肺康复护理改善慢性阻塞性肺疾病稳定期患者肺功能及生活质量的作用
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摘要
目的探讨肺康复护理对慢性阻塞性肺疾病(COPD)患者肺功能的影响及生活质量的改善情况。方法选取2015年4月—2018年5月东莞市第六人民医院及东莞市中堂医院就诊的80例稳定期COPD患者作为研究对象,随机分为观察组和对照组,每组40例。对照组予以常规护理干预,观察组采用肺康复护理干预,比较两组干预前后的肺功能、生活质量评分和遵医嘱行为情况。结果干预后,观察组除二氧化碳分压(PaCO2)低于对照组外,肺活量(VC)、第1秒用力呼气量(FEV1)、FEV1/用力肺活量(FEV1/FVC)、呼气峰流速(PEF)、动脉血氧分压(PaO2)均高于对照组(P<0.05);干预后,两组生活质量评分均降低,且观察组低于对照组(P<0.05);干预后,观察组遵医嘱行为各项指标均显著高于对照组(P<0.05)。结论肺康复护理可以显著改善COPD患者肺功能和生活质量情况,并能有效提升遵医嘱行为,促进患者康复。
Objective To explore the effect of lung rehabilitation nursing on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease(COPD). Methods From April2015 to May 2018, 80 patients with stable COPD selected from Dongguan Sixth People's Hospital and Dongguan City Zhongtang Hospital were enrolled and were randomly divided into observation group and control group, with 40 cases in each group. The control group was given routine nursing intervention,the observation group was given lung rehabilitation nursing intervention. The lung function, quality of life scores and compliance behavior before and after intervention were compared. Results After intervention, the partial pressure of carbon dioxide(PaCO2) in the observation group was lower than that in the control group. Vital capacity(VC), forced expiratory volume in one second(FEV1), forced expiratory volume in one second(FEV1/FVC), peak expiratory flow rate(PEF) and partial pressure of oxygen in artery(PaO2) were higher than those in control group(all P<0.05). After intervention,the quality of life score in the two groups were decreased, especially in the observation group(P<0.05), and the indexes of compliance behavior in the observation group were higher than those in control group. Conclusion Pulmonary rehabilitation nursing can significantly improve the lung function and quality of life in patients with COPD, and can effectively enhance the compliance behavior, promote the rehabilitation of patients.
Objective To explore the effect of lung rehabilitation nursing on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease(COPD). Methods From April2015 to May 2018, 80 patients with stable COPD selected from Dongguan Sixth People's Hospital and Dongguan City Zhongtang Hospital were enrolled and were randomly divided into observation group and control group, with 40 cases in each group. The control group was given routine nursing intervention,the observation group was given lung rehabilitation nursing intervention. The lung function, quality of life scores and compliance behavior before and after intervention were compared. Results After intervention, the partial pressure of carbon dioxide(PaCO2) in the observation group was lower than that in the control group. Vital capacity(VC), forced expiratory volume in one second(FEV1), forced expiratory volume in one second(FEV1/FVC), peak expiratory flow rate(PEF) and partial pressure of oxygen in artery(PaO2) were higher than those in control group(all P<0.05). After intervention,the quality of life score in the two groups were decreased, especially in the observation group(P<0.05), and the indexes of compliance behavior in the observation group were higher than those in control group. Conclusion Pulmonary rehabilitation nursing can significantly improve the lung function and quality of life in patients with COPD, and can effectively enhance the compliance behavior, promote the rehabilitation of patients.
引文
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[2]赵银花.瑜伽调息配合呼吸操提高COPD患者呼吸功能[J].中外医学研究,2013,11(9):145.
[3]方东萍,刘英,朱秀兰,等.“六字诀呼吸操”在慢性阻塞性肺疾病稳定期患者延续性护理中的应用与效果[J].护理管理杂志,2012,12(11):813-815.
[4]田慧芸,顾玉海.细胞因子IL-10、IL-13与COPD[J].临床肺科杂志,2013,18(6):1103-1104.
[5]唐静,徐光亮.浅谈COPD稳定期支气管扩张剂的应用[J].临床合理用药杂志,2015,8(11):94-95.
[6]房锦花.针对性护理对改善高龄慢性阻塞性肺疾病不良情绪的疗效观察[J].深圳中西医结合杂志,2015,25(17):175-176.
[7]杨晓梅,唐金风,葛晓红,等.老年COPD合并抑郁症患者心理护理干预的研究[J].山东医药,2010,50(24):32.
[8]崔玉梅,梁瑞芬,阳美珍,等.对COPD患者实施出院后电话回访84例效果观察[J].齐鲁护理杂志,2011,17(1):69-70.