集体运动激励在慢性阻塞性肺疾病稳定期患者中的应用

目的探讨集体运动激励对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者焦虑和抑郁情绪及生活质量的影响。方法选取COPD稳定期患者93例,按照随机数字表法分为干预组47例和对照组46例。对照组行常规护理及运动疗法,干预组在此基础上实施集体运动激励方法。干预前和干预后12周采用汉密尔顿焦虑量表(hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(hamilton depression scale,HAMD)评定患者的焦虑和抑郁情绪;采用健康状况调查问卷(short form-36health survey,SF-36)评定患者的生活质量。结果干预后,干预组患者HAMA和HAMD评分低于对照组,SF-36评分高于对照组患者,两组比较,均P<0.05,差异具有统计学意义。结论集体运动激励可有效地改善COPD稳定期患者的焦虑和抑郁情绪及生活质量。

Influence of collective motion excitation on COPD patients at stable stage

Objective To investigate the influence of collective motion excitation on the anxiety/depression and the quality of life of COPD patients at stable stage.Methods Ninety-six patients with chronic obstructive pulmonary disease（COPD） at stable stage were divided into the intervention group and the control group,both treated with regular medical treatment and general nursing.Collective motion excitation was implemented in the intervention group twice per week in 12 weeks.The Hamilton Anxiety Scale（HAMA）,the Hamilton Depression Scale（HAMD） and the Short Form-36 Health Survey（SF-36） were used to assess all patients before and after the 12-week nursing.Result Compared to the control group,the intervention group demonstrated significant improvements in HAMA,HAMD and SF-36 scores at the endpoint of 12 weeks（P 0.05）,and no difference before the nursing intervention（P 0.05）.Conclusion The anxiety/depression and the quality of life can be improved with COPD patients at stable stage through collective motion excitation.