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中华肺部疾病杂志(电子版) ›› 2024, Vol. 17 ›› Issue (06) : 971 -974. doi: 10.3877/cma.j.issn.1674-6902.2024.06.022

临床研究

个体化肺康复及情绪调节对AECOPD并VTE 高危患者生活质量和预后影响分析
沈柳柳1, 周不畏2, 王敏1, 卢春霞1, 邢燕飞1   
  1. 1.226200 江苏,启东市人民医院呼吸与危重症医学科
    2.226200 江苏,南通市第一人民医院呼吸与危重症医学科
  • 收稿日期:2024-09-18 出版日期:2024-12-25
  • 基金资助:
    南通市卫生健康委员会(QN2022054)

Effect of individualized pulmonary rehabilitation and emotional regulation on quality of life and prognosis of high-risk patients with AECOPD and VTE

Liuliu Shen, Buwei Zhou, Min Wang, Chunxia Lu, Yanfei Xing   

  • Received:2024-09-18 Published:2024-12-25
引用本文:

沈柳柳, 周不畏, 王敏, 卢春霞, 邢燕飞. 个体化肺康复及情绪调节对AECOPD并VTE 高危患者生活质量和预后影响分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(06): 971-974.

Liuliu Shen, Buwei Zhou, Min Wang, Chunxia Lu, Yanfei Xing. Effect of individualized pulmonary rehabilitation and emotional regulation on quality of life and prognosis of high-risk patients with AECOPD and VTE[J/OL]. Chinese Journal of Lung Diseases(Electronic Edition), 2024, 17(06): 971-974.

目的

分析个体化肺康复联合情绪调节干预对慢性阻塞性肺疾病急性加重(acute exacerbation of chronic obstructive pulmonary disease,AECOPD) 并静脉血栓栓塞(venous thrombo embolism,VTE)高危患者生活质量和预后的影响。

方法

选择2022 年12 月至2023 年12 月我院收治的64 例AECOPD 并VTE 高危患者为对象,实施常规临床管理30 例为对照组,在常规管理上实施个体化肺康复和情绪调节干预34 例为观察组。 比较治疗前后两组抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)、圣乔治呼吸问卷 (St George's respiratory questionnaire,SGRQ)评分,记录两组治疗效果,随访干预6 个月后急性加重、再住院情况。

结果

观察组治疗后SAS(51.56±1.76)分、SDS(42.56±2.36)分低于对照组(56.47±2.36)分、(48.34±2.89)分,(P<0.05);观察组SGRQ 症状评分(45.3±9.87)分、活动评分(51.11±9.94)分、影响评分(48.66±11.18)分低于对照组(48.4±7.47)分、(56.38±11.37)分、(54.32±14.56)分(P <0.05);观察组临床有效27 例(84.38%)高于对照组(73.33%);观察组急性加重率9.38%、VTE 发生率6.26%低于对照组急性加重率30.00%、33.33% (P<0.05);观察组再住院率6.26%低于对照组16.70% (P<0.05)。

