicted FEV1,FVC and FEV1/FVC ratio of control group(31.55±2.82,49.08±8.12,65.62±10.33)was significantly lower than that in exercise intervention group(39.97±3.02,55.07±3.70,72.84±6.90,t=6.442,2.123,2.203,P＜0.05).The exercise ability score of the control group[(6.70±1.34)points]was significantly lower than that of the exercise intervention group[(12.40±1.65)points,t=8.497,P＜0.05].Relative values of anxiety and depression,worry about future health,lung symptoms,sexual function problems,cognitive limitations,stomach symptoms,swallowing function,general quality of life,cough,diarrhea,ap-petite and other factors in control group(0.84±0.08,0.76±0.08,0.83±0.07,0.85±0.04,0.87±0.05,0.84±0.06,0.82±0.07,0.83±0.04,0.81±0.08,0.73±0.13,0.79±0.13)significantly higher than the exercise intervention group patients(0.54±0.10,0.55±0.13,0.52±0.10,0.59±0.05,0.62±0.05,0.63±0.08,0.51±0.10,0.57±0.14,0.35±0.09,0.28±0.07,0.41±0.10,t=7.282,4.475,8.494,11.870,11.020,6.689,8.159,5.632,12.340,9.686,7.576,P＜0.05).The scores of anxiety subscale,depression subscale and total score of HADS in control group[(6.80±1.23),(8.30±1.49),(15.10±2.47)points]were significantly higher than those in exercise intervention group[(4.20±1.22),(6.50±1.08),(10.70±1.34)points,t=4.729,3.087,4.954,P＜0.05].In both groups,adverse sports events occurred.Conclusion Exercise rehabilitation course can significantly improve the quality of life of patients after lung transplantation and reduce negative emo-tions such as anxiety and depression.
Lung transplantationSports rehabilitationQuality of lifeAnxiety and depres-sion
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