| Objective:To investigate the effect of home-based pulmonary rehabilition among elderly patients with COPD during the stable phase complicated by frailty and to find an effective way to reduce the incidence of adverse events of elderly patients with COPD.Methods:97 elderly patients with COPD in the stable phase who meet the CHS frailty score≥1were divided into the intervention group(n=50) and the control group(n=47).The patients in the intervention group received 12-week home-based pulmonary rehabilition while the control group received usual care.Both group were followed by telephone for a 3-month period.Results:Finally,83 patients of whom 41 in the intervention group and 42 in the control group.(1)Differences between the pre-intervention and post-intervention in the scores of CHS and FI in the intervention group were significantly different(P<0.05),and 6-meter pace time-consuming in the control group was significantly different(P<0.05),Differences between the two groups of CHS score was significantly different(P<0.05),and the score was ruduced in the intervention group;(2)The scores of SPPB and 6MWT of post-intervention in the intervention group were significantly improved than pre-intervention(P<0.05)and the control group were slightly reduced(P<0.05),Differences between the two groups of SPPB score and 6MWTwere significantly different(P<0.05),and the scores in the intervention group were higher than the control group;(3)The scores of CAT,mMRC and ADL,IADL of post-intervention in the intervention group were significantly reduced than pre-intervention(P<0.05),the score of MNA was significantly improved(P<0.05),and in the control group the score of ADL,IADL was significantly risen,the score of MNA was significantly improved(P<0.05),Differences between the two groups of mMRC was significantly different(P<0.05),and the score was ruduced in the intervention group.Conclusion:Home-based pulmonary rehabilition can improve frailty status and dely the progress of frailty in elderly COPD patients,which may have positive significance for the prevention of adverse events,such as fall,inability,exacerbation and death. |