结论

个体化肺康复联合情绪调节改善AECOPD 患者不良情绪,提高生存质量、改善预后,具有临床意义。

表1 两组AECOPD 并VTE 患者治疗过程中SGRQ 评分结果( ±s
表2 两组AECOPD 并VTE 患者治疗前后情绪变化比较
1
邵长周.慢性阻塞性肺疾病的临床表型个体化治疗[J].中南医学科学杂志,2017,45(6):541-543,536.
2
Bertoletti L,Couturaud F,Sanchez O,et al.Pulmonary embolism and chronic obstructive pulmonary disease [J].Semin Thromb Hemost,2023,49(8):809-815.
3
Liu X,Jiao X,Gong X,et al.Prevalence,risk factor and clinical characteristics of venous thrombus embolism in patients with acute exacerbation of COPD:A prospective multicenter study[J].Int J Chron Obstruct Pulmon Dis,2023,18:907-917.
4
Kim V,Goel N,Gangar J,et al.Risk factors for venous thromboembolism in chronic obstructive pulmonary disease[J].Chronic Obstr Pulm Dis,2014,1(2):239-249.
5
Ebadi Z,Goertz YMJ,Van Herck M,et al.The prevalence and related factors of fatigue in patients with COPD:a systematic review[J].Eur Respir Rev,2021,30(160):200298.
6
Medrinal C,Bonnevie T.Physiotherapy during and after acute exacerbation of COPD[J].Rev Mal Respir,2022,39(4):386-397.
7
Rutkowski S,Rutkowska A,Kiper P,et al.Virtual reality rehabilitation in patients with chronic obstructive pulmonary disease:A randomized controlled trial[J].Int J Chron Obstruct Pulmon Dis,2020,15:117-124.
8
McRae K,Gross JJ.Emotion regulation[J].Emotion,2020,20(1):1-9.
9
Benzo RP,Kirsch JL,Dulohery MM,et al.Emotional intelligence:A novel outcome associated with wellbeing and self-management in chronic obstructive pulmonary disease[J].Ann Am Thorac Soc,2016,13(1):10-16.
10
Mathews AM.The functional and psychosocial consequences of COPD[J].Respir Care,2023,68(7):914-926.
11
晏 妮,董俊康,张明周,等.焦虑抑郁对慢性阻塞性肺疾病患者生活质量的影响及药物依从性中介作用[J/CD].中华肺部疾病杂志(电子版),2022,15(6):771-775.
12
内科住院患者静脉血栓栓塞症预防的中国专家建议写作组,中华医学会呼吸病学分会,中华医学会老年医学分会,等.内科住院患者静脉血栓栓塞症预防中国专家建议(2015)[J].中华老年医学杂志,2015,34(4):345-352.
13
孙 明,王蔚文.临床疾病诊断与疗效判定标准[M].北京:中国科学技术文献出版社,2010:130.
14
Witt LJ,Wroblewski KE,Pinto JM,et al.Beyond the lung:Geriatric conditions afflict community-dwelling older adults with self-reported chronic obstructive pulmonary disease[J].Front Med (Lausanne),2022,9:814606.
15
Borvik T,Braekkan SK,Enga K,et al.COPD and risk of venous thromboembolism and mortality in a general population[J].Eur Respir J,2016,47(2):473-481.
16
Troosters T,Janssens W,Demeyer H,et al.Pulmonary rehabilitation and physical interventions[J].Eur Respir Rev,2023,32(168):220222.
17
徐海婷,刘嫣然,吕 婧,等.未治疗抑郁障碍患者自杀风险与认知情绪调节策略的关系[J].四川精神卫生,2020,33(1):44-48.
18
Yohannes AM,Murri MB,Hanania NA,et al.Depressive and anxiety symptoms in patients with COPD:A network analysis[J].Respir Med,2022,198:106865.
19
Ma H,Wang J,Sun J,et al.Effect of cardiopulmonary rehabilitation nursing on exercise endurance and quality of life of stable COPD patients[J].Am J Transl Res,2021,13(6):7356-7362.
20
Vorrink SN,Kort HS,Troosters T,et al.Efficacy of an mHealth intervention to stimulate physical activity in COPD patients after pulmonary rehabilitation[J].Eur Respir J,2016,48(4):1019-1029.
21
Bishop FL,Lauche R,Cramer H,et al.Health behavior change and complementary medicine use:National health interview survey 2012[J].Medicina (Kaunas),2019,55(10):632.
22
Gilliam EA,Cheung T,Kraemer K,et al.The impact of Tai Chi and mind-body breathing in COPD:Insights from a qualitative substudy of a randomized controlled trial[J].PLoS One,2021,16(4):e0249263.
23
Moecke DP,Zhu K,Gill J,et al.Safety and efficacy of inpatient pulmonary rehabilitation for patients hospitalized with an acute exacerbation of chronic obstructive pulmonary disease:Systematic review and Meta-analyses[J].Ann Am Thorac Soc,2023,20(2):307-319.
24
Ouellette DR,Lavoie KL.Recognition,diagnosis,and treatment of cognitive and psychiatric disorders in patients with COPD[J].Int J Chron Obstruct Pulmon Dis,2017,12:639-650.
25
Hansen H,Bieler T,Beyer N,et al.Supervised pulmonary telerehabilitation versus pulmonary rehabilitation in severe COPD:a randomised multicentre trial[J].Thorax,2020,75(5):413-421.
26
Stefan MS,Pekow PS,Priya A,et al.Association between initiation of pulmonary rehabilitation and rehospitalizations in patients hospitalized with chronic obstructive pulmonary disease[J].Am J Respir Crit Care Med,2021,204(9):1015-1023.
27
Jones SE,Green SA,Clark AL,et al.Pulmonary rehabilitation following hospitalisation for acute exacerbation of COPD:referrals,uptake and adherence[J].Thorax,2014,69(2):181-182.
28
Spruit MA,Singh SJ,Garvey C,et al.An official american thoracic society/european respiratory society statement:key concepts and advances in pulmonary rehabilitation[J].Am J Respir Crit Care Med,2013,188(8):e13-64.
29
Zanaboni P,Dinesen B,Hoaas H,et al.Long-term telerehabilitation or unsupervised training at home for patients with chronic obstructive pulmonary disease:A randomized controlled trial[J].Am J Respir Crit Care Med,2023,207(7):865-875.
30
王 霞,郝一玥,范 晔,等.多学科个体化肺康复对慢性阻塞性肺疾病患者生活质量的影响[J/CD].中华肺部疾病杂志(电子版),2021,14(1):95-97.
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