| Objective:The current situation of physical activity level and life quality of patients with COPD were investigated,and through the implementation of the elastic belt progressive resistance training combined with Baduanjin training program,in order to cultivate the health awareness of patients with COPD,improve the exercise self-efficacy of patients,increase the physical activity and enhance the quality of life,lung function status,to provide patients with convenient and effective home exercise programs.At the same time,it can supply extensions to clinical medical staff to develop pulmonary rehabilitation programs for patients with COPD.Methods:1.Current investigation and researchFrom May 2022 to December 2022,149 patients with COPD who were hospitalized in the respiratory department and outpatient department of a Grade-III hospital in Jiangxi Province were investigated by using the general data questionnaire,the International Physical Activity questionnaire,the exercise Self-efficacy Scale,and the Quality of Life rating Scale(CAT score)to analyze the physical activity and quality of life of the patients.2.Quasi-experimental studiesFrom July to December 2022,include 72 patients with COPD who were hospitalized in the respiratory department of a Grade 3A hospital in Jiangxi Province were selected.The control group treated routine health guidance,and the experimental group received elastic band resistance training combined with Baduanjin aerobic training on this basis.After 1 and 3 months of intervention,the improvement effect of physical activity level,quality of life,exercise self-efficacy and level of dyspnea of the two groups of subjects was evaluated compared with that before intervention.Results:Investigation research results:1.Current survey results:(1)The median MET-min/w of total physical activity energy expenditure(MET-min/w)was 882,the P25-P75 was 240-2263,and the minimum and maximum values were 0 and 7640.According to the physical activity grading standard,the patients in low,medium and high physical activity level accounted for 39.60%,43.62% and 16.78%,respectively,and the energy consumption of housework and leisure physical activity was mainly.The main types of physical activity were physical inactivity,and the rate of physical inactivity was traffic physical activity(94.63%)and leisure physical activity(77.18%).(2)Exercise self-efficacy score: the median exercise self-efficacy of COPD patients was 44.00,and that of P25-P75 was 33.00-58.50,generally at a low level.Low level of exercise self-efficacy(64.43%),medium level of exercise self-efficacy(29.53%),and high level of exercise self-efficacy(6.04%).(3)The median quality of life of COPD patients was 24.00,and that of P25-P75 was 20.00-30.00.According to the quality of life score standard of COPD,the quality of life score of patients mainly concentrated in the 21 ～ 30 zones,accounting for49.66%,indicating that the quality of life is generally seriously affected.2.Experimental research results:(1)Comparison of baseline data: there was no statistical significance in general data,physical activity level,quality of life,dyspnea degree and exercise self-efficacy between the two groups(P>0.05),indicating comparability.(2)Comparison of the level of physical activity between the two groups:Inter-group comparison showed that the total physical activity and different types of physical activity levels of the experimental group were significantly higher than those of the control group at different time points after intervention(P<0.05),but there was no difference in physical activity at work(P>0.05).Intra-group comparison showed that there were statistical differences in housework physical activity and total physical activity energy consumption of patients in the control group at different time(P<0.05),but there were no statistical differences in work physical activity at different time(P>0.05).The traffic physical activity after 3 months of intervention was statistically significant compared with before intervention and 1 month(P<0.05),but there was no difference before intervention compared with 1 month(P>0.05).The housework physical activity,leisure physical activity and total physical activity in the experimental group were statistically different at different time points(P<0.05).The traffic physical activity were statistically significant before intervention and at 1 and 3months(P<0.05),but there was no difference between intervention at 3 months and intervention at 1 month(P>0.05).There was no difference in physical activity at different time points(P>0.05).(3)Comparison of quality of life(CAT)scores: Inter-group comparison showed that CAT scores of experimental group were significantly different from those of control group at different time points after intervention(P<0.001);There were significant intergroup and time effects on CAT scores between the two groups,and there were interaction effects(P<0.001).Intragroup comparison showed that CAT scores in both groups were significantly higher after 1 and 3 months of intervention than before intervention(P<0.001),and the decline of CAT scores in experimental group was better than control group.(4)Comparison of exercise self-efficacy: After 1 and 3 months of intervention,EX-SRES scores of in experimental group was better than control group(P<0.05);There were intergroup effect(F intergroup =5.095,P<0.05),time effect(F time=934.232,P<0.001)and interaction effect(F interaction =222.407,P<0.001)in EX-SRES scores of the two groups.In intra-group comparison,EX-SRES scores in both groups were significantly higher after 1 and 3 months of intervention than before intervention(P<0.001),and EX-SRES scores in both groups increased over time.(5)Comparison of dyspnea degree(m MRC): After 1 and 3 months of intervention in the experimental group,m MRC score showed a downward trend,dyspnea symptoms were improved,with statistical significance(P<0.05);The existence time(F time=746.046,P<0.001)and intergroup effect(F intergroup =8.530,P < 0.05)of m MRC scores in the two groups,and the interaction effect between time point and group was significant(F interaction =105.432,P < 0.001).Within the group comparison,after 1 and 3 months of intervention,m MRC scores in both groups were significantly lower than before intervention(P<0.001),but the decline of m MRC scores iin experimental group was better than control group.Conclusion:1.Comparison between control group and experimental group,the 3-month elastic band resistance training combined with Baduanjin aerobic training program significantly improved the physical activity level and quality of life of COPD patients,and effectively strengthened the patients’ self-efficacy and confidence in exercise.2.Elastic band resistance training combined with Baduanjin aerobic training program is safe and effective,which can be applied in home care of COPD patients and provide clinical medical staff to develop pulmonary rehabilitation programs for COPD patients. |
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