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

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