肺康复护理对COPD稳定期患者肺功能及生活质量的影响

Effect of Lung Rehabilitation Nursing on the Lung Function and Quality of Life of COPD Patients During the Slationary Phase

目的探究和分析肺康复护理对慢性阻塞性肺疾病(COPD)稳定期患者肺功能及生活质量的影响。方法以于2017年6—12月在该院接受治疗的80例慢性阻塞性肺疾病(COPD)稳定期患者作为研究对象,回顾性分析其临床资料。将其随机分为研究组和正常组两组,每组40例。正常组全部患者采用常规的护理干预,研究组全部患者采用肺康复护理干预。通过对比和分析两组患者的各项肺功能指标、临床疗效、急性病发病次数及生活质量,从而判断该治疗方法在临床上治疗效果及推广性。结果通过统计的分析,可以发现两组患者的各项肺功能指标均有所改善,但研究组患者的改善情况[第一秒用力呼气量/用力肺活量为(67.98±3.09),第一秒用力肺活量预计值为(65.37±2.98),最大呼气肺活量为(1.58±0.31)]要明显优于正常组的[(第一秒用力呼气量/用力肺活量为(64.28±3.21),第一秒用力肺活量预计值为(60.36±3.26),最大呼气肺活量为(1.25±0.29)],且两组之间的差异有统计学意义(t=为-4.97、-4.36、-5.03,P<0.05);两组患者在护理前生活质量差异无统计学意义(P>0.05),护理后研究组评分(77.39±5.83)分明显高于正常组评分(58.32±7.04)分,且两组之间的差异有统计学意义(t=8.673,P<0.05)。结论对慢性阻塞性肺疾病(COPD)稳定期患者给予肺康复护理可以有效提高患者的各项肺功能指标,并提高患者的生活质量。因此,该方法是临床上较为有效的护理方法,值得在临床广泛应用及大规模推广。

Objective To study and analyze the effect of lung rehabilitation nursing on the lung function and quality of life of COPD patients during the slationary phase. Methods 80 cases of COPD patients during the slationary phase in our hospital from June 2017 to December 2017 were selected and the clinical data were reviewed, and the patients were randomly divided into two groups with 40 cases in each, the normal group used the routine nursing intervention,while the research group used the lung rehabilitation nursing intervention, and various lung function indicators, clinical curative effect, onset frequency of acute diseases and quality of life were compared between the two groups thus determining the treatment effect and promotion. Results The statistical analysis showed that various lung function indicators of the two groups were improved, but the improvement in the research group [（forced expiratory volume in first second/FVC（67.98±3.09）, first second forced lung activity estimated value（65.37±2.98）, maximum expiratory vital capacity1.58 ±0.31）] was obviously better than those in the normal group,（forced expiratory volume in first second/FVC（64.28±3.21）, first second forced lung activity estimated value（60.36±3.26）, maximum expiratory vital capacity（1.25±0.29）]and the differences between the two groups were statistically significant（t=-4.97,-4.36,-5.03,P〈0.05）, and the difference in the quality of life before nursing between the two groups was not statistically significant（P〈0.05）, after nursing, the scores in the research group was obviously higher than that in the normal group [（77.39 ±5.83）points vs（58.32±7.04）points],and the difference between the two groups was statistically significant（t=8.673,P〈0.05）. Conclusion The lung rehabilitation nursing in COPD patients during the slationary phase can effectively improve various lung function indicators, and improve the quality of life, therefore, it is an effective nursing method in clinic, and it is worth wide application and great promotion in clinic.