基于HAPA模式的渐进式抗阻训练对老年慢性阻塞性肺气肿患者健康行为和运动耐力的影响  

Effect of progressive resistance training based on HAPA model on the health behavior and exercise endurance of elderly patients with chronic obstructive pulmonary emphysema

作　　者：黄志萍[1] 劳玉妹 肖丹丹[3] Huang Zhiping;Lao Yumei;Xiao Dandan(Department of Geriatrics,Hainan Sanatorium for Cadres(Hainan Hospital for Geriatrics)Haikou 571100,China;Department of Internal Medicine,Hainan Sanatorium for Cadres(Hainan Hospital for Geriatrics)Haikou 571100,China;Physical Examination Center,Hainan Sanatorium for Cadres(Hainan Hospital for Geriatrics)Haikou 571100,China)

机构地区：[1]海南省干部疗养院(海南省老年病医院)老年内科,海口571100 [2]海南省干部疗养院(海南省老年病医院)内科,海口571100 [3]海南省干部疗养院(海南省老年病医院)体检中心,海口571100

出　　处：《中华肺部疾病杂志（电子版）》2021年第1期37-42,共6页Chinese Journal of Lung Diseases(Electronic Edition)

基　　金：海南省卫生健康行业科研项目(20A200462)。

摘　　要：目的探讨基于HAPA模式的渐进式抗阻训练对老年慢性阻塞性肺气肿患者健康行为和运动耐力的影响。方法选取2018年1月至2020年1月我院收治的98例老年慢性阻塞性肺气肿患者,分为观察组63例和对照组35例。对照组采取渐进式抗阻训练进行干预,观察组在对照组的基础上采取健康行动过程模型(HAPA)进行干预,比较两组患者干预前后肺功能指标水平、运动耐力、圣乔治呼吸问卷评分(SGRQ)、健康行为评分、自我效能感评分(GSES)等变化情况。结果干预后,观察组FVC(2.83±0.65)L、FEV 1(2.15±0.43)L、FEV 1/FVC(0.76±0.12)%等肺功能指标显著高于对照组的(2.39±0.57)L、(1.73±0.45)L、(0.71±0.11)%(P<0.05)。干预后,观察组CAT评分(12.41±2.33)分较对照组(17.25±2.12)分更低,而6MWD(208.22±46.35)m较对照组(173.43±46.29)m距离更远,差异达到统计学意义(P<0.05)。干预后,观察组症状部分评分(33.57±3.24)分、活动部分评分(44.28±3.36)分、影响部分评分(31.26±2.57)分等SGRQ评分显著低于对照组的(45.35±3.43)分、(52.41±3.27)分、(39.45±3.23)分(P<0.05)。干预后,两组患者躯体活动、人际关系、压力管理、心理健康、营养状态、健康责任感等健康行为评分较对照组更高(P<0.05)。干预后,两组患者呼吸困难管理、体力活动、安全行为、情感波动、环境与温度及GSES总分较干预前显著升高,且观察组GSES各项评分及总分较对照组更高(P<0.05)。结论基于HAPA模式的渐进式抗阻训练对老年慢性阻塞性肺气肿患者的健康行为和运动耐力具有积极促进作用,不仅可显著改善其肺功能,促进其生活质量的提高,还能提高其健康行为和运动耐力及自我效能感,具有较高临床应用价值。Objective To explore the effect of progressive resistance training based on HAPA model on the health behavior and exercise endurance of elderly patients with chronic obstructive pulmonary emphysema.Method Select 98 elderly patients with chronic obstructive pulmonary emphysema admitted to our hospital from January 2018 to January 2020,and divide them into observation group 63 cases and control group 35 cases.The control group adopted progressive resistance training for intervention,and the observation group adopted a healthy action process model(HAPA)on the basis of the control group to intervene.The lung function index levels,St.George′s Respiratory Questionnaire(SGRQ)and health behavior scores were compared between the two groups before and after intervention.,Exercise endurance,self-efficacy score(GSES)and other changes.Result After the intervention,the lung function indexes such as FVC(2.83±0.65)L,FEV 1(2.15±0.43)L,and FEV 1/FVC(0.76±0.12)%in the observation group were significantly higher than those in the control group(2.39±0.57)L,(1.73±0.45)L,(0.71±0.11)%(P<0.05).After the intervention,the observation group′s CAT score(12.41±2.33)score was lower than that of the control group(17.25±2.12),while the 6MWD(208.22±46.35)m was farther than the control group(173.43±46.29),and the difference reached statistical significance Significance(P<0.05).After the intervention,the SGRQ scores of the observation group such as the symptom part score(33.57±3.24),the activity part score(44.28±3.36),and the influence part score(31.26±2.57)were significantly lower than those of the control group(45.35±3.43).(52.41±3.27)points,(39.45±3.23)points(P<0.05).After the intervention,the physical activity,interpersonal relationship,stress management,mental health,nutritional status,health responsibility and other health behavior scores of the two groups of patients were higher than those of the control group(P<0.05).After the intervention,the total scores of dyspnea management,physical activity,safety behaviors,emotiona

关 键 词：HAPA模式 渐进式抗阻训练 肺气肿 慢性阻塞性 健康行为 运动耐力 

分 类 号：R563[医药卫生—呼吸系统]