呼吸肌功能锻炼联合个性化健康教育对慢性阻塞性肺疾病康复期患者的影响

Effect of respiratory muscle function exercise combined with personalized health education on patients with chronic obstructive pulmonary disease during rehabilitation period

目的探究呼吸肌功能锻炼联合个性化健康教育对慢性阻塞性肺疾病康复期患者的影响。方法选取2016年12月~2018年12月在我院进行慢性阻塞性肺疾病治疗的106例患者,随机分为对照组及观察组,对照组患者行常规护理,观察组患者在常规护理基础上实施呼吸肌功能锻炼联合个性化健康教育,比较两组患者干预前后呼吸功能、生活质量、自护能力。结果干预前,两组患者呼吸功能及生活质量评分比较,差异无统计学意义(P>0.05);干预后,观察组患者第1秒用力呼气容积(FEV1)、第1秒用力呼气容积占用力肺活量百分率(FEV1/FVC%)、每分钟最大通气量(MVV)及每秒呼气流量峰值(PEF)分别为(1.97±0.41)L、(69.38±12.52)%、(63.82±14.12)L/min及(9.26±0.51)L/s,生活质量评分为(80.26±4.96)分,均显著高于对照组,差异有统计学意义(P<0.05);干预前,两组患者自护能力评分比较差异无统计学意义(P>0.05);干预后,观察组患者自护能力评分明显高于对照组,差异有统计学意义(P<0.05)。结论对慢性阻塞性肺疾病康复期患者行呼吸肌功能锻炼联合个性化健康教育,能够有效改善患者呼吸功能,同时有助于提高患者生活质量,同时还可有效改善患者的自护能力。

Objective To explore the effect of respiratory muscle function exercise combined with personalized health education on patients with chronic obstructive pulmonary disease during rehabilitation period.Methods A total of 106 patients with COPD who were treated in our hospital from December 2016 to December 2018 were selected and randomly divided into control group and observation group.The control group was treated with routine nursing,while the observation group was treated with respiratory muscle function exercise combined with personalized health education on the basis of the control group.The respiratory function,quality of life and self-care ability of the two groups were compared before and after intervention.Results Before the intervention,there was no significant difference in the respiratory function and quality of life scores between the two groups(P>0.05).After the intervention,the FEV1,FEV1/FVC%,MVV and PEF of the observation group were(1.97±0.41)L and(69.38±12.52)%,(63.82±14.12)L/min and(9.26±0.51)L/s,respectively,and the quality of life score was(80.26±4.96)points,which were significantly higher than those of the control group,and the differences were statistically significant(P<0.05);Before the intervention,there was no significant difference in the self-care ability score between the two groups(P>0.05);after the intervention,the self-care ability score of the observation group was significantly higher than that of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion Respiratory muscle function exercise combined with personalized health education for patients with COPD during rehabilitation period can effectively improve patients'respiratory function,quality of life,and self-care ability.