研究慢性阻塞性肺疾病稳定期患者实施肺康复护理的价值

Study on value of pulmonary rehabilitation nursing implemented in stable-phase chronic obstructive pulmonary disease patients

目的探讨慢性阻塞性肺疾病稳定期患者实施肺康复护理的效果。方法 60例慢性阻塞性肺疾病患者,随机分为对照组及观察组,各30例。对照组采用常规护理措施,观察组采用肺康复护理措施。比较两组护理效果。结果治疗后,观察组第一秒用力呼气容积(FEV1)占预计值百分比(FEV1%)(66.60±12.81)%、FEV1占用力肺活量百分比(FEV1/FVC%)(65.82±12.30)%高于本组治疗前[(55.98±14.62)%、(56.82±13.50)%]及对照组治疗后[(58.15±18.60)%、(59.80±10.10)%],差异均具有统计学意义(P<0.05)。两组患者的圣·乔治呼吸问卷(SGRQ)评分、6分钟步行距离(6MWD)值均较治疗前改善,且观察组改善程度优于对照组,差异均具有统计学意义(P<0.05)。观察组患者的紧张、抑郁、疲乏、愤怒、迷惑、精力评分均低于对照组,自尊感评分高于对照组,差异均具有统计学意义(P<0.05)。结论慢性阻塞性肺疾病稳定期患者实施肺康复护理的效果显著,有利于改善患者的肺功能和运动能力,改善患者的不良情绪,提高患者的生存质量,值得广泛应用。

Objective To explore the effect of pulmonary rehabilitation nursing implemented in stablephase chronic obstructive pulmonary disease patients. Methods A total of 60 chronic obstructive pulmonary disease patients were randomly divided into control group and observation group, with 30 cases in each group. The control group received conventional nursing measure, and the observation group received pulmonary rehabilitation nursing measure. Nursing effect was compared in two groups. Results After treatment, the observation group had higher forced expiratory volume in 1 second（FEV1） percentage of expected value（FEV1%） as（66.60±12.81）%, FEV1 percentage of forced vital capacity（FEV1/FVC%） as（65.82±12.30）% than this group before treatment [（55.98±14.62）% and（56.82±13.50）%]and the control group after treatment [（58.15±18.60）% and（59.80±10.10）%]. All their difference had statistical significance（P〈0.05）. Both groups had better St. George＇s respiratory questionnaire（SGRQ） score, 6 minute walk distance（6MWD） value than before treatment, and the observation group had better improvement degree than the control group. All their differences had statistical significance（P〈0.05）. The observation group had lower tension, depression, fatigue, anger, confusion and energy score than the control group, and higher self-esteem score than the control group. All their differences had statistical significance（P〈0.05）. Conclusion Pulmonary rehabilitation nursing shows significant effect for stablephase chronic obstructive pulmonary disease patients, which is helpful to improve lung function and exercise ability, unhealthy emotions of patients, and improve the patients ＇quality of life. So it is worthy of wide application.