Toshima M T, Kaplan R M, Ries A L
Department of Community and Family Medicine, University of California, San Diego, La Jolla 92093.
Health Psychol. 1990;9(3):237-52. doi: 10.1037//0278-6133.9.3.237.
Randomly assigned 119 adults with chronic obstructive pulmonary disease to an 8-week comprehensive rehabilitation program or to an 8-week education control program. Comprehensive pulmonary rehabilitation included education, physical and respiratory therapy instruction, psychosocial support, and supervised exercise training; education control included biweekly classroom instruction and discussions on respiratory therapy, medical aspects of lung disease, clinical pharmacology, and diet, but no exercise training. Both groups received extensive physiological and psychosocial evaluation before and after the intervention. Six months after enrollment, patients randomly assigned to the rehabilitation program showed significant increases in exercise endurance, whereas patients randomly assigned to control program showed nonsignificant increases. Improvement in self-efficacy was correlated with improvements in exercise endurance.
将119名慢性阻塞性肺疾病成年人随机分为两组，一组接受为期8周的综合康复计划，另一组接受为期8周的教育对照计划。综合肺部康复包括教育、物理和呼吸治疗指导、心理社会支持以及监督下的运动训练；教育对照包括每两周一次的课堂教学以及关于呼吸治疗、肺部疾病的医学方面、临床药理学和饮食的讨论，但不包括运动训练。两组在干预前后均接受了广泛的生理和心理社会评估。入组6个月后，随机分配到康复计划组的患者运动耐力显著提高，而随机分配到对照计划组的患者运动耐力提高不显著。自我效能的改善与运动耐力的改善相关。
