基于时机理论的呼吸训练对老年COPD稳定期患者的康复作用研究

Rehabilitation efficacy of timing theory based respiratory training for elderly stable chronic obstructive pulmonary disease patients

目的观察基于时机理论的呼吸康复训练对老年慢性阻塞性肺疾病(COPD)稳定期患者肺功能、自我效能感及生活质量的影响。方法收集84例符合纳入标准的老年COPD稳定期患者作为观察对象,随机分为对照组42例和观察组42例。对照组给予常规呼吸康复训练,观察组给予基于时机理论的呼吸康复训练。分别采用一般自我效能量表(GSES)和慢性阻塞性肺疾病评估测试量表(CAT)评价患者自我效能感和生活质量。比较两组患者肺功能指标水平、GSES评分及CAT评分。结果与对照组相比,观察组患者康复训练后6个月时的FEV 1、FEV 1/FVC等肺功能指标水平升高(1.67±0.28 vs 1.44±0.25 L,59.42±7.55 vs 55.43±7.26%),GSES评分升高(30.81±4.29 vs 28.49±4.08分),组间比较有统计学差异(P均<0.05)。康复训练后1月、3月及6月时,观察组患者CAT评分均低于对照组(14.37±2.19 vs 16.05±2.83分,12.04±1.82 vs 15.11±2.03分,11.06±1.67 vs 14.50±1.91分),组间比较有统计学差异(P均<0.05)。结论基于时机理论的呼吸康复训练在老年COPD稳定期患者中应用效果良好,能够有效改善患者肺功能,提高自我效能感及生活质量,临床上值得应用。

Objective To observe the effect of respiratory rehabilitation training based on timing theory on pulmonary function,self-efficacy and quality of life in elderly stable chronic obstructive pulmonary disease(COPD)patients.Methods 84 elderly stable COPD patients meeting the inclusion criteria were collected as observational objects and randomly divided into the control group and the observation group with 42 cases in each group.The control group was given conventional respiratory rehabilitation training,while the observation group was given respiratory rehabilitation training based on timing theory.General Self-efficacy Scale(GSES)and COPD Assessment Test(CAT)were employed to assess self-efficacy and quality of life respectively.Then,indices of pulmonary function,scores of GSES,CAT were compared between the two groups.Results In comparison with the control group 6 months after rehabilitation training,the observation group had higher levels of indices of pulmonary function of FEV 1,FEV1/FVC(1.67±0.28 vs 1.44±0.25 L,59.42±7.55 vs 55.43±7.26%)and higher GSES score(30.81±4.29 vs 28.49±4.08 points)with all statistical differences(all P<0.05).1 month,3 months and 6 months after rehabilitation training,the observation group had lower CAT scores than those in the control group with all statistical differences(14.37±2.19 vs 16.05±2.83 points,12.04±1.82 vs 15.11±2.03 points,11.06±1.67 vs 14.50±1.91 points,all P<0.05).Conclusion Respiratory rehabilitation training based on timing theory has good application effect in elderly stable COPD patients,and it can effectively improve pulmonary function,and promote self-efficacy and quality of life.