探讨缩唇腹式呼吸结合立式呼吸体操在老年慢性阻塞性肺疾病患者护理中的应用

Exploring the Application of Pursed Lip Abdominal Breathing Combined with Vertical Breathing Gymnastics in Nursing Care of Elderly Patients with Chronic Obstructive Pulmonary Disease

目的探究与分析缩唇腹式呼吸结合立式呼吸体操在老年慢性阻塞性肺疾病(COPD)患者护理中的应用。方法采取随机数表法将方便选取的该院自2018年5月—2020年5月收治的120例老年COPD患者分组,各60例,对照组给予常规康复训练护理,观察组在对照组基础上加用缩唇腹式呼吸结合立式呼吸体操,对比两组干预前后肺功能指标、6 min步行试验距离(6MWD)及圣·乔治COPD生活质量调查问卷(SGRQ)评分。结果对照组护理后FVC、FEV1、FEV1/FVC分别为(1.24±0.13)L、(1.88±0.23)L、(56.17±6.40)%,观察组护理后FVC、FEV1、FEV1/FVC分别为(1.57±0.37)L、(2.17±0.51)L、(64.57±6.10)%,观察组护理后与对照组相比FVC、FEV1、FEV1/FVC水平均较高,差异有统计学意义(t=6.518、4.015、7.359,P<0.05)。对照组护理后6MWD及SGRQ分别为(330.54±61.74)m、(57.31±4.83)分,观察组护理后6MWD及SGRQ分别为(371.86±60.11)m、(44.26±5.52)分,观察组护理后与对照组相比6MWD较高、SGRQ评分较低,差异有统计学意义(t=3.714、13.782,P<0.05)。结论在常规康复训练基础上,加用缩唇腹式呼吸结合立式呼吸体操应用于老年COPD患者中可有效改善肺功能指标,促进提高运动耐力及生活质量。

Objective To explore and analyze the application of pursed-lip abdominal breathing combined with vertical breathing gymnastics in nursing of elderly patients with chronic obstructive pulmonary disease(COPD).Methods 120 elderly patients with COPD admitted to the hospital from May 2018 to May 2020 were conveniently selected and divided into groups by random number table method,60 cases in each group.The control group was given routine rehabilitation training and nursing,and the observation group was additionally given pursed-lip abdominal breathing combined with vertical breathing gymnastics on the basis of the control group.Pulmonary function indexes,6-min walk test distance(6MWD)and St.George's COPD Quality of Life Questionnaire(SGRQ)scores were compared between the two groups before and after the intervention.Results After nursing,the FVC,FEV1,and FEV1/FVC of the control group were(1.24±0.13)L,(1.88±0.23)L,and(56.17±6.40)%,respectively.After nursing,the FVC,FEV1,and FEV1/FVC in the observation group were(1.57±0.37)L,(2.17±0.51)L,and(64.57±6.10)%,respectively,the levels of FVC,FEV1,FEV1/FVC in the observation group after nursing were higher than those in the control group,the difference was statistically significant(t=6.518,4.015,7.359,P<0.05).The 6MWD and SGRQ of the control group after nursing were(330.54±61.74)m and(57.31±4.83)points,respectively,after nursing,the 6MWD and SGRQ of the observation group were(371.86±60.11)m and(44.26±5.52)points respectively,compared with the control group after nursing,the 6MWD and SGRQ scores of the observation group were higher and the difference was statistically significant(t=3.714,13.782,P<0.05).Conclusion On the basis of routine rehabilitation training,the combined use of pursed-lip abdominal breathing combined with vertical breathing gymnastics in elderly patients with COPD can effectively improve pulmonary function indicators,and promote the improvement of exercise tolerance and quality of life.