认知行为干预联合呼吸肌训练在慢性阻塞性肺疾病患者中的应用效果

Application effect of cognitive behavioral intervention combined with respiratory muscle training in patients with chronic obstructive pulmonary disease

目的探究认知行为干预联合呼吸肌训练在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法将我院收治的96例COPD患者随机分为三组,均予以内科常规护理,在此基础上,A组(n=32)行认知行为干预,B组(n=32)给予呼吸肌训练,C组(n=32)给予认知行为干预联合呼吸肌训练。比较三组患者的护理效果。结果 C组患者的治疗依从率为96.88%,A组为81.25%,B组为65.62%,三组间比较,差异具有统计学意义(P<0.05)。干预后,C组患者FEV1/FVC、PEF、MVV及6MWT水平均优于A、B组(P<0.05),而A、B组比较,差异不显著(P>0.05)。干预后,C组呼吸症状、日常生活能力及疾病影响评分均低于A、B组(P<0.05),而A、B组比较,差异不显著(P>0.05)。结论认知行为干预联合呼吸肌训练应用于COPD患者中效果显著,值得推广。

Objective To explore the application effect of cognitive behavioral intervention combined with respiratory muscle training in patients with chronic obstructive pulmonary disease(COPD).Methods Ninety-six patients with COPD admitted in our hospital were randomly divided into three groups.All patients received routine medical nursing.On this basis,the group A(n=32)received cognitive behavioral intervention,the group B(n=32)received respiratory muscle training,and the group C(n=32)received cognitive behavioral intervention combined with respiratory muscle training.The nursing effects of the three groups were compared.Results The treatment compliance rate of the group C was 96.88%,that of the group A was 81.25%,and that of the group B was 65.62%,there were significant differences among the three groups(P<0.05).After intervention,the levels of FEV1/FVC,PEF,MVV and 6MWT in the group C were better than those in the group A and B(P<0.05),but there were no significant differences between the group A and group B(P>0.05).After intervention,the scores of respiratory symptoms,daily living ability and disease impact in the group C were lower than those in group the A and B(P<0.05),while there were no significant differences in the group A and B(P>0.05).Conclusion Cognitive behavioral intervention combined with respiratory muscle training in patients with COPD has a significant effect,which is worthy of promotion.