Effects of age on physiological and psychological functioning among COPD patients in an exercise program.

Effects of age on physiological and psychological functioning among COPD patients in an exercise program.
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DOI:
10.1177/089826439400600101
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发表时间:
1994-02-01
影响因子:
2.8
通讯作者:
Emery, C F
Emery, C F
中科院分区:
医学3区
文献类型:
--
作者:
Emery, C F

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患有慢性疾病的老年人可能比健康的老年人更容易受到心理困扰。本研究探讨了年龄对老年慢性阻塞性肺疾病(COPD)患者的生理和心理功能的影响。研究纳入了64名患有COPD的老年人(平均年龄= 67.4 ± 7.0; 35名男性,29名女性)。所有受试者都参加了为期30天的康复计划,包括锻炼(步行,固定自行车,游泳池练习),教育和压力管理。受试者接受生理功能的评估(例如,自行车测力计,12分钟步行),认知状态(例如,记忆力、心理速度、注意力),和心理健康(例如,焦虑、抑郁、精神症状)。通过重复测量多变量方差分析对结果进行分析,年龄(中位数分裂= 67.5岁)作为受试者间因素。虽然锻炼计划似乎对老年受试者的生理功能、注意力和短期记忆有更大的影响,但两组受试者的生理功能和心理健康都有所改善。
Older adults with chronic illness may be at greater risk of psychological distress than healthy older adults. This study examined the effect of age on physiological and psychological functioning of exercising older adults with chronic obstructive pulmonary disease (COPD). Sixty-four older adults (mean age = 67.4 plus or minus 7.0; 35 male, 29 female) with COPD were included in the study. All subjects participated in a 30-day rehabilitation program consisting of exercise (walking, stationary bicycle, pool exercises), education, and stress management. Subjects underwent assessments of physiological functioning (e.g., bicycle ergometry,12-minute walk), cognitive status (e.g., memory, psychomotor speed, concentration), and psychological well-being (e.g., anxiety, depression, psychiatric symptoms) before and after the exercise program. Results were analyzed by repeated measures multivariate analysis of variance, with age (median split = 67.5 years) as a between-subject factor. Although the exercise program appeared to have a greater effect on physiological functioning and on concentration and short-term memory of younger-old subjects, both groups of subjects achieved gains in physiological functioning, and psychological well-being.