慢阻肺护理专科门诊在稳定期慢性阻塞性肺疾病患者肺康复训练中的应用

Application of chronic obstructive pulmonary disease nursing specialist clinic in pulmonary rehabilitation training for patients with chronic obstructive pulmonary disease in stable period

目的探讨慢阻肺护理专科门诊在稳定期慢性阻塞性肺疾病(COPD)患者肺康复训练中的应用效果。方法选取2019年6月~2020年10月在萍乡市人民医院就诊的60例稳定期COPD患者,采用随机数字表法分为对照组与推广组,每组各30例。对照组采取常规门诊护理干预,推广组在对照组的基础上采取慢阻肺护理专科门诊护理干预。两组均干预12周。比较两组干预前及干预12周时的肺功能指标、病情程度及Beek抑郁自评问卷(BDI)评分。结果推广组干预12周时的第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、第1秒用力呼气量占用力肺活量的比例(FEV1/FVC)水平均高于对照组,差异有统计学意义(P<0.05);推广组干预12周时的COPD评估测试(CAT)评分低于对照组,差异有统计学意义(P<0.05);推广组干预12周的BDI评分低于对照组,差异有统计学意义(P<0.05)。结论慢阻肺护理专科门诊应用于稳定期COPD患者肺康复训练中可有效控制患者病情,改善患者肺功能,缓解抑郁情绪。

Objective To explore the application effect of chronic obstructive pulmonary disease(COPD)nursing specialist clinics in pulmonary rehabilitation training for patients with COPD in stable period.Methods A total of 30 patients with COPD in stable period treated in Pingxiang People′s Hospital from June 2019 to October 2020 were selected and divided into the control group and the promotion group by random number table methods,with 30 cases in each group.The control group took routine outpatient nursing intervention,and the promotion group took the COPD nursing specialist outpatient nursing intervention on the basis of the control group.Both interventions were conducted for 12 weeks.The pulmonary function indexes,degree of disease condition and Beek depression inventory(BDI)scores were compared between the two groups before and 12 weeks after intervention.Results After 12 weeks of intervention,the ratio of forced expiratory volume in the first second(FEV1),forced vital capacity(FVC),and forced expiratory volume in the first second to forced vital capacity(FEV1/FVC)in the promotion group were higher than those in the control group,the differences were statistically significant(P<0.05).After 12 weeks of intervention,the COPD assessment test(CAT)score of the promotion group was lower than that of the control group,and the difference was statistically significant(P<0.05).After 12 weeks of intervention,the BDI score of the promotion group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion COPD nursing specialist clinic in pulmonary rehabilitation training for patients with COPD in stable period can effectively control the condition of patients′disease,improve patients′lung function and relieve depression.