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主动生活与 COPD 的可行性和可接受性,一项增加 COPD 患者轻度体力活动的干预措施。

Feasibility and acceptability of active for life with COPD, an intervention to increase light physical activity in people with COPD.

机构信息

University of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI 48109-5482, United States.

University of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI 48109-5482, United States.

出版信息

Heart Lung. 2020 Mar-Apr;49(2):132-138. doi: 10.1016/j.hrtlng.2020.01.002. Epub 2020 Jan 31.

Abstract

BACKGROUND

People with chronic obstructive pulmonary disease (COPD) are very sedentary; increasing light physical activity (LPA) may help to promote long-term maintenance of physical activity.

OBJECTIVES

We evaluated feasibility and acceptability of Active for Life with COPD, a self-efficacy-enhancing intervention designed to increase LPA.

METHODS

The 10-week intervention included walking, functional circuit training, and behavioral and educational strategies. Measures included attrition, adherence, objectively measured physical activity, and qualitative interviews.

RESULTS

Thirty-six subjects enrolled in the study; 26 completed the intervention and 19 completed the two-month follow-up. Subjects reported the intervention was enjoyable and beneficial, but disliked the activity log and buddy system. Subjects increased mean time spent standing/stepping by 36 (SD = 82) min/24 h (P > 0.05); they retained a gain of 21 (SD = 88) min/24 h at the two-month follow-up (P > 0.05).

CONCLUSIONS

The Active for Life with COPD intervention is feasible, acceptable, and may support long term maintenance of physical activity.

摘要

背景

患有慢性阻塞性肺疾病(COPD)的人通常久坐不动;增加轻度体力活动(LPA)可能有助于促进长期维持体力活动。

目的

我们评估了“积极生活与 COPD”的可行性和可接受性,这是一种旨在增加 LPA 的自我效能增强干预措施。

方法

为期 10 周的干预包括步行、功能性电路训练以及行为和教育策略。测量指标包括失访率、依从性、客观测量的体力活动以及定性访谈。

结果

36 名受试者参加了这项研究;26 名受试者完成了干预,19 名受试者完成了两个月的随访。受试者报告称,该干预措施令人愉快且有益,但不喜欢活动日志和伙伴系统。受试者的平均站立/踏步时间增加了 36(SD=82)分钟/24 小时(P>0.05);在两个月的随访中,他们保持了 21(SD=88)分钟/24 小时的增长(P>0.05)。

结论

“积极生活与 COPD”干预措施是可行的、可接受的,并且可能支持长期维持体力活动。

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Pulmonary rehabilitation for chronic obstructive pulmonary disease.慢性阻塞性肺疾病的肺康复治疗
Cochrane Database Syst Rev. 2015 Feb 23;2015(2):CD003793. doi: 10.1002/14651858.CD003793.pub3.
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Changes in physical activity and all-cause mortality in COPD.COPD 患者体力活动的变化与全因死亡率。
Eur Respir J. 2014 Nov;44(5):1199-209. doi: 10.1183/09031936.00023214. Epub 2014 Jul 25.

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