综合康复护理对慢性阻塞性肺疾病干预效果及影响因素

Effects of comprehensive rehabilitation care on chronic obstructive pulmonary dis- ease and its influencing factors

目的探讨综合康复护理对老年慢性阻塞性肺疾病（COPD）患者的干预效果，分析其影响因素。方法选取60例在我科治疗的老年COPD患者，随机分为观察组和对照组各30例，对照组采取常规护理模式，观察组采取综合康复护理模式，比较两组患者肺功能的变化，评估其对COPD疾病知识的掌握情况。结果观察组经综合康复护理呼吸训练后，FEV1、FEV1／FVC，6min步行距离均显著高于对照组（P〈0．05）；COPD的概念、症状、痰液的量和颜色、深呼吸和咳痰的方法、持续低流量吸氧的意义、吸入性气雾剂的应用方法等COPD相关知识掌握情况，观察组均明显高于对照组（P〈0．05）。结论综合康复护理改善了患者的肺功能及运动耐受能力。

Objective To investigate the effects of the comprehensive rehabilitation care on elderly patients with chronic obstruc- tive pulmonary disease （COPD） and its influencing factors. Methods Sixty cases of elderly patients with COPD in our department treatment were randomly divided into observation group and control group with 30 cases in each group. The control group received regular care model, the observation group received comprehensive rehabilitation care model, two groups were compared with the changes in lung function, grasp- ing the knowledge of COPD was assessed. Results After respiratory training of comprehensive rehabilitation care, the values of FEV1, FEV1/FVC ratio, 6 - minute walk distance in observation group were significantly higher than those in the control group （P 〈 0. 05 ）. The understanding of COPD - related knowledge in the observation group was better than that in the control group （ P 〈 0. 05 ）. Conclusions Comprehensive rehabilitation care can improve the patients lung function and exercise tolerance.