呼吸功能锻炼结合营养护理对慢性阻塞性肺疾病稳定期患者肺功能和生命质量的影响

Effects of respiratory function exercise combined with nutritional nursing on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease during stable phase

目的探讨呼吸功能锻炼联合营养护理对慢性阻塞性肺疾病(COPD)稳定期患者肺功能和生命质量的影响。方法选取我院2017年4月~2018年8月COPD稳定期患者210例,按随机数字表法分为对照组(100例,常规护理)和观察组(110例,呼吸功能锻炼结合营养护理)。观察两组患者BMI、6min步行距离(6MWT),相关肺功能指标及圣乔治呼吸问卷评分(SGRQ评分)情况。结果干预后,观察组BMI、6MWT、PaO2、FEV1/FVC均高于对照组,差异均有统计学意义(P<0.05);观察组PaCO2、SGRQ症状、活动、影响得分及总分均低于对照组,差异均有统计学意义(P<0.05)。结论呼吸功能锻炼联合营养护理能明显改善COPD稳定期患者的生活质量,提高患者肺功能。

Objective To investigate the effects of respiratory function exercise combined with nutritional nursing on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease(COPD)during stable phase.Methods 210 patients with stable COPD who were treated in our hospital from April 2017 to August 2018 were selected and then divided into control group(100 cases,conventional nursing)and observation group(110 cases,respiratory function exercise combined with nutritional nursing)according to the random number table method.The BMI,6-minate walking distance(6MWT),related pulmonary function indicators and St.George’s Respiratory Questionnaire Score(SGRQ score)of patients in the two groups were observed.Results After intervention,the BMI,6MWT,PaO2 and FEV1/FVC in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).PaCO2,SGRQ symptoms,activities,impact score and total score in the observation group were all lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Respiratory function exercise combined with nutritional nursing can significantly improve the quality of life of patients with stable COPD,and improve their pulmonary function.