积极心理疗法联合强化三球式呼吸锻炼对老年慢性阻塞性肺疾病稳定期患者肺功能、希望水平及生活质量的影响

Effects of positive psychotherapy combined with enhanced three-ball breathing exercise on lung function,hope level and quality of life in elderly patients with chronic obstructive pulmonary disease in stable stage

目的探讨积极心理疗法联合强化三球式呼吸锻炼对老年慢性阻塞性肺疾病稳定期患者肺功能、希望水平及生活质量的影响。方法选取2019年10月至2020年10月收治的70例老年慢性阻塞性肺疾病稳定期患者作为研究对象,以随机数字表法将其分为对照组和观察组,各35例。对照组实施常规护理联合三球式呼吸锻炼,观察组在常规护理基础上采用积极心理疗法联合强化三球式呼吸锻炼。比较两组患者的肺功能、希望水平、生活质量和6 min步行距离。结果干预后,观察组的FEV_(1)%pred、FEV_(1)/FVC及MVV%pred高于对照组(P<0.05)。干预后,观察组的Herth希望量表各项评分高于对照组(P<0.05)。干预后,观察组的SGRQ评分低于对照组,6 min步行距离长于对照组(P<0.05)。结论积极心理疗法联合强化三球式呼吸锻炼应用于老年慢性阻塞性肺疾病稳定期患者中的效果显著,有助于改善肺功能、希望水平及生活质量,值得推广。

Objective To explore the effects of positive psychotherapy combined with enhanced three-ball breathing exercise on lung function,hope level and quality of life in elderly patients with chronic obstructive pulmonary disease in stable stage.Methods A total of 70 elderly patients with chronic obstructive pulmonary disease in stable stage admitted from October 2019 to October 2020 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 35 cases in each group.The control group received routine nursing combined with three-ball breathing exercise,and the observation group received positive psychotherapy combined with enhanced three-ball breathing exercise on the basis of routine nursing.The lung function,hope level,quality of life and 6 min walking distance in the two groups were compared.Results After intervention,FEV_(1)%pred,FEV_(1)/FVC and MVV%pred in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of Herth hope scale in the observation group were higher than those in the control group(P<0.05).After intervention,the SGRQ score in the observation group was lower than that in the control group,and the 6 min walking distance was longer than that in the control group(P<0.05).Conclusion Positive psychotherapy combined with enhanced three-ball breathing exercise has a significant effect on elderly patients with chronic obstructive pulmonary disease in stable stage,it can helpful to improve lung function,hope level and quality of life,which is worth promoting.