登階運動訓練對阻塞型睡眠呼吸中止症候群患者心肺耐力與睡眠狀況之成效

Effectiveness of Stair Stepping Exercise Training on Cardiopulmonary Endurance and Sleep Condition in Patients with Obstructive Sleep Apnea Syndrome

黃碧華(Pi-Hwa Huang) ； 馬素華(Suh-Hwa Maa) ； 鄒宗山(Tsung-Shan Tsou)

《長庚護理》 19卷3期 (2008/09) Pp. 309-320

https://doi.org/10.6386/CGN.200809_19(3).0002

摘要

This study seeks to verify improvements of the stair stepping exercise training on cardiopulmonary endurance and sleep condition in patients with obstructive sleep apnea syndrome (OSAS). The quasi-experimental, one group repeated-measures study design was used. Patients meeting the following criteria were invited to participate in this study: being diagnosed with AHI (apnea-hyponea index)＞15/hr and ODI (oxygen desaturation index)＞10/hr by polysomnography, aged 19 or older. Fifteen patients with OSAS treated in the outpatient department of Chest Medicine were recruited. Each patient performed stair stepping exercise training daily for eight weeks at home. Outcome measures included cardiopulmonary endurance assessed by the three minutes step test, in which including cardiorespiratory fitness index and gross oxygen consumption (VO2), and sleep condition assessed by Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, and polysomnography. Data were recorded just prior to the stair stepping exercise at Day 1 as baseline, at the end of the fourth week, and at the end of the eighth week. Results of this study showed that after adjustment for the effect of sex, age, body mass and smoking pack-year, cardiorespiratory fitness index (p=.009); gross oxygen consumption (VO2) (p＜.001), Epworth Sleepiness Scale (p＜.03), and Pittsburgh Sleep Quality Index (p＜.001) were significantly improved. Differences in the effect of stair stepping exercise for other outcome variables were either minimal or not statistically significant. Eight weeks of stair stepping exercise training could be useful in increasing cardiopulmonary endurance and improving sleep condition on patients with OSAS.

關鍵字

登階運動 ； 阻塞性睡眠呼吸中止症候群 ； 心肺耐力 ； 睡眠

並列摘要

This study seeks to verify improvements of the stair stepping exercise training on cardiopulmonary endurance and sleep condition in patients with obstructive sleep apnea syndrome (OSAS). The quasi-experimental, one group repeated-measures study design was used. Patients meeting the following criteria were invited to participate in this study: being diagnosed with AHI (apnea-hyponea index)＞15/hr and ODI (oxygen desaturation index)＞10/hr by polysomnography, aged 19 or older. Fifteen patients with OSAS treated in the outpatient department of Chest Medicine were recruited. Each patient performed stair stepping exercise training daily for eight weeks at home. Outcome measures included cardiopulmonary endurance assessed by the three minutes step test, in which including cardiorespiratory fitness index and gross oxygen consumption (VO2), and sleep condition assessed by Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, and polysomnography. Data were recorded just prior to the stair stepping exercise at Day 1 as baseline, at the end of the fourth week, and at the end of the eighth week. Results of this study showed that after adjustment for the effect of sex, age, body mass and smoking pack-year, cardiorespiratory fitness index (p=.009); gross oxygen consumption (VO2) (p＜.001), Epworth Sleepiness Scale (p＜.03), and Pittsburgh Sleep Quality Index (p＜.001) were significantly improved. Differences in the effect of stair stepping exercise for other outcome variables were either minimal or not statistically significant. Eight weeks of stair stepping exercise training could be useful in increasing cardiopulmonary endurance and improving sleep condition on patients with OSAS.

並列關鍵字

stair stepping exercise training ； obstructive sleep apnea syndrome ； cardiopulmonary endurance ； sleep condition