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系統性文獻回顧-探討太極拳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

Effects of Tai Chi on exercise tolerance, quality of life, and health status in patients with chronic obstructive pulmonary disease—a systematic review

摘要


肺部復健已是公認慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease, COPD)有效的管理策略,但臨床使用不高。太極拳運動是國內外專業學會建議的運動,但目前資料顯示各研究對太極拳運動的運動處方、拳法招式等皆有所不同,以致對COPD病患之健康成效至今尚無定論。本系統性文獻回顧的目的旨在評估太極拳運動的成效及運動處方,以作為日後推廣肺部復健替代運動的參考。本文獻回顧使用下列太極拳(Tai Chi)、慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease)等關鍵字和醫學主題詞(Medical Subject Headings, MeSH)術語,搜尋9個電子資料庫成立以來至2014年12月29日止的所有出版發表的文獻,共158篇,選取符合篩選標準並排除重複出現的文獻,最後剩12篇隨機對照試驗,再針對相同的成效變項進行彙整、討論與分析。本回顧顯示最佳運動處方為50-60分鐘/次,每週5.5次,中等強度,至少運動3個月。多數研究表明太極拳組與不運動的控制組或呼吸訓練搭配步行的運動組相比,在運動耐力及生活品質有顯著改善;但在健康狀態上,則仍無一致性。太極拳運動能提升COPD病患的運動能力及生活品質,是一種有效的替代運動方案。

並列摘要


Although pulmonary rehabilitation is recognized as an effective strategy for patients with chronic obstructive pulmonary disease (COPD), it remains underused. Tai Chi is recommended as an appropriate exercise by the American Thoracic Society and the European Respiratory Society. However, current evidence-based studies examining the effects of Tai Chi on health and quality of life in patients with COPD differ in exercise frequency, intensity, duration, etc.; therefore, these effects differed across studies. This systematic review evaluates the effects of Tai Chi and its exercise prescription. It is also expected to be as a reference for the development of future alternative exercise programs for pulmonary rehabilitation. This systematic review searched randomized control trials (RCTs) in nine electronic databases from their inception to December 2014, with key words and MeSH terms including “Tai Chi”, “chronic obstructive pulmonary disease” and “COPD”. Twelve RCTs were included; after screening inclusion and exclusion criteria, the outcome variables exercise tolerance, quality of life, and health status were analyzed. The best exercise prescription was found to be 50–60 min per session, moderate intensity, 5.5 times per week, and for at least 3 months. Most studies showed that the Tai Chi group had better exercise tolerance and quality of life than the non-exercise and walking exercise groups. However, the positive effect of Tai Chi on health status was inconsistent. Tai Chi significantly improves exercise tolerance and quality of life and could be an effective alternative exercise program for pulmonary rehabilitation.

參考文獻


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被引用紀錄


李成恩、林靖芸(2022)。一位慢性阻塞性肺疾病病人之護理經驗領導護理23(3),104-118。https://doi.org/10.29494%2fLN.202209_23(3).0008
廖翎聿(2017)。慢性阻塞性肺病住院老人之心肺耐力相關影響因素探討〔博士論文,高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-2812201719232200

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