早期太極拳運動對慢性阻塞性肺疾住院病患之運動耐力、焦慮憂鬱及生活品質的長期成效_

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題名：	早期太極拳運動對慢性阻塞性肺疾住院病患之運動耐力、焦慮憂鬱及生活品質的長期成效
書刊名：	臺灣公共衛生雜誌
作者：	沈雪珍／郭素娥／張家豪／楊聰明／蔡昆道
作者(外文)：	Shen, Hsueh-chen／Guo, Su-er／Chang, Chia-hao／Yang, Tsung-ming／Tsai, Kuen-daw
出版日期：	2018
卷期：	37:1
頁次：	頁91-108
主題關鍵詞：	早期運動；慢性阻塞性肺疾病；太極拳；運動耐力；生物標誌物；Early exercise；Chronic obstructive pulmonary disease；COPD；Tai chi；Exercise tolerance；Biomarker
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:0 共同引用:1 點閱:2

目標：早期運動有助於慢性阻塞性肺疾病急性發作（Acute Exacerbation of Chronic Obstructive Pulmonary Disease, AECOPD）的住院病患快速回復，但未有研究探討早期太極拳運動的長期成效，故本研究旨在檢測AECOPD住院病患接受早期太極拳運動訓練在運動耐力、焦慮憂鬱、生活品質與生物標誌物的長期成效。方法：本研究採類實驗設計，立意取樣自雲嘉三間醫院，共31人參與此研究（實驗組，n=17及常規照護的對照組，n=14）。收集6次資料，分別是介入前、出院日、出院後1週、1、3及6個月。運用廣義估計方程式分析太極拳運動成效。結果：實驗組比對照組在出院後1週（p=0.008）及第6個月（p=0.012）有較佳的運動耐力表現；實驗組比對照組在出院後第3個月生活品質明顯改善（p=0.040）；實驗組與對照組相比，實驗組在出院後第3個月第六型介白質（Interleukin-6, IL-6）和C-反應蛋白（C-reactive protein, CRP）的改善幅度，分別減少15.67（pg/ml）（p=0.017）與17.46（ug/ml）（p=0.013），獲得顯著成效。然而在焦慮憂鬱、YKL-40和LCN2的分析上，兩組未達顯著差異。結論：住院期間介入早期太極拳運動可增進病患之運動耐力、生活品質及降低發炎反應且安全可行。此研究結果可供臨床醫護人員做為日後推動住院COPD病患早期運動的實證基礎。

以文找文

Objectives: Early sustained exercise can help patients with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) to quickly return to a steady state; however, to the best of our knowledge, no previous studies have examined the long-term effects of early Tai- Chi or Tai Chi as a bridge between early exercise during hospitalization and exercise at home. The aim of this study was to examine the effects of early Tai Chi on exercise tolerance, anxiety, depression, health-related quality of life and biomarkers in hospitalized patients with AECOPD. Methods: A quasi-experimental study was conducted. A purposive sampling of 31 patients with AECOPD (experimental group n=17 and control group n=14) was selected from hospitals in the Yunlin-Chiayi area. Data were collected during pre-intervention, at discharge, and one week, one month, three months or six months after discharge. Generalized estimating equations were used to examine the effects of the Tai Chi training intervention. Results: The experimental group had better exercise tolerance than did the control group one week after discharge (p=0.008) and six months after discharge (p=0.012). The experimental group had a better quality of life than the control group three months after discharge (p=0.040). The experimental group had decreased biomarker levels (Interleukin-6, p=0.017 and C-reactive protein, p=0.013) more than the control group three months after hospitalization. Anxiety, depression, and other biomarkers (YKL-40 and LCN2) failed to find statistical significance. Conclusions: Early Tai Chi helped promote early exercise in patients with AECOPD.

