| Objectives To explore the effect of respiratory exercise rehabilitation exercise combined with cognitive training on cognitive function and respiratory function in elderly patients with chronic obstructive pulmonary disease(COPD).Methods From September 2020 to September 2021,elderly patients with chronic obstructive pulmonary disease with cognitive impairment were selected and treated in the Department of Respiratory Medicine of Hebei Provincial People’s Hospital.Using random number table method,96 patients were randomly divided into three groups,32 patients in each group.The control group received routine treatment of respiratory medicine.On the basis of control group,experimental group 1 added respiratory exercise rehabilitation exercise;Experiment group 2 added cognitive training on the basis of experiment group 1.Respiratory exercise Rehabilitation exercise: developed by West China Hospital,it contains a total of 11 sections.The study is divided into two intervention stages,2-3 times a week,once a day,30-60 minutes each time,for 12 consecutive weeks.Cognitive training:Based on the 8 dimensions of the Montreal Assessment Scale(Mo CA),the dimensions of cognitive impairment were screened out,and the individualized cognitive function intervention program of each dimension was constructed.4 times a week for 30 minutes each time for 12 weeks.Before intervention,4 weeks after intervention and 12 weeks after intervention,Mo CA,FEV1,FVC,Dyspnea scale(m MRC),6-minute walk distance(6MWT)and COPD Assessment Test Scale(CAT)were used to evaluate the intervention effect.SPSS22.0 was used for statistical analysis.Measurement data were expressed as((?)±s).Chi-square test was used for comparison between groups.One-way analysis of variance(ANOVA)and repeated measures analysis of variance(ANOVA)were used for comparison among the three groups and within the three groups.P<0.05 was used to indicate statistical significance.Results A total of 92 patients were collected,including 30 patients in the control group,31 patients in experimental group 1 and 31 patients in experimental group 2.The results were as follows: 1.Effects of cognitive function intervention in COPD patients: Before intervention,there was no significant difference in Mo CA dimensions and total score among the three groups(P>0.05).After 4 weeks of intervention,the scores of execution,attention,delayed recall and total score in experimental group 1 were higher than those in control group,and the scores of execution,attention,delayed recall,language and total score in experimental group 2 were higher than those in control group,and the scores of language in experimental group 2 were significantly higher than those in experimental group 1,and the differences were statistically significant(P<0.05).After 12 weeks of intervention,the scores of execution,attention,language,delayed recall and total score in the two experimental groups were higher than those in the control group,and the scores of execution,attention,language,delayed recall and total score in the experimental group 2were significantly higher than those in the experimental group 1,and the differences were statistically significant(P<0.05).The results of repeated measures ANOVA showed that there were statistically significant differences in the main effect of time,main effect of intervention,interaction effect of time and intervention method in the execution,attention,language,delayed recall and total score among the three groups(P<0.05).2.Effects of respiratory function intervention in COPD patients: Before intervention,there were no significant differences in FEV1,FVC and m MRC scores among the three groups(P>0.05).After 4 weeks of intervention,there was no significant difference in FEV1 and FVC scores among the three groups(P>0.05).Compared with the m MRC score of the three groups,the m MRC score of experimental group 2 was lower than that of the other two groups,and the difference was statistically significant(P<0.05).After 12 weeks of intervention,there were statistically significant differences in FEV1,FVC and m MRC scores among the three groups(P<0.05).The scores of FEV1 and FVC in experiment group 2 were higher than those in control group,the scores of m MRC in experiment group 1 were lower than those in control group,and the scores of m MRC in experiment group 2 were lower than those in the other two groups,and the differences were statistically significant(P<0.05).The results of repeated measures ANOVA showed that the FEV1 and FVC scores of the three groups had significant differences in the main effect of time(P<0.05).There were statistically significant differences in m MRC scores among the three groups in the main effect of time,main effect of intervention,and interaction effect between time and intervention method(P<0.05).3.Effect of exercise endurance intervention in COPD patients: There was no significant difference in 6MWT score among the three groups before intervention(P>0.05).After 4 weeks and 12 weeks of intervention,the 6MWT score of experimental group 2 was higher than that of the other two groups,and the 6MWT score of experimental group 1 was higher than that of the control group,and the differences were statistically significant(P<0.05).The results of repeated measures ANOVA showed that there were statistically significant differences in the main effect of time,main effect of intervention,and interaction effect of time and intervention method of 6MWT among the three groups(P<0.05).4.Intervention effect of COPD patients’ quality of life: There was no significant difference in CAT score among the three groups before intervention(P>0.05).After 4 weeks of intervention,the CAT score of experimental group 2 was significantly lower than that of control group,and the difference was statistically significant(P<0.05).After 12 weeks of intervention,the CAT scores of experiment group 1 and experiment group 2 were lower than those of control group,and the CAT scores of experiment group 2were lower than those of experiment group 1,and the differences were statistically significant(P<0.05).The results of repeated measures ANOVA showed that there were statistically significant differences in the main effect of CAT time,main effect of intervention,and interaction effect of time and intervention method among the three groups(P<0.05).Conclusions 1.Respiratory exercise rehabilitation exercise can improve the cognitive function of elderly patients with stable COPD,relieve the symptoms of dyspnea,and improve their exercise endurance.2.Respiratory exercise rehabilitation exercise combined with cognitive training can improve cognitive function,respiratory function,exercise endurance and quality of life in stable elderly COPD patients.Figure 5;Table 22;Reference 160... |
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