呼吸训练康复护理对慢性阻塞性肺疾病的康复效果影响研究

Study on the Effect of Respiratory Training Rehabilitation Nursing on the Rehabilitation Effect of Chronic Obstructive Pulmonary Disease

目的研究呼吸训练康复护理对慢性阻塞性肺疾病的康复效果影响。方法方便选取2018年12月—2019年12月医院收治的慢性阻塞性肺疾病患者132例,随机分为对照组和观察组,每组66例。对照组采用常规护理方法,观察组采用呼吸训练康复护理方法。比较两组护理前后的动脉血气指标和肺功能指标,同时对比两组的护理满意度。结果两组护理前,动脉血气各项指标相比,差异无统计学意义(P>0.05);护理后,观察组PaO2(76.20±7.44)mmHg高于对照组的(68.24±5.19)mmHg,观察组PaCO2(49.04±2.15)mmHg低于对照组的(55.24±3.52)mmHg,差异有统计学意义(t=8.251、6.215,P<0.05)。两组护理前,肺功能各项指标相比,差异无统计学意义(P>0.05);护理后,观察组FEV1(2.08±0.46)L、FEV1/FVC(69.51±4.16)%,分别高于对照组的(1.61±0.21)L、(55.18±3.82)%,差异有统计学意义(t=4.521、6.212,P<0.05)。观察组护理总满意率为93.94%,高于对照组的75.76%,差异有统计学意义(χ^2=7.130,P<0.05)。结论在慢性阻塞性肺疾病患者的临床护理中,采用呼吸训练康复护理的方法,能够使患者的动脉血气指标和肺功能指标得到显著改善,同时能提高患者的护理满意度,取得了更为理性的康复效果。

Objective To study the effect of respiratory training rehabilitation nursing on the rehabilitation effect of chronic obstructive pulmonary disease.Methods 132 patients with chronic obstructive pulmonary disease admitted to the hospital from December 2018 to December 2019 were convenient selected and randomly divided into a control group and an observation group,with 66 cases in each group.The control group used conventional nursing methods,and the observation group used breathing training rehabilitation nursing methods.The arterial blood gas indexes and lung function indexes of the two groups before and after nursing were compared,and the nursing satisfaction of the two groups was also compared.Results Before nursing,there was no statistically significant difference in arterial blood gas indicators between the two groups(P>0.05);after nursing,PaO2(76.20±7.44)mmHg in the observation group was higher than(68.24±5.19)mmHg in the control group.PaCO2(49.04±2.15)mmHg of the observation group was lower than that of the control group(55.24±3.52)mmHg,and there were statistically significant differences(t=8.251,6.215,P<0.05).Before nursing,there was no statistically significant difference in lung function indicators between the two groups(P>0.05);after nursing,FEV1(2.08±0.46)L and FEV1/FVC(69.51±4.16)%in the observation group were higher than those of the control group.There were statistically significant differences in(1.61±0.21)L and(55.18±3.82)%in the group(t=4.521,6.212,P<0.05).The overall satisfaction rate of nursing care in the observation group was 93.94%,which was higher than 75.76%in the control group.There was statistically significant difference(χ^2=7.130,P<0.05).Conclusion In the clinical nursing of patients with chronic obstructive pulmonary disease,the use of respiratory training and rehabilitation nursing methods can significantly improve the arterial blood gas indicators and pulmonary function indicators of the patients,and at the same time improve the patient’s nursing satisfaction,and achieve more rational rehabilitation effect.