以文找文

期刊論文
1.	Pedersen, B. K.、Hoffman-Goetz, L.(2000)。Exercise and the immune system: Regulation, integration, and adaptation。Physiological Reviews，80(3)，1055-1081。
2.	陳佩英、史麗珠、王正旭、賴裕和、張獻崑、陳美伶(19990700)。疼痛對癌症病患焦慮與憂鬱之影響。臺灣醫學，3(4)，373-382。延伸查詢
3.	Landis, S. H.、Muellerova, H.、Mannino, D. M.(2014)。Continuing to confront COPD international patient survey: methods, COPD prevalence, and disease burden in 2012-2013。Int J Chron Obstruct Pulmon Dis，9，597-611。
4.	Lan, C.、Chen, Ssu-Yuan、Lai, Jin-Shin、Wong, Alice May-Kuen(2013)。Tai Chi Chuan in medicine and health promotion。Evidence-based Complementary and Alternative Medicine，2013，1-17。
5.	American Thoracic Society(2002)。ATS statement: Guidelines for the six-minute walk test。American Journal of Respiratory and Critical Care Medicine，166(1)，111-117。
6.	Chen, K.-M.、Chen, W.-T.、Huang, M.-F.(2006)。Development of the simplified Tai-Chi exercise program (STEP) for frail older adults。Complementary Therapies in Medicine，14(3)，200-206。
7.	Zigmond, A. S.、Snaith, R. P.(1983)。The hospital anxiety and depression scale。Acta Psychiatrica Scandinavica，67(6)，361-370。
8.	Borges, R. C.、Carvalho, C. R.(2014)。Impact of resistance training in chronic obstructive pulmonary disease patients during periods of acute exacerbation。Archives of Physical Medicine and Rehabilitation，95(9)，1638-1645。
9.	Greening, N. J.、Williams, J. E. A.、Hussain, S. F.、Harvey-Dunstan, T. C.、Bankart, M. J.、Chaplin, E. J.、Steiner, M. C.(2014)。An early rehabilitation intervention to enhance recovery during hospital admission for an exacerbation of chronic respiratory disease: Randomised controlled trial。BMJ，349，g4315。
10.	Vestbo, J.、Hurd, S. S.、Agusti, A. G.(2013)。Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary。Am J Respir Crit Care Med，187，347-365。
11.	Barnes, P. J.(2014)。Cellular and molecular mechanisms of chronic obstructive pulmonary disease。Clin Chest Med，35，71-86。
12.	Agusti, A.、Edwards, L. D.、Rennard, S. I.(2012)。Persistent systemic inflammation is associated with poor clinical outcomes in COPD: a novel phenotype。PLoS One，7，e37483。
13.	Dickens, J. A.、Miller, B. E.、Edwards, L. D.、Silverman, E. K.、Lomas, D. A.、Tal-Singer, R.(2011)。COPD association and repeatability of blood biomarkers in the ECLIPSE cohort。Respir Res，12，146。
14.	Wang, X. R.、Li, Y. P.、Gao, S.(2014)。Increased serum levels of lipocalin-1 and -2 in patients with stable chronic obstructive pulmonary disease。Int J Chron Obstruct Pulmon Dis，9，543-549。
15.	Mygind, N. D.、Iversen, K.、Kober, L.(2013)。The inflammatory biomarker YKL-40 at admission is a strong predictor of overall mortality。J Intern Med，273，205-216。
16.	Pauwels, N. S.、Bracke, K. R.、Dupont, L. L.(2011)。Role of IL-1α and the Nlrp3/caspase-1/IL-1β axis in cigarette smoke-induced pulmonary inflammation and COPD。Eur Respir J，38，1019-1028。
17.	Chhabra, S. K.、Dash, D. J.(2014)。Acute exacerbations of chronic obstructive pulmonary disease: causes and impacts。Indian J Chest Dis Allied Sci，56，93-104。
18.	Borges, R. C.、Carvalho, C. R.(2012)。Physical activity in daily life in Brazilian COPD patients during and after exacerbation。COPD，9，596-602。
19.	Camp, P.、Reid, W. D.、Yamabayashi, C.(2013)。Safe and effective prescription of exercise in acute exacerbations of chronic obstructive pulmonary disease: rationale and methods for an integrated knowledge translation study。Can Respir J，20(4)，281-284。
20.	Ali, M. S.、Talwar, D.、Jain, S. K.(2014)。The effect of a shortterm pulmonary rehabilitation on exercise capacity and quality of life in patients hospitalised with acute exacerbation of chronic obstructive pulmonary disease。Indian J Chest Dis Allied Sci，56，13-19。
21.	Liao, L. Y.、Chen, K. M.、Chung, W. S.、Chien, J. Y.(2015)。Efficacy of a respiratory rehabilitation exercise training package in hospitalized elderly patients with acute exacerbation of COPD: a randomized control trial。Int J Chron Obstruct Pulmon Dis，10，1703-1709。
22.	Troosters, T.、Probst, V. S.、Crul, T.(2010)。Resistance training prevents deterioration in quadriceps muscle function during acute exacerbations of chronic obstructive pulmonary disease。Am J Respir Crit Care Med，181，1072-1077。
23.	Tang, C. Y.、Blackstock, F. C.、Clarence, M.、Taylor, N. F.(2012)。Early rehabilitation exercise program for inpatients during an acute exacerbation of chronic obstructive pulmonary disease: a randomized controlled trial。J Cardiopulm Rehabil Prev，32，163-169。
