Kato Daigo, Dobashi Kunio, Fueki Makoto, Tomioka Shinichi, Yamada Hidenori, Fueki Naoto
Department of Rehabilitation, Jobu Hospital for Respiratory Diseases: 586-1 Taguchi, Maebashi, Gunma 371-0048, Japan.
Graduate School of Health Sciences, Gunma University, Japan.
J Phys Ther Sci. 2017 May;29(5):807-812. doi: 10.1589/jpts.29.807. Epub 2017 May 16.
[Purpose] The aim of this study was to evaluate the effects of a self-managed physical activity program using a pedometer and diary on physical function, ADL, and QOL in patients with chronic respiratory disease. [Subjects and Methods] 17 outpatients with chronic respiratory disease were assessed for dyspnea, muscle strength, exercise tolerance, ADL, and QOL at baseline, after 3-, and 6-months after the start of the program. Patients were randomly assigned to "Control" or "Diary" group. In the Diary group, the number of steps was counted with a pedometer and recorded in a diary together with self-evaluation of physical activity, while patients assigned to the Control group did not use a pedometer or keep a diary. [Results] The Diary group showed significant improvement in the daily step count over time. The Diary group showed significant improvement of the dyspnea, muscle strength, and exercise tolerance at 3 months, dyspnea and muscle strength at 6 months. Significant differences found between two groups with regard to the extent of change in the muscle strength, exercise tolerance, and QOL at 3 months. [Conclusion] This study suggests that a self-managed physical activity program using a pedometer and diary can increase the level of physical activity.
[目的]本研究旨在评估使用计步器和日记的自我管理体育活动计划对慢性呼吸道疾病患者身体功能、日常生活活动能力（ADL）和生活质量（QOL）的影响。[对象与方法]17名慢性呼吸道疾病门诊患者在项目开始时、3个月后和6个月后接受了呼吸困难、肌肉力量、运动耐力、ADL和QOL的评估。患者被随机分为“对照组”或“日记组”。在日记组中，使用计步器计算步数，并与体育活动的自我评估一起记录在日记中，而分配到对照组的患者不使用计步器或记录日记。[结果]日记组的每日步数随时间有显著改善。日记组在3个月时呼吸困难、肌肉力量和运动耐力有显著改善，在6个月时呼吸困难和肌肉力量有显著改善。两组在3个月时肌肉力量、运动耐力和QOL的变化程度存在显著差异。[结论]本研究表明，使用计步器和日记的自我管理体育活动计划可以提高身体活动水平。
