肺康复护理在稳定期COPD患者中的应用效果

Effect of Pulmonary Rehabilitation Nursing on COPD Patients With Stable Chronic Obstructive Pulmonary Disease

目的探索肺康复护理在稳定期慢性阻塞性肺疾病(COPD)患者中的应用效果。方法选取2017年1月-2018年9月于医院接受治疗病情好转准备出院的60例稳定期慢性急性阻塞肺疾病患者为研究对象,按照随机数表法将患者分为两组,在常规治疗基础加以肺康复护理的30例的患者为观察组,采用常规护理的30例患者为对照组。结果观察组的第一秒用力呼气量(1.65±0.27)L,第一秒用力呼气量与用力肺活量之比(60.51±11.27)%以及第一秒用力呼气量占预计值的百分比(49.81±11.96)%显著高于对照组(P <0.05)。观察组的症状评分(48.14±6.52)分、活动能力评分(49.16±7.24)分、疾病影响评分(32.47±6.85)分以及总分(42.15±6.78)分显著低于对照组(P <0.05)。结论肺康复护理能够显著改善慢性阻塞性肺疾病患者的心理状况,提高患者的肺功能,显著减轻了患者的病情,适合临床推广。

Objective To explore the effects of pulmonary rehabilitation care in patients with stable chronic obstructive pulmonary disease(COPD).Methods With stable chronic acute obstructive pulmonary disease who were treated and discharged from our hospital from January 2017 to September 2018 were enrolled in the study. The patients were divided into two groups according to the random number table method. Thirty patients who underwent pulmonary rehabilitation were the observation group, and 30 patients who received routine care were the control group. Results The first second forced expiratory volume of the observation group(1.65±0.27) L, the ratio of forced expiratory volume to forced vital capacity in the first second(60.51±11.27)% and the forced expiratory volume in the first second as a percentage of the predicted value(49.81±11.96)% was significantly higher than the control group(P < 0.05). The symptom score(48.14±6.52), activity ability score(49.16±7.24), disease impact score(32.47±6.85)and total score(42.15±6.78) in the observation group were significantly lower than those in the control group(P < 0.05). Conclusion Pulmonary rehabilitation care can significantly improve the psychological status of patients with chronic obstructive pulmonary disease, improve the lung function of patients, significantly reduce the patient’s condition, and is suitable for clinical promotion.