康复指导对COPD缓解期患者的影响

Effects of standardized rehabilitation training on stable COPD patients

目的:探讨规范化康复指导对慢性阻塞性肺疾病(COPD)稳定期患者的影响。方法:将60例COPD稳定期患者随机分为康复治疗组和对照组各30例。对照组予常规治疗与随访,嘱其定期复查;康复治疗组在此基础上给予康复指导,进行为期12个月的院外规范化康复训练,即健康教育和运动训练,由专职护士发放康复训练光碟及健康教育手册,负责教会康复训练方法,供患者院外学习、训练,并定期进行电话或社区随访,督促训练。结果:康复训练12个月后,患者肺功能较干预前显著提高(P<0.05),各项指标均有改善,康复治疗组与治疗前及对照组比较,差异具有统计学意义(P<0.05);6分钟行走测试较干预前显著提高(P<0.05,P<0.01),康复治疗组与治疗前及对照组比较,差异具有统计学意义(P<0.05);康复治疗组康复训练12个月后ADL较干预前显著提高(P<0.05),康复治疗组与治疗前及对照组比较,差异具有统计学意义(P<0.05),对照组ADL有所提高,但差异无统计意义(P>0.05);康复治疗组康复训练12个月后呼吸障碍程度较干预前显著提高(P<0.05)。结论:康复指导能提高COPD稳定期患者的肺功能,改善患者日常生活能力,降低呼吸困难程度,可作为COPD稳定期患者健康教育内容。

Objective To explore the effects of standardized rehabilitation training on pulmonary function . 6MWT. CAT and ADL frequency in stable COPD patients. Methods Sixty stable COPD patients were randomly divided into two groups of 30. The control group were given conventional treatment and follow - up, patients were asked to reexamine regularly. Additionally, patients in the rehabilitation group received 12 months standardized rehabilitation training out of hospital, including such measures as teaching rehabilitation methods by nurses, giving CD and health education books for rehabilitation training, implementing regular telephone follow up for monitoring training. Results After 12 months training, the lung function, 6MWT, CAT and ADL of the rehabilitation group was significantly better than before （ P 〈 0. 05 ）, and the ADL of the control group was higher than before （P 〉 0. 05 ） . Conclusion The standardized rehabilitation training can improve the pulmonary function and the ability of daily life of stable COPD patients, reduce the degree of dyspnea, can be used as the content of COPD in patients with stable health education.