Abstract:

Objective Exploring the application effect of fragmented resistance exercise in the exercise rehabilitation of elderly patients with chronic obstructive pulmonary disease，providing references for improving their quality of life. Methods From October to December 2024，96 elderly patients with chronic obstructive pulmonary disease admitted to a tertiary hospital in Pingdingshan city were conveniently selected as the research subjects. They were randomly divided into an experimental group and a control group（all n=48） using a random number table method. The experimental group received a fragmented resistance exercise program on the basis of routine pulmonary rehabilitation，while the control group received routine pulmonary rehabilitation nursing care for a duration of 3 months. The lung function，exercise endurance，quality of life，and exercise compliance were compared between the 2 groups before and after intervention. Results The experimental group ultimately included 46 cases, while the control group ultimately included 47 cases. The lung function of the experimental group was better than that of the control group after 3 months of intervention（P<0.05），and the exercise compliance scores of the experimental group were higher than those of the control group after 1 and 3 months of intervention（P<0.001）. Repeated measures ANOVA showed that there was an interaction effect（P<0.05） in the comparison of exercise endurance and quality of life between the 2 groups. Simple effects analysis showed that the experimental group had better exercise endurance after 3 months of intervention than the control group（P<0.05），and better quality of life after 1 and 3 months of intervention than the control group（P<0.05）. Conclusion Fragmented resistance exercise can effectively improve lung function，enhance exercise endurance and compliance，and improve quality of life in elderly patients with chronic obstructive pulmonary disease.

Key words: Aged, Pulmonary Disease，Chronic Obstructive, Fragmented Exercise, Resistance Exercise, Exercise Rehabilitation, Rehabilitation Nursing

摘要：

目的 探讨间断性抗阻锻炼在老年慢性阻塞性肺疾病患者运动康复中的实施效果，为改善其生活质量提供参考。方法 2024年10—12月，便利选取平顶山市某三级甲等医院收治的96例老年慢性阻塞性肺疾病患者为研究对象，采用随机数字表法将其分为试验组和对照组（各48例）。试验组在常规肺康复的基础上实施间断性抗阻锻炼方案，对照组实施常规肺康复护理，干预时长3个月。比较干预前后两组的肺功能、运动耐力、生活质量、运动依从性。结果 最终试验组纳入46例，对照组纳入47例。试验组干预3个月时肺功能优于对照组（P<0.05），试验组干预1个月、3个月时的运动依从性得分均高于对照组（P<0.001）；重复测量方差分析显示，两组干预前、干预1个月、3个月时的运动耐力、生活质量比较，时间与组间存在交互效应（P<0.05），简单效应分析显示，试验组干预3个月时的运动耐力优于对照组（P<0.05），试验组干预1个月、3个月时的生活质量优于对照组（P<0.05）。结论 间断性抗阻锻炼可有效改善老年慢性阻塞性肺疾病患者的肺功能，提升其运动耐力及运动依从性，提高生活质量。

关键词: 老年人, 肺疾病，慢性阻塞性, 间断性运动, 抗阻锻炼, 运动康复, 康复护理