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基于自我决定理论的早期肺康复训练对AECOPD患者的影响

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目的:探讨基于自我决定理论(SDT)的早期肺康复训练对慢性阻塞性肺疾病急性加重期(AECOPD)患者的影响。方法:选取 2022 年 6 月—2023 年 12 月广西医科大学第一附属医院收治的 56 例AECOPD患者。根据随机数表法按照1∶1 原则将其分为对照组和观察组,各 28 例。对照组给予常规干预,观察组在对照组基础上给予基于SDT的早期肺康复训练。比较两组训练依从性,干预前后呼吸困难、运动能力、生活质量、肺功能。结果:观察组总依从率高于对照组,差异有统计学意义(P<0。05)。干预后,观察组改良英国医学研究委员会呼吸困难量表(mMRC)评分低于对照组,6 分钟步行距离高于对照组,差异有统计学意义(P<0。05)。干预后,观察组COPD评估测试(CAT)评分低于对照组,差异有统计学意义(P<0。05)。干预后,观察组第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC%均高于对照组,差异有统计学意义(P<0。05)。结论:对于AECOPD患者实行基于SDT的早期肺康复训练,能强化训练依从性,从而改善呼吸困难症状,增强运动能力,促进肺功能改善,提高生活质量。
Influence of Early Pulmonary Rehabilitation Training Based on Self-determination Theory on Patients with AECOPD
Objective:To investigate the influence of early pulmonary rehabilitation training based on self-determination theory(SDT)in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Method:A total of 56 patients with AECOPD admitted to the First Affiliated Hospital of Guangxi Medical University from June 2022 to December 2023 were selected.They were divided into control group and observation group according to the random number table method and the 1∶1 principle,with 28 cases in each group.The control group was given routine intervention,and the observation group was given early pulmonary rehabilitation training based on SDT on the basis of control group.The training compliance,dyspnea,exercise ability,quality of life and lung function before and after intervention were compared between the two groups.Result:The total compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the modified Medical Research Council dyspnea scale(mMRC)score of the observation group was lower than that of the control group,and the 6 min walking distance was higher than that of the control group,the differences were statistically significant(P<0.05).After intervention,the COPD evaluation test(CAT)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After intervention,forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and FEV1/FVC%in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Early pulmonary rehabilitation training based on SDT for AECOPD patients can strengthen training compliance,improve dyspnea symptoms,enhance exercise ability,promote the improvement of lung function and improve quality of life.

Self-determination theoryEarly pulmonary rehabilitation trainingChronic obstructive pulmonary diseaseAcute exacerbation

覃玲玉

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广西医科大学第一附属医院 广西 南宁 530021

自我决定理论 早期肺康复训练 慢性阻塞性肺疾病 急性加重期

广西壮族自治区卫生健康委自筹经费课题

Z-A20220423

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(11)
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