有氧抗阻运动结合健康信念干预在老年慢性阻塞性肺疾病中的应用

目的评价在老年慢性阻塞性肺疾病(COPD)病人中实施有氧抗阻运动结合健康信念干预的作用。方法选取2018年6月至2019年4月收治的老年COPD病人70例，随机分为对照组和观察组，各35例。2组均接受常规治疗及健康信念干预，观察组在此基础上实施有氧抗阻运动，连续干预12周。比较2组干预前后心肺功能与生活质量变化。结果干预后观察组病人第1秒用力呼气容积(FEV1)与用力肺活量的比值及FEV1占预计值百分比高于干预前，且观察组高于对照组(P < 0.05)。干预后观察组病人最大耗氧量、相对最大摄氧量、峰值氧脉搏、最大心率均优于干预前，且观察组高于对照组(P < 0.05)。干预后2组生活质量评分均降低，且观察组低于对照组(P < 0.05)。结论在老年COPD病人中实施有氧抗阻运动结合健康信念干预可改善病人心肺储备功能，提高生活质量。

Application of aerobic resistance exercise combined with health belief intervention in elderly patients with chronic obstructive pulmonary disease

ObjectiveTo evaluate the effect of aerobic resistance exercise combined with health belief intervention in elderly patients with chronic obstructive pulmonary disease(COPD).MethodsSeventy elderly COPD patients admitted from June 2018 to April 2019 were randomly divided into control group and observation group, with 35 cases in each group.Both groups received conventional treatment and health belief intervention, and the observation group performed aerobic resistance exercise on this basis for 12 weeks of continuous intervention.Cardiopulmonary function and quality of life were compared between the two groups before and after intervention.ResultsAfter intervention, the ratio of forced expiratory volume to forced vital capacity in the first second and the percentage of FEV1 in the predicted value(FEV1% Pred) in the observation group were higher than those in the control group(P < 0.05).After intervention, the maximum oxygen consumption, relative maximum oxygen uptake, peak oxygen pulse and maximum heart rate of two groups were better than those before intervention, and the observation group was higher than the control group(P < 0.05).After intervention, the quality of life score of the revised version of respiratory disease questionnaire scale in the two groups decreased, and that in the observation group was lower than that in the control group(P < 0.05).ConclusionsThe implementation of aerobic resistance exercise combined with health belief intervention in elderly patients with COPD can improve the cardiorespiratory reserve and improve the quality of life.