Psychological and cognitive outcomes of a randomized trial of exercise among patients with chronic obstructive pulmonary disease
Psychological and cognitive outcomes of a randomized trial of exercise among patients with chronic obstructive pulmonary disease
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DOI：
10.1037/0278-6133.17.3.232
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发表时间：
1998-05-01
影响因子：
4.2
通讯作者：
MacIntyre, NR
中科院分区：
文献类型：
--
作者：
Emery, CF;Schein, RL;MacIntyre, NR
运动康复越来越被推荐给慢性阻塞性肺疾病(COPD)患者。这项研究考察了运动和教育对79名患有COPD的老年人(男性=66.6+/-6.5岁；53%女性)的影响，随机分配到10周：(A)运动、教育和压力管理(EXESM；n=29)；(B)教育和压力管理(ESM；n=25)；或(C)等待名单(WL；n=25)。EXESM包括37次锻炼、16次教育讲座和10节每周压力管理课程。ESM只包括16个讲座和10个压力管理课程。干预前后分别对生理功能(肺功能、运动耐力)、心理健康(抑郁、焦虑、生活质量)和认知功能(注意力、运动速度、心理效率、言语加工)进行评估。重复测量多变量方差分析表明，EXESM参与者经历了ESM和WL参与者中没有观察到的变化，包括提高耐力、减少焦虑和改善认知表现(语言流利性)。
Exercise rehabilitation is recommended increasingly for patients with chronic obstructive pulmonary disease (COPD). This study examined the effect of exercise and education on 79 older adults (M age = 66.6 +/- 6.5 years; 53% female) with COPD, randomly assigned to 10 weeks of (a) exercise, education, and stress management (EXESM; n = 29); (b) education and stress management (ESM; n = 25); or (c) waiting list (WL; n = 25). EXESM included 37 sessions of exercise, 16 educational lectures, and 10 weekly stress management classes. ESM included only the 16 lectures and 10 stress management classes. Before and after the intervention, assessments were conducted of physiological functioning (pulmonary function, exercise endurance), psychological well-being (depression, anxiety, quality of life), and cognitive functioning (attention, motor speed, mental efficiency, verbal processing). Repeated measures multivariate analysis of variance indicated that EXESM participants experienced changes not observed among ESM and WL participants, including improved endurance, reduced anxiety, and improved cognitive performance (verbal fluency).