| 摘要: |
| ［摘要］ 目的 观察弹力带抗阻训练联合饮食调整在老年慢性阻塞性肺疾病（COPD）患者中的应用效果。方法 招募2023年5月至2024年5月首都医科大学附属北京友谊医院收治的120例老年COPD患者。采用随机数字表法将患者分为观察组和对照组，每组60例。对照组予常规护理，观察组予弹力带抗阻训练联合饮食调整。于干预前、干预12周后评估患者肺功能指标、肌肉质量、肌肉力量、躯体功能、心理状态、运动耐力及身体状况。结果 干预12周后，两组用力肺活量（FVC）、第1秒用力呼气容积（FEV1）、第1秒用力呼气量占预计值百分比（FEV1 % pred）、动脉血氧分压（PaO2）和四肢骨骼肌指数（ASMI）高于干预前，且观察组更高，两组动脉二氧化碳分压（PaCO2）、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、慢性阻塞性肺疾病评估测试（CAT）评分和改良版英国医学研究委员会（mMRC）呼吸困难量表评分低于干预前，且观察组更低，两组握力大于干预前，且观察组更大，两组5次起坐时间短于干预前，且观察组更短，两组6 min步行距离长于干预前，且观察组更长，差异均有统计学意义（P<0.05）。结论 弹力带抗阻训练联合饮食调整，可改善老年COPD患者肺功能和身体状况，提高患者肌力和运动耐力，缓解患者不良情绪，值得在临床COPD患者护理中推广应用。 |
| 关键词: 弹力带抗阻训练 饮食调整 老年 慢性阻塞性肺疾病 |
| DOI：10.3969/j.issn.1674-3806.2025.01.18 |
| 分类号:R 473.5 |
| 基金项目:首都医科大学附属北京友谊医院呼吸内科，北京 100050 |
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| Observation on the application effect of elastic band resistance training combined with dietary adjustments in elderly patients with chronic obstructive pulmonary disease |
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YIN Hui, MA Ying
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Department of Respiratory Medicine, Beijing Friendship Hospital,Capital Medical University, Beijing 100050, China
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| Abstract: |
| ［Abstract］ Objective To observe the application effect of elastic band resistance training combined with dietary adjustments in elderly patients with chronic obstructive pulmonary disease(COPD). Methods A total of 120 elderly patients with COPD who were admitted to Beijing Friendship Hospital,Capital Medical University from May 2023 to May 2024 were recruited. The patients were randomly divided into observation group and control group by using random number table method, with 60 cases in each group. The control group received routine nursing care, while the observation group received elastic band resistance training combined with dietary adjustments. The patients′ pulmonary function indicators, muscle mass, muscle strength, physical function, mental state, exercise endurance, and physical condition were evaluated before intervention and after 12 weeks of the intervention. Results Forced vital capacity(FVC), forced expiratory volume in 1 second(FEV1), FEV1 to predicted value ratio(FEV1 % pred), partial pressure of oxygen(PaO2) and appendicular skeletal muscle index(ASMI) in both groups after 12 weeks of intervention were higher than those before intervention, and these indicators in the observation group were higher than those in the control group. Partial pressure of carbon dioxide(PaCO2), Self-Rating Anxiety Scale(SAS) scores, Self-Rating Depression Scale(SDS) scores, the COPD Assessment Test(CAT) scores and modified Medical Research Council(mMRC) dyspnoea scale scores in both groups after 12 weeks of intervention were lower than those before intervention, and these indicators in the observation group were lower than those in the control group. The levels of gripping power in both groups after 12 weeks of intervention were higher than those before intervention, and the levels in the observation group were higher than those in the control group. The time for five-time chair stand in both groups after 12 weeks of intervention was shorter than that before intervention, and the time in the observation group was shorter than that in the control group. The distance of 6-minute walk in both groups after 12 weeks of intervention was longer than that before intervention, and the distance in the observation group was longer than that in the control group. The above differences were significant between the two groups(P<0.05). Conclusion Elastic band resistance training combined with dietary adjustments can improve lung function and physical condition in elderly patients with COPD, enhance their muscle strength and exercise endurance, alleviate their negative emotion, and is worth promoting and applying in the nursing care for COPD patients in clinical practice. |
| Key words: Elastic band resistance training Dietary adjustments Old age Chronic obstructive pulmonary disease(COPD) |
