缩唇腹式呼吸锻炼对住院膀胱癌手术患者睡眠质量的影响

Effect of constricted lip and abdomen breathing exercise on sleep quality of hospitalized bladder cancer patients

目的探究缩唇腹式呼吸锻炼对住院膀胱癌手术患者睡眠质量的影响。方法选取2015年3月~2017年3月于我院接受治疗的199例膀胱癌患者,按照随机数字表法将两组患者分成两组,实验组100例,对照组99例。两组患者均给予常规膀胱癌住院治疗,对照组给予常规护理,对照组患者睡眠时采取普通腹式呼吸通气方式,实验组患者在常规对症护理的基础上,在专业人员指导下进行缩唇腹式呼吸训练,睡眠时采取普通腹式呼吸方式结合缩唇腹式呼吸方式。四周后,比较两组患者Borg呼吸困难评分,分值越高,呼吸越困难;主要依据匹兹堡睡眠质量评定表(PSQI)来对两组膀胱癌患者的睡眠质量进行评估,分值越低则睡眠质量越好;同时,自主制作睡眠质量评估表,评估患者对睡眠质量自我评价情况。结果四周后,在Borg呼吸困难评分方面,对照组Borg呼吸困难评分为(5.25±0.41)分,实验组评分为(3.45±0.45)分;在匹兹堡睡眠质量评定方面,对照组睡眠质量PSQI评分为(12.35±2.31)分,实验组睡眠质量PSQI评分为(7.51±2.10)分;在患者睡眠质量自我评价方面,对照组,一级共25例,二级共54例,三级共20例,睡眠质量自我评价好的患者仅占比25.25%;实验组,一级共45例,二级共40例,三级共15例,对自我睡眠质量评价良好的占比高达45.00%。结论缩唇腹式呼吸将缩唇呼吸与腹式呼吸方式结合在一起,通过缩唇腹式呼吸训练,可以增加气道外口段阻力,能够使气道内的气压得到有效提高,有利于患者吸入更多新鲜空气,改善气体交换功能,从而可以有效改善膀胱癌患者术后呼吸困难状况,改善肺功能,进一步提高了膀胱癌患者的睡眠质量。

Objective To explore the effect of constricted lip and abdomen breathing exercise on sleep quality of hospitalized bladder cancer patients. Methods One hundred and ninety-nine cases of bladder cancer treated in our hospital from March 2015 to March 2017 were selected.According to the random number table method,two groups of patients were divided into two groups,100 cases in the experimental group and 99 cases in the control group.The two groups of patients were given conventional bladder cancer hospitalization,the control group was given conventional nursing,and the control group was given conventional abdominal breathing ventilation during sleep.On the basis of routine symptomatic care,the patients in the experimental group were trained with the guidance of professionals to perform abdominal breathing exercises.During sleep,the patients in the experimental group were treated with common abdominal breathing combined with constricted lip and abdominal breathing.Four weeks later,the Borg dyspnea score was compared between the two groups.The higher the score,the harder the breathing.The sleep quality of two groups of patients with bladder cancer was assessed according to the Pittsburgh sleep quality index（PSQI）.The lower the score,the better the sleep quality.At the same time,the sleep quality assessment scale was made independently to assess the self-assessment of sleep quality. Results Four weeks later,in the Borg dyspnea score,the Borg dyspnea score in the control group was（5.25±0.41）,and the experimental group was（3.45±0.45） points.In Pittsburgh sleep quality assessment,the control group＇s sleep quality PSQI score was（12.35±2.31）,and the PSQI score of the experimental group was（7.51±2.10）.In terms of self-evaluation of patients＇ sleep quality,the control group had 25 cases in the first class,54 cases in the second class,and 20 cases in the third class.only 25.25% of patients had good self-evaluation of sleep quality.In the experimental group,there were 45 cases in the first class,40 cases in the second class and 15 cases in the third class,the proportion of good self-sleep quality evaluation was as high as 45.00%. Conclusion Constrictedlip and abdominal breathing combines constricted lip breathing with abdominal breathing.Through constricted lip and abdominal breathing training,the resistance of the outer mouth of the airway can be increased,the air pressure in the airway can be effectively increased,which is beneficial to the patients to inhale more fresh air and improve the gas exchange function,thus effectively improving the postoperative dyspnea status of bladder cancer patients,improving the lung function,and further improving the sleep quality of bladder cancer patients.