多学科协作下心肺功能康复训练对稳定期老年慢性阻塞性肺疾病患者心肺功能、睡眠质量及心理状态的影响  

Effects of multidisciplinary cardiopulmonary function rehabilitation training on cardiopulmonary function,sleep quality and mental state of elderly COPD patients at stable stage

作　　者：蔡田培 刘丹丹[1] 王晓东[1] 李文婷 郭瑞芳 CAI Tianpei;LIU Dandan;WANG Xiaodong(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院,郑州450000

出　　处：《国际精神病学杂志》2022年第4期724-726,737,共4页Journal Of International Psychiatry

基　　金：2020年度河南省科技厅项目(编号:202102310378)。

摘　　要：目的探讨多学科协作下心肺功能康复训练对老年慢性阻塞性肺疾病(COPD)稳定期患者心理状态、睡眠质量及心肺功能的影响。方法选取本院2019年3月~2020年10月期间收治的128例老年COPD稳定期患者作为研究对象,采用随机数字表法分组,对照组64例给予常规肺功能训练,观察组64例采用多学科协作下心肺功能康复训练方案,对比两组患者心肺功能、睡眠质量及心理状态。结果观察组干预后6 min步行距离(6MWD)、1 s用力呼气量(FEV1)/用力肺活量(FVC)水平均高于对照组(P<0.05);主客观睡眠总时间、主客观睡眠效率均高于对照组,主客观睡眠潜伏期低于对照组(P<0.05);汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分均低于对照组(P<0.05)。结论多学科协作下心肺功能康复训练对老年COPD稳定期患者效果确切,能够有效增强心肺功能,改善心理状态,提高睡眠质量。Objective To study the effects of cardiopulmonary function rehabilitation training under multidisciplinary cooperation on mental state,sleep quality and cardiopulmonary function of elderly patients with chronic obstructive pulmonary disease(COPD)at stable stage.Methods A total of 128 elderly patients with stable COPD who were admitted to our hospital from March 2019 to October 2020 were selected as the research objects,and the random number table method was used to divide them into control and observation groups.The 64 cases in the control group were accepted routine pulmonary function training,64 cases in the observation group were treated with the cardiopulmonary function rehabilitation training program under multidisciplinary cooperation.comparing two groups of patients’cardiopulmonary function,sleep quality and mental status.Results The measurement of walking distance 6 min after intervention(6MWD)and the level of forced expiratory volume(FEV1)/forced vital capacity(FVC)1 second in observation group were higher than those in control group(P<0.05).The total sleep time and sleep efficiency were higher than those in the control group,and the sleep latency was lower than those in the control group(P<0.05).The scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were lower than those of the control group(P<0.05).Conclusion Cardiopulmonary function rehabilitation training under multidisciplinary cooperation has definite effect on elderly COPD patients in stable period,which can effectively enhance cardiopulmonary function,improve psychological state and improve sleep quality.

关 键 词：肺功能 多学科协作 慢性阻塞性肺疾病 睡眠质量 

分 类 号：R473.74[医药卫生—护理学]