Emery C F, Schein R L, Hauck E R, MacIntyre N R
Department of Psychology, Ohio State University, Columbus 43210, USA.
Health Psychol. 1998 May;17(3):232-40. doi: 10.1037//0278-6133.17.3.232.
Exercise rehabilitation is recommended increasingly for patients with chronic obstructive pulmonary disease (COPD). This study examined the effect of exercise and education on 79 older adults (M age = 66.6 +/- 6.5 years; 53% female) with COPD, randomly assigned to 10 weeks of (a) exercise, education, and stress management (EXESM; n = 29); (b) education and stress management (ESM; n = 25); or (c) waiting list (WL; n = 25). EXESM included 37 sessions of exercise, 16 educational lectures, and 10 weekly stress management classes. ESM included only the 16 lectures and 10 stress management classes. Before and after the intervention, assessments were conducted of physiological functioning (pulmonary function, exercise endurance), psychological well-being (depression, anxiety, quality of life), and cognitive functioning (attention, motor speed, mental efficiency, verbal processing). Repeated measures multivariate analysis of variance indicated that EXESM participants experienced changes not observed among ESM and WL participants, including improved endurance, reduced anxiety, and improved cognitive performance (verbal fluency).
对于慢性阻塞性肺疾病（COPD）患者，运动康复的推荐越来越多。本研究考察了运动和教育对79名患有COPD的老年人（平均年龄 = 66.6 ± 6.5岁；53%为女性）的影响，这些老年人被随机分配到以下三组，为期10周：（a）运动、教育和压力管理组（EXESM；n = 29）；（b）教育和压力管理组（ESM；n = 25）；或（c）等待名单组（WL；n = 25）。EXESM组包括37节运动课程、16次教育讲座和10次每周一次的压力管理课程。ESM组仅包括16次讲座和10次压力管理课程。在干预前后，对生理功能（肺功能、运动耐力）、心理健康（抑郁、焦虑、生活质量）和认知功能（注意力、运动速度、心理效率、语言处理能力）进行了评估。重复测量多因素方差分析表明，EXESM组参与者出现了ESM组和WL组参与者未观察到的变化，包括耐力提高、焦虑减轻和认知表现改善（语言流畅性）。
