两种呼吸操锻炼对慢性阻塞性肺疾病稳定期患者的影响

Effects of Two Types of Breathing Exercises on Patients with Stable Chronic Obstructive Pulmonary Disease

目的探讨稳定期COPD患者采用集体、家庭呼吸操锻炼对其焦虑的影响。方法66例患者按出院单、双日分成实验组(32例)和对照组(34例)。试验前两组都接受呼吸操培训。实验组采用集中办学习班形式进行集体呼吸操锻炼,鼓励家属共同参与,3次/周,每次约30min,持续6个月。对照组在家进行呼吸操锻炼,保持每周电话指导和每月1次监督下锻炼。采用Zung焦虑自评量表评定两组患者训练前后的焦虑程度。结果锻炼后实验组焦虑分值低于对照组,P<0.05,差异有统计学意义。结论集体呼吸操锻炼比家庭呼吸操锻炼更能减轻COPD患者的焦虑症状。

Objective To explore the effects of group and family breathing exercises on anxiety of patients with stable chronic obstructive pulmonary disease（COPD）.Methods Sixty-six patients were divided into the experimental group（32 cases）and the control group（34 cases）based on single day and bi-day of discharge.Before the experiment,all the patients received breathing training.The patients in the experimental group held workshops for breathing exercises,and the relatives were encouraged to participate in the training.The patients in the control group conducted breathing exercises at home,maintaining weekly telephone guidance and training once a month under supervision.The exercise lasted 6 months,and 3 times per week,30 mins for each time.The anxiety before and after the observation were evaluated with Zung anxiety self-assessment table for the two groups.Results The anxiety scores in the experimental group were significantly lower than those in the control group（P0.05）.Conclusion Group breathing exercises can more effectively reduce the anxiety symptoms of COPD patients than home breathing exercises.