子午流注择时耳穴贴压联合视频健康教育应用于COPD患者的效果

Effect of meridian injection of selective auricular point pressing combined with video health education on patients with COPD

目的:探讨子午流注择时耳穴贴压联合视频健康教育应用于慢性阻塞性肺疾病(COPD)患者的效果。方法:选取我院2020年9月—2022年9月80例COPD患者,按照随机数表法分为对照组(n=40)和观察组(n=40)。对照组给予子午流注择时耳穴贴压治疗并进行常规健康教育,观察组在对照组基础上给予视频健康教育治疗,观察两组肺功能、呼吸困难程度和自我感觉状况、应对方式。结果:干预后,观察组第1秒用力呼气容积(FEV_(1))、每分钟最大通气量(MVV)、用力肺活量(FVC)水平均高于对照组(P<0.05);观察组改良版英国医学研究委员会呼吸困难量表(m MRC)评分、慢阻肺患者自我评估测定(CAT)得分低于对照组(P<0.05);观察组简易应对方式问卷(SCSQ)评分消极应对维度得分低于对照组,积极应对维度得分高于对照组(P<0.05)。结论:子午流注择时耳穴贴压联合视频健康教育能够有效提升COPD患者的肺功能,减轻呼吸困难严重程度,改善自我感觉状况,促进以积极方式应对疾病。

Objective:To explore the effect of meridian injection of selective auricular point pressing combined with video health education on patients with chronic obstructive pulmonary disease(COPD).Methods:80 patients with COPD in our hospital from September 2020 to September 2022 were randomly divided into control group(n=40)and observation group(n=40).The control group was given meridian injection selective ear acupoint pressing therapy and routine health education,while the observation group was given video health education treatment on the basis of the control group.The pulmonary function,dyspnea,self-feeling and coping style of the two groups were observed.Results:After intervention,the levels of forced expiratory volume in 1 second(FEV_(1)),maximum ventilation per minute(MVV)and forced vital capacity(FVC)in the observation group were higher than those in the control group(P<0.05),while the scores of modified British Medical Research Council Respiratory Disorder scale(mMRC)and self-assessment of patients with COPD(CAT)in the observation group were lower than those in the control group(P<0.05).The score of negative coping dimension in the observation group was lower than that in the control group,while the score of positive coping dimension in the observation group was higher than that in the control group(P<0.05).The score of simplified coping style questionnaire(SCSQ)in the observation group was lower than that in the control group(P<0.05).Conclusion:Meridian injection of selective auricular point pressing combined with video health education can effectively improve the lung function of COPD patients,reduce the severity of dyspnea,improve self-feeling,and promote a positive way to deal with the disease.