穴位按摩在慢性阻塞性肺疾病患者家庭护理中的作用

The effects of acupoint massage in home-based nursing care of patients with chronic obstructive pulmonary disease

目的探讨基于家庭护理的穴位按摩在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法 101例COPD患者分为观察组50例和对照组51例。对照组给予常规家庭护理指导,观察组在对照组的基础上给予居家穴位按摩。观察2组患者干预前后的肺功能指标变化情况,记录2组研究观察期间COPD急性发作次数,比较2组干预前后圣乔治呼吸问卷(SGRQ量表)评分。结果观察组COPD平均急性加重次数少于对照组的急性加重次数(P<0.01),干预后2组SGRQ评分均降低,且观察组评分低于对照组(P<0.01),干预后2组1秒用力呼吸容积(FEV_1)、第1秒用力呼气量占用力肺活量比值(FEV_1/FVC)指标均升高,且观察组FEV_1/FVC高于对照组(P<0.05)。结论在常规治疗和家庭护理的基础上,穴位按摩护理可有效提高COPD患者居家生活质量,减少急性加重发作次数。

Objective To evaluate the acupoint massage in home-based nursing care of patients with chronic obstructive pulmonary disease（ COPD）. Methods Totally 101 COPD patients were assigned to the observation group（ n = 50） and the control group（ n = 51）. Both two groups received home-based nursing care after discharge,and patients in the observation group were given acupoint massage. The improvement in lung function and St. George ＇s Respiratory Questionnaire（ SGRQ） score after intervention was evaluated,and the time of acute onset during follow-up was observed. Results There were less times of acute onset in the observation group than that in the control group during follow-up（ P〈0. 01）. Patients in the observation group achieved a better improvement in SGRQ assessment compare with that in the control group（ P〈0. 01）. The FEV1 and FEV1/FVC were increased in both two groups after intervention,and the FEV1/FVC in the observation group was higher than that of controls（ P〈0. 05）. Conclusion The home-based acupoint massage nursing can effectively improve the pulmonary function and reduce the number of acute exacerbations in patients with COPD.