Yilmaz Feride Taskin, Aydin Hatice Tel
Department of Internal Diseases Nursing, School of Susehri Health High, Cumhuriyet University, Sivas, Turkey.
Department of Internal Diseases Nursing, Faculty of Healthy Science, Cumhuriyet University, Sivas, Turkey.
Int J Nurs Pract. 2018 Jun;24(3):e12636. doi: 10.1111/ijn.12636. Epub 2018 Mar 2.
The objective was to determine the effect of a regular walking program on physical activity (the number of steps and walking duration), dyspnoea severity, and quality of life in normal weight, overweight, and obese patients with chronic obstructive pulmonary disease.
An experimental study; 50 patients with chronic obstructive pulmonary disease admitted to the respiratory clinic of a public hospital in Turkey between November 2014 and July 2015 were included. All the patients underwent a regular walking program (at least 30 minutes every day) using a pedometer for 16 weeks under the supervision of a nurse.
After the regular walking program, the respiratory function test results of the obese patients were significantly improved. The walking duration, the number of steps taken per day, and the quality of life of all participants improved significantly, and dyspnoea severity was reduced in all participants.
The regular walking program reduced dyspnoea severity and improved quality of life in all participants. Nurses' efforts to increase activity levels in all patients with chronic obstructive pulmonary disease, and particularly those with obesity, through a regular walking program may contribute to reduce the severity of dyspnoea and improve quality of life.
本研究旨在确定规律步行计划对体重正常、超重和肥胖的慢性阻塞性肺疾病患者的身体活动（步数和步行时长）、呼吸困难严重程度及生活质量的影响。
一项实验性研究；纳入了2014年11月至2015年7月期间在土耳其一家公立医院呼吸科就诊的50例慢性阻塞性肺疾病患者。所有患者在护士的监督下，使用计步器进行为期16周的规律步行计划（每天至少30分钟）。
经过规律步行计划后，肥胖患者的呼吸功能测试结果有显著改善。所有参与者的步行时长、每日步数及生活质量均有显著提高，且所有参与者的呼吸困难严重程度均有所降低。
规律步行计划降低了所有参与者的呼吸困难严重程度，改善了生活质量。护士通过规律步行计划提高所有慢性阻塞性肺疾病患者，尤其是肥胖患者的活动水平，可能有助于减轻呼吸困难的严重程度并改善生活质量。
