渐进性肌肉放松训练对慢性阻塞性肺疾病患者影响的Meta分析  

Meta-analysis of the impact of progressive muscle relaxation training on patients with chronic obstructive pulmonary disease

作　　者：赵嘉琦 杜宇新 康家颖 任向向 奉巧 薛平 ZHAO Jiaqi;DU Yuxin;KANG Jiaying;REN Xiangxiang;FENG Qiao;XUE Ping(School of Nursing,Mudanjiang Medical University,Mudanjiang 157000,China;The First Clinical Medical College,Mudanjiang Medical College,Mudanjiang 157000,China;Department of Respiratory and Critical Care Medicine,Hongqi Hospital,Mudanjiang Medical College,Mudanjiang 157000,China)

机构地区：[1]牡丹江医学院护理学院,黑龙江牡丹江157000 [2]牡丹江医学院第一临床医学院,黑龙江牡丹江157000 [3]牡丹江医学院附属红旗医院呼吸与危重症医学科,黑龙江牡丹江157000

出　　处：《中国临床护理》2024年第10期636-640,共5页Chinese Clinical Nursing

摘　　要：目的 系统评价渐进性肌肉放松训练对慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)患者的作用效果。方法 计算机检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、维普数据库、万方知识服务平台中涉及使用渐进性肌肉放松训练对慢性阻塞性肺疾病患者进行干预的随机对照试验。根据Cochrane手册进行随机对照试验的偏倚风险评价,采用Stata 16软件对纳入的文献进行Meta分析。结果 共纳入6篇文献,涉及463例患者,Meta分析显示,渐进性肌肉放松训练可减轻COPD患者的疲劳程度[SMD=-1.704, 95%CI(-1.929,-1.479)],提升患者的睡眠质量[SMD=-1.643, 95%CI(-2.787,-0.498)],减轻患者的呼吸困难程度[SMD=-1.375, 95%CI(-2.061,-0.690)],但对患者的焦虑状况改善效果不显著[SMD=-0.873,95%CI(-2.040,0.295)]。结论 渐进性肌肉放松训练能够改善COPD患者的疲劳、呼吸困难程度及睡眠质量。Objective To assess the effects of progressive muscle relaxation training on patients with chronic obstructive pulmonary disease(COPD).Methods The randomized controlled trials on progressive muscle relaxation training for patients with COPD were searched from PubMed,Web of Science,Embase,Cochrane Library,CNKI,VIP Database,and Wanfang Data.The risk of bias assessment of randomised controlled trials were performed according to the Cochrane manual,and Meta-analysis of included studies was performed using Stata 16 software.Results Six studies involving 463 patients diagnosed with COPD were included.Progressive muscle relaxation training significantly reduced fatigue in COPD patients[SMD=-1.704, 95%CI(-1.929,-1.479)],improved sleep quality[SMD=-1.643, 95%CI(-2.787,-0.498)],and alleviated breathlessness[SMD=-1.375,95%CI(-2.061,-0.690)].However,it did not have a significant impact on patients′anxiety[SMD=-0.873,95%CI(-2.040,0.295)].Conclusion Progressive muscle relaxation training demonstrates potential in ameliorating fatigue,breathlessness,and enhancing sleep quality among COPD patients.

关 键 词：渐进性肌肉放松训练 慢性阻塞性肺疾病 META分析 

分 类 号：R563.9[医药卫生—呼吸系统] R493[医药卫生—内科学] G353.1[医药卫生—临床医学]