The Clinical Study Of Staged Pulmonary Rehabilitation In Patients With Chronic Obstructive Pulmonary Disease Of Acute Exacerbation

Objective:To investigate the exercise self-regulatory efficacy and its influencing factors of chronic obstructive pulmonary disease(COPD)patients with acute exacerbation and to observe the effect of staged pulmonary rehabilitation(PR)on patients with acute exacerbation of COPD.Methods:(1)A total of 126 patients with acute exacerbation of COPD were investigated from the Second Hospital Affiliated to Chongqing Medical University with a demographic questionnaire,exercise Self-regulatory efficacy Scale and Social Support Rating Scale.(2)68 patients with acute exacerbation of COPD were randomly divided into PR group(n=35)and control group(n=33)according to the inclusion and exclusion.The two groups were accepted with routine treatment,while the PR group was received the staged pulmonary rehabilitation at the same time.The pre-post changes in Hospital Anxiety and Depression Scale(HADS),BODE index and COPD clinical questionnaire(CCQ).Results:(1)The mean score of health behavior was(79.97±19.78).Hierarchichal regression analysis showed that availability of social support,other diseases,age and dyssomnia were influencing factors of exercise self-regulatory efficacy of COPD patients with acute exacerbation.(2)In our study,61 patients completed the experiment,of which 31 patients in PR group and 30 patients in control group.No adverse events were occured during exercise.The HADS score of PR group from 7.67±3.92 to 6.45±4.25,the BODE index from 7.58±2.11 to 7.10±2.33,the COPD clinical questionnaire score from 2.82 ± 1.27 at baseline to 2.67 ± 1.27 after intervention.There was statistical significance(P < 0.01).The PR group and the control group was statistically significant changes in BODE index(P < 0.05).There was no significant difference in the control group between before and after comparison.Conclusions:(1)The level of exercise self-regulatory efficacy of COPD patients with acute exacerbation need to be improved,and we should pay more attention to the social support system and the control of other diseases.(2)Our study improve that staged PR can improve the mental state,exercise ability and quality of life of COPD patients with acute exacerbation.