目的 探讨家属参与式康复运动对老年肺结核患者肺功能和活动能力的作用。方法 采用便利抽样选取在上海市某三级甲等专科医院住院的老年肺结核患者及家属为研究对象，其中2022年12月至2023年5月住院的49例患者为对照组，实施常规康复运动；2024年2-7月住院的50例患者作为试验组，实施家属参与式康复运动。比较干预前后两组患者的用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume in one second,FEV1)、FEV1/FVC、6 min步行试验距离(six-min walk test,6MWT)、巴塞尔指数评定量表(Barthel index,BI)及家庭关怀度指数问卷(family APGAR Index,APGAR)得分。结果 干预12周后，试验组患者的FVC、FEV1、6MWT、BI及APGAR均高于对照组，差异均有统计学意义(均P＜0.05)；FEV1/FVC与对照组比较，差异无统计学意义(P＞0.05)。结论 家属参与式康复运动有助于提升老年肺结核患者的肺功能，提高患者的运动能力和家庭支持水平。

Objective To explore the effects of family-participatory rehabilitation exercise on pulmonary function and mobility in elderly patients with pulmonary tuberculosis.Methods Convenience sampling was used to select elderly pulmonary tuberculosis patients and their family members from a tertiary A specialized hospital in Shanghai.Among them,49 patients hospitalized from December 2022 to May 2023 were assigned to the control group and received conventional rehabilitation exercise,while 50 patients hospitalized from February to July 2024 were assigned to the experimental group and received family-participatory rehabilitation exercise.Forced vital capacity (FVC),forced expiratory volume in one second (FEV1),FEV1/FVC ratio,six-minute walk test (6MWT) distance,Barthel Index (BI),and Family APGAR Index (APGAR) scores were compared between the two groups before and after the intervention.Results After 12 weeks of intervention,the experimental group showed significantly higher FVC,FEV1,6MWT distance,BI,and APGAR scores compared to the control group (all P＜0.05).No statistically significant difference was observed in FEV1/FVC between the two groups (P＞0.05).Conclusions Family-participatory rehabilitation exercise can improve pulmonary function,mobility,and family support levels in elderly patients with pulmonary tuberculosis.

R473.52

上海市公共卫生临床中心科研项目（KY-GW-2020-34)