24.	He, M.、Yu, S.、Wang, L.、Lv, H.、Qiu, Z.(2015)。Efficiency and safety of pulmonary rehabilitation in acute exacerbation of chronic obstructive pulmonary disease。Med Sci Monit，21，806-812。
25.	Abd, El-Kader S. M.、Al-Jiffri, O. H.、Al-Shreef, F. M.(2016)。Plasma inflammatory biomarkers response to aerobic versus resisted exercise training for chronic obstructive pulmonary disease patients。African Health Sciences，16，507-515。
26.	Desveaux, L.、Rolfe, D.、Beauchamp, M.、Goldstein, R.、Brooks, D.(2014)。Participant experiences of a communitybased maintenance program post-pulmonary rehabilitation。Chron Respir Dis，11，23-30。
27.	Almadana, Pacheco V.、Pavon, Masa M.、Gomez-Bastero, Fernandez A. P.、Muniz, Rodriguez A. M.、Tallon, Moreno R.、Montemayor, Rubio T.(2017)。Patient profile of drop-outs from a pulmonary rehabilitation program。Arch Bronconeumol，53，257-262。
28.	沈雪珍、郭素娥(20160200)。系統性文獻回顧--探討太極拳運動在慢性阻塞性肺疾病患運動耐力、生活品質及健康狀態之成效。臺灣公共衛生雜誌，35(1)，39-52。延伸查詢
29.	Ngai, S. P.、Jones, A. Y.、Tam, W. W.(2016)。Taichi for chronic obstructive pulmonary disease (COPD)。Cochrane Database Syst Rev，6，CD009953。
30.	Eiser, N.、Willsher, D.、Dore, C. J.(2003)。Reliability, repeatability and sensitivity to change of externally and selfpaced walking tests in COPD patients。Respir Med，97，407-414。
31.	Hernandes, N. A.、Wouters, E. F.、Meijer, K.、Annegarn, J.、Pitta, F.、Spruit, M. A.(2011)。Reproducibility of 6-minute walking test in patients with COPD。Eur Respir J，38，261-267。
32.	Pin, T. W.(2014)。Psychometric properties of 2-minute walk test: a systematic review。Arch Phys Med Rehabil，95(9)，1759-1775。
33.	Leung, A. S.、Chan, K. K.、Sykes, K.、Chan, K. S.(2006)。Reliability, validity, and responsiveness of a 2-min walk test to assess exercise capacity of COPD patients。Chest，130，119-125。
34.	邢亞彬、馬愛霞(2013)。歐洲五維健康量表EQ-5D-5L中文版的信效度研究。上海醫藥，34，40-43。延伸查詢
35.	Nowak, C.、Sievi, N. A.、Clarenbach, C. F.(2014)。Accuracy of the hospital anxiety and depression scale for identifying depression in chronic obstructive pulmonary disease patients。Pulm Med，2014，973858。
36.	Selzler, A. M.、Simmonds, L.、Rodgers, W. M.、Wong, E. Y.、Stickland, M. K.(2012)。Pulmonary rehabilitation in chronic obstructive pulmonary disease: predictors of program completion and success。COPD，9，538-545。
37.	Keating. A.、Lee, A. L.、Holland, A. E.(2011)。Lack of perceived benefit and inadequate transport influence uptake and completion of pulmonary rehabilitation in people with chronic obstructive pulmonary disease: a qualitative study。J Physiother，57，183-190。
38.	Tang, C. Y.、Taylor, N. F.、Blackstock, F. C.(2013)。Patients admitted with an acute exacerbation of chronic obstructive pulmonary disease had positive experiences exercising from the beginning of their hospital stay: a qualitative analysis。Chron Respir Dis，10，197-205。
39.	Lu, Y.、Nyunt, M. S.、Gwee, X.(2012)。Life event stress and chronic obstructive pulmonary disease (COPD): associations with mental well-being and quality of life in a population-based study。BMJ Open，2，e001674。
40.	Kohli, P.、Pinto-Plata, V.、Divo, M.(2015)。Functional capacity, health status, and inflammatory biomarker profile in a cohort of patients with chronic obstructive pulmonary disease。J Cardiopulm Rehabil Prev，35，348-355。
41.	Leung, R. W.、McKeough, Z. J.、Peters, M. J.、Alison, J. A.(2013)。Short-form Sun-style t'ai chi as an exercise training modality in people with COPD。Eur Respir J，41，1051-1057。
42.	杜舒婷、丁連明、楊福兵(2014)。太極拳運動對穩定期慢性阻塞性肺疾病患者血清中IL-6、IL-8及TNF-α含量的影響。中華物理醫學與康復雜誌，36，337-340。延伸查詢
43.	Beavers, K. M.、Brinkley, T. E.、Nicklas B. J.(2010)。Effect of exercise training on chronic inflammation。Clin Chim Acta，411，785-793。
44.	Chan, A. W.、Lee, A.、Suen, L. K.、Tam, W. W.(2011)。Tai chi qigong improves lung functions and activity tolerance in。Complement Ther Med，19，3-11。
45.	Li, J. X.、Hong, Y.、Chan, K. M.(2001)。Tai chi: physiological characteristics and beneficial effects on health。British Journal of Sports Medicine，35(3)，148-156。
46.	Bjelland, I.、Dahl, A. A.、Haug, T. T.、Neckelmann, D.(2002)。The validity of the Hospital Anxiety and Depression Scale: An updated literature review。Journal of Psychosomatic Research，52(2)，69-77。

研究報告
1.	衛生福利部統計處。死因統計。延伸查詢

其他
1.	WHO。The top 10 causes of death，http://who.int/mediacentre/factsheets/fs310/en/。
2.	EuroQol Group(2014)。EQ-5D-5L Traditional Chinese version for Taiwan，http://www.euroqol.org/eq-5d-products/eq-5d-5l.html。

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2.	評論：早期太極拳運動對慢性阻塞性肺疾住院病患之運動耐力、焦慮憂鬱及生活品質的長期成效
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