基于时机理论的运动康复方案在慢性阻塞性肺疾病患者中的应用效果评价

doi:10.3761/j.issn.0254-1769.2026.08.001

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (8): 1013-1020.DOI: 10.3761/j.issn.0254-1769.2026.08.001

• 慢性阻塞性肺疾病护理专题 • 下一篇

基于时机理论的运动康复方案在慢性阻塞性肺疾病患者中的应用效果评价

冯丽¹(), 郭沛然², 程蓉², 熊楚琴², 张志霞²^,^*()

¹ 湖北科技学院公共卫生与健康学院湖北省咸宁市 437100
² 武汉科技大学附属天佑医院护理部武汉市 430064

收稿日期:2025-12-09 出版日期:2026-04-20 发布日期:2026-04-22
*通讯作者: 张志霞，E-mail：zhangzhixia5827@126.com
作者简介:冯丽：女，硕士，主管护师，E-mail：651286695@qq.com
第一联系人：作者贡献声明
冯丽：研究设计与实施、论文撰写修改；郭沛然：文献整理、数据收集与整理；程蓉：统计学分析；熊楚琴：数据整理；张志霞：方案构建、研究指导、基金支持、论文审阅
基金资助:
国家卫生健康委2024年医疗质量（循证）管理研究项目(YLZLXZ24G021)

Evaluation of the application effect of an exercise rehabilitation program based on Timing It Right Theory in patients with chronic obstructive pulmonary disease

FENG Li¹(), GUO Peiran², CHENG Rong², XIONG Chuqin², ZHANG Zhixia²^,^*()

¹ School of Public Health and Nursing， Hubei University of Science and Technology，Xianning， Hubei Province 437100， China
² Nursing Department， Tianyou Hospital Affiliated to Wuhan University of Science and Technology， Wuhan 430064， China

Received:2025-12-09 Online:2026-04-20 Published:2026-04-22
* Corresponding author: ZHANG Zhixia，E-mail：zhangzhixia5827@126.com
Funding program:
2024 Medical Quality（Evidence-Based） Management Research Project of the National Institute of Hospital Administration，National Health Commission of the People’s Republic of China(YLZLXZ24G021)

摘要/Abstract

摘要：

目的探索基于时机理论的运动康复方案在慢性阻塞性肺疾病患者中的应用效果，为开展精准化康复护理提供参考。方法采用便利抽样法，选取2024年11月—2025年7月在武汉市某三级甲等综合医院呼吸内科与老年科住院的84例患者为研究对象，按科室分为试验组与对照组，每组各42例患者。试验组在常规康复护理的基础上实施基于时机理论的运动康复方案，对照组接受常规康复护理，干预时长为3个月。比较干预前后两组的肺功能、运动耐力和干预前、干预1、3个月的自我护理水平和生活质量差异。结果试验组和对照组各40例患者完成研究。干预3个月后，试验组肺功能与运动耐力均优于对照组，差异具有统计学意义（P<0.05）。重复测量方差分析结果显示，两组干预前、干预1、3个月的自我护理水平与生活质量比较，组间和时间存在交互作用（P<0.001）；简单效应分析结果显示，试验组干预1、3个月时的自我护理水平和生活质量均优于对照组，差异具有统计学意义（P<0.001）。结论实施基于时机理论的运动康复方案可改善慢性阻塞性肺疾病患者的肺功能，提升运动耐力与自我护理水平，从而进一步提高其生活质量。

关键词: 肺疾病，慢性阻塞性, 时机理论, 运动康复, 康复护理

Abstract:

Objective To explore the application effect of an exercise rehabilitation program based on the Timing It Right Theory in patients with chronic obstructive pulmonary disease，and to provide references for the implementation of precision rehabilitation care. Methods By using the convenience sampling method，84 inpatients from the Department of Respiratory Medicine and Geriatrics Department of a tertiary A hospital in Wuhan from November 2024 to July 2025. They were divided into an experimental group and a control group according to the departments，with 42 patients in each group. The experimental group received a motor rehabilitation program based on the Timing It Right Theory in addition to conventional rehabilitation care，while the control group received only conventional rehabilitation care. The intervention lasted for 3 months. The lung function and exercise endurance were compared in 2 groups before and after the intervention. The self-care level and quality of life were compared in 2 groups before intervention，a month after intervention, and 3 months after intervention. Results Finally，40 cases each in both the experimental group and the control group completed the study. After 3 months of intervention，the lung function and exercise endurance of the experimental group were better than those of the control group，and the difference was statistically significant（P<0.05）. The results of repeated measures ANOVA showed that there was an interaction between time and group in the comparison of self-care level and quality of life before intervention，1 month after intervention，and 3 months after intervention（P<0.001）. The simple effect analysis showed that the self-care level and quality of life of the experimental group were better than those of the control group at 1 month and 3 months after intervention，and the differences were statistically significant（P<0.001）. Conclusion The exercise rehabilitation program based on Timing It Right Theory can improve lung function in COPD patients，enhance exercise endurance and self-care capabilities，thereby further improving patients’ quality of life.

Key words: Pulmonary Disease， Chronic Obstructive, Timing It Right Theory, Exercise Rehabilitation, Rehabilitation Nursing

冯丽, 郭沛然, 程蓉, 熊楚琴, 张志霞. 基于时机理论的运动康复方案在慢性阻塞性肺疾病患者中的应用效果评价[J]. 中华护理杂志, 2026, 61(8): 1013-1020.

FENG Li, GUO Peiran, CHENG Rong, XIONG Chuqin, ZHANG Zhixia. Evaluation of the application effect of an exercise rehabilitation program based on Timing It Right Theory in patients with chronic obstructive pulmonary disease[J]. Chinese Journal of Nursing, 2026, 61(8): 1013-1020.

图/表 6

表1 基于时机理论的慢阻肺患者运动康复方案

Table 1 The exercise rehabilitation program for COPD patients based on Timing It Right theory

表2 两组一般资料的比较（例）

Table 2 Comparison of general information of 2 groups of patients（cases）

表3 两组肺功能的比较（L，$\bar{x}\pm s$）

Table 3 Comparison of pulmonary function levels between 2 groups of patients（L，$\bar{x}\pm s$）

表4 两组6 min步行试验距离的比较（m，$\bar{x}\pm s$）

Table 4 Comparison of 6-minute walking distances of 2 groups of patients（m，$\bar{x}\pm s$）

表5 两组干预前、干预1、3个月自我护理水平的比较（分，$\bar{x}\pm s$）

Table 5 Comparison of the self-care levels of 2 groups before the intervention，1 month after the intervention，and 3 months after the intervention（score，$\bar{x}\pm s$）

表6 两组干预前、干预1、3个月生活质量的比较（分，$\bar{x}\pm s$）

Table 6 Comparison of the quality of life between 2 groups before the intervention，1 month after the intervention，and 3 months after the intervention（score，$\bar{x}\pm s$）

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基于时机理论的运动康复方案在慢性阻塞性肺疾病患者中的应用效果评价

Evaluation of the application effect of an exercise rehabilitation program based on Timing It Right Theory in patients with chronic obstructive pulmonary disease

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