运动康复对肺移植术后患者生活质量和抑郁的影响  

Effect of exercise rehabilitation on quality of life and depression in patients after lung transplantation

作　　者：王呈呈[1,2] 陈瑞云 张俊梅[1,2] 刘赛赛 Wang Chengcheng;Chen Ruiyun;Zhang Junmei;Liu Saisai(School of Nursing and Health,Zhengzhou University,Zhengzhou 450000,China;Department of Thoracic Surgery,Henan Provincial People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学护理与健康学院,郑州450000 [2]河南省人民医院胸外科,郑州450000

出　　处：《中华实验外科杂志》2024年第11期2617-2620,共4页Chinese Journal of Experimental Surgery

基　　金：河南省医学科技攻关计划省部共建青年项目(SBGJ202103026)。

摘　　要：目的:探讨运动康复对肺移植术后患者生活质量和抑郁程度的影响。方法:选取2018年6月至2024年1月河南省人民医院收治的20例肺移植术患者作为研究对象,按照随机数字表格法分为对照组和运动干预组,对照组进行常规康复治疗,运动干预组在常规治疗基础上,给予详细的运动康复治疗方案。采用Master Screen PFT System肺功能仪分析患者肺功能;采用自制问卷分析患者运动能力;采用肺移植特异性生活质量量表评估肺移植患者特异性生活质量;采用焦虑抑郁量表测量患者的焦虑抑郁情况。并分析两组患者运动相关不良事件。组间比较采用独立样本 t检验。 结果:对照组患者FEV1预计值、FVC预计值和FEV1/FVC比值(31.55±2.82、49.08±8.12、65.62±10.33)明显低于运动干预组患者(39.97±3.02、55.07±3.70、72.84±6.90),差异有统计学意义( t=6.442,2.123,2.203, P<0.05)。对照组患者运动能力评分[(6.70±1.34)分]明显低于运动干预组患者[(12.40±1.65)分],差异有统计学意义( t=8.497, P<0.05)。对照组患者焦虑抑郁、担心未来健康、肺部症状、性功能问题、认知限制、胃部症状、吞咽功能、一般生活质量、咳嗽、腹泻和食欲等因素相对值(0.84±0.08、0.76±0.08、0.83±0.07、0.85±0.04、0.87±0.05、0.84±0.06、0.82±0.07、0.83±0.04、0.81±0.08、0.73±0.13、0.79±0.13)明显高于运动干预组患者(0.54±0.10、0.55±0.13、0.52±0.10、0.59±0.05、0.62±0.05、0.63±0.08、0.51±0.10、0.57±0.14、0.35±0.09、0.28±0.07、0.41±0.10, t=7.282、4.475、8.494、11.870、11.020、6.689、8.159、5.632、12.340、9.686、7.576, P<0.05)。对照组患者焦虑子量表得分、抑郁子量表得分和HADS总分[(6.80±1.23)、(8.30±1.49)、(15.10±2.47)分]明显高于运动干预组患者[(4.20±1.22)、(6.50±1.08)、(10.70±1.34)分],差异有统计学意义( t=4.729、3.087、4.954, P<0.05)。两组患者均未出现运动不良事件。 结论:运动康复�Objective To investigate the effects of exercise rehabilitation on quality of life and depression in patients after lung transplantation.Methods Twenty patients with lung transplantation treated in Henan Provincial People’s Hospital from June 2018 to January 2024 were selected as the study objects and divided into control group and exercise intervention group according to random number table method.The control group received routine rehabilitation treatment,while the exercise intervention group was given detailed exercise rehabilitation treatment based on routine treatment.The pulmonary function of the patients was measured by Master Screen PFT System.The exercise ability of patients was analyzed by self-made questionnaire.Adopted.The lung transplant specific quality of life scale was used to evaluate the specific quality of life of lung transplant patients.Anxiety and depression were measured by anxiety and depression scale.The exercise-related adverse events of the two groups were analyzed.Independent sample t test was used to compare the measurement data between groups.ResultsThe predicted FEV1,FVC and FEV1/FVC ratio of control group(31.55±2.82,49.08±8.12,65.62±10.33)was significantly lower than that in exercise intervention group(39.97±3.02,55.07±3.70,72.84±6.90,t=6.442,2.123,2.203,P<0.05).The exercise ability score of the control group[(6.70±1.34)points]was significantly lower than that of the exercise intervention group[(12.40±1.65)points,t=8.497,P<0.05].Relative values of anxiety and depression,worry about future health,lung symptoms,sexual function problems,cognitive limitations,stomach symptoms,swallowing function,general quality of life,cough,diarrhea,appetite and other factors in control group(0.84±0.08,0.76±0.08,0.83±0.07,0.85±0.04,0.87±0.05,0.84±0.06,0.82±0.07,0.83±0.04,0.81±0.08,0.73±0.13,0.79±0.13)significantly higher than the exercise intervention group patients(0.54±0.10,0.55±0.13,0.52±0.10,0.59±0.05,0.62±0.05,0.63±0.08,0.51±0.10,0.57±0.14,0.35±0.09,0.28±0.07,0.41±

关 键 词：肺移植术 运动康复 生活质量 焦虑抑郁 

分 类 号：R655.3[医药卫生—外科学] R493[医药卫生—临床医学]