运动对慢性阻塞性肺疾病患者心理困扰的影响：随机对照试验的系统评价和荟萃分析

Effects of exercise on psychological distress in patients with COPD: A systematic review and meta-analysis of randomised controlled trials.

作者信息

Liu Tiying, Ran Haiqin, Xu Tong, Xia Xingchen, Xia Jun

机构信息

Department of Pulmonary and Critical Care Medicine, Jiangsu Province Hospital of Chinese Medicine Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

Medicine (Baltimore). 2025 Aug 22;104(34):e44026. doi: 10.1097/MD.0000000000044026.

DOI:10.1097/MD.0000000000044026

PMID:40859513

Abstract

BACKGROUND

Exercise therapies has been increasingly studied, but there is no consensus on their role in chronic obstructive pulmonary disease patients with psychological distress.

METHODS

We searched for relevant studies published in PubMed, Embase, Web of Science, and Cochrane Library, with a focus on randomized controlled trials that recorded the impact of exercise on psychological distress.

RESULTS

Twenty-one randomized controlled trials met the inclusion criteria. The meta-analysis indicated a significant improvement in anxiety (standardized mean difference [SMD]: -0.63, 95% confidence interval [CI]: -0.92 to -0.35; P < .001, I2 = 83.6%), depression (SMD: -0.44, 95% CI: -0.63 to -0.26; P < .001, I2 = 62.9%), emotion regulation (SMD: 0.32, 95% CI: 0.08-0.56; P = .010, I2 = 0.0%), and self-efficacy (SMD = 0.61, 95% CI: 0.08-1.04, P < .001; I2 = 74.8%) with exercise.

CONCLUSION

Our meta-analysis supports the alleviation of psychological distress in chronic obstructive pulmonary disease patients by exercise.

摘要

背景

运动疗法已得到越来越多的研究，但对于其在伴有心理困扰的慢性阻塞性肺疾病患者中的作用尚无共识。

方法

我们检索了发表在PubMed、Embase、Web of Science和Cochrane图书馆的相关研究，重点关注记录运动对心理困扰影响的随机对照试验。

结果

21项随机对照试验符合纳入标准。荟萃分析表明，运动在焦虑（标准化均数差[SMD]：-0.63，95%置信区间[CI]：-0.92至-0.35；P<0.001，I² = 83.6%）、抑郁（SMD：-0.44，95% CI：-0.63至-0.26；P<0.001，I² = 62.9%）、情绪调节（SMD：0.32，95% CI：0.08 - 0.56；P = 0.010，I² = 0.0%）和自我效能（SMD = 0.61，95% CI：0.08 - 1.04，P<0.001；I² = 74.8%）方面有显著改善。