呼吸训练联合康复护理对慢阻肺患者肺功能及生活质量的影响

Effect of Respiratory Training Combined with Rehabilitation Nursing on Lung Function and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

目的探讨慢阻肺患者采用呼吸训练联合康复护理对肺功能及生活质量的影响.方法选择本院2019年6月—2021年2月收治的慢阻肺患者76例,以随机数表法分为两组,每组38例.对照组采用常规护理,观察组采用呼吸训练结合康复护理.比较两组干预前后的用力肺活量(FVC)、第1秒用力呼气量(FEV_(1))、呼气峰值流速(PEF)、呼吸困难程度、运动耐力、生活质量及依从性.结果干预后,观察组的FVC、FEV1、PEF水平分别为(2.41±0.45)L、(1.48±0.21)L、(2.18±0.51)L/s,均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的改良呼吸困难指数评分为(1.03±0.29)分,低于对照组,6 min步行距离为(369.45±21.86)m,长于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的各项生活质量评分均低于对照组,组间差异有统计学意义(P<0.05).观察组的依从性为94.74%,高于对照组的76.32%,差异有统计学意义(P<0.05).结论慢阻肺患者采用呼吸训练联合康复护理能够有效改善肺功能、呼吸状态、运动耐力及生活质量,且可提高依从性,值得临床推广使用.

Objective To investigate the effect of respiratory training combined with rehabilitation nursing on lung function and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 76 patients with COPD admitted to the hospital from June 2019 to February 2021 were selected and were divided into two groups by random number table method,with 38 patients in each group.The control group adopted routine nursing,and the observation group adopted respiratory training combined with rehabilitation nursing.The forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1)),peak expiratory flow rate(PEF),dyspnea,exercise endurance,quality of life and compliance were compared between the two groups before and after intervention.Results After intervention,the levels of FVC,FEV_(1)and PEF in the observation group were(2.41±0.45)L,(1.48±0.21)L and(2.18±0.51)L/s,respectively,which were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the improved dyspnea index score of the observation group was(1.03±0.29)points,which was lower than that of the control group,and the 6-min walking distance was(369.45±21.86)m,which was longer than that of the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of quality of life in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The compliance of the observation group was 94.74%,higher than 76.32%of the control group,and the difference was statistically significant(P<0.05).Conclusion Respiratory training combined with rehabilitation nursing for COPD patients can effectively improve lung function,respiratory status,exercise endurance and quality of life,and improve compliance,which is worthy of clinical application.