呼吸功能锻炼结合行为转变理论护理对COPD患者生活质量及肺通气功能的影响

Effect of Respiratory Function Exercise Combined with Behavioral Transformation Theory Nursing on Quality of Life and Pulmonary Ventilation Function in Patients with Chronic Obstructive Pulmonary Disease

目的 分析呼吸功能锻炼结合行为转变理论护理对慢性阻塞性肺疾病(COPD)患者生活质量及肺通气功能的影响。方法选取2021年1月至2021年12月我院收治的100例COPD患者为研究对象,根据患者的不同护理方式将患者分为试验组和对照组,各50例,试验组在对照组的基础上实施呼吸功能锻炼结合行为转变理论护理,对照组采用常规护理,对比两组生活质量评分(指标包括:生理、社会、心理、精神)、肺功能改善情况(指标包括:用力肺活量、呼气峰流速、第1秒用力呼气容积)以及患者对本次护理的满意度。结果 护理前两组慢性阻塞性肺疾病患者用力肺活量、呼气峰流速、第1秒用力呼气容积等肺功能指标水平和生理、社会、心理、精神等生活质量评分相比无明显差异(P均> 0.05);护理后以上指标均得到显著改善,且试验组COPD患者各项肺功能指标和生活质量评分改善情况均比对照组更优(P均<0.05)。试验组患者对本次护理的总满意率为98.0%,对照组患者对本次护理的总满意率为84.0%,试验组患者对本次护理的总满意率显著高于对照组(P均<0.05)。结论 对COPD患者应用呼吸功能锻炼结合行为转变理论护理更有利于提升患者的生活质量,改善患者的肺通气功能,提高患者的满意度。

Objective To analyze the effect of respiratory function exercise combined with behavioral transformation theory nursing on the quality of life and pulmonary ventilation function of patients with chronic obstructive pulmonary disease.Methods In January 2021 to December 2021,our hospital during the period of 100 patients as the research object,according to the different patient’s nursing way divided the patients into the experimental group and control group,50 cases each,the experimental group in the control group on the basis of the implementation of respiratory function exercise combined with the theory of behavior change nursing,the control group using conventional care,the quality of life score(indicators including:physiological,social,psychological,spiritual),pulmonary function improvement(indicators including:forced vital capacity,peak expiratory flow rate,forced expiratory volume in the first second) and patients’ satisfaction with this nursing were compared between the two groups.Results Before nursing,two groups of patients with chronic obstructive pulmonary disease forced vital capacity,peak expiratory flow and forced expiratory volume in 1 second,pulmonary function index level and the physical,social,psychological and spiritual quality of life score compared with no significant difference(P>0.05),after nursing the above indexes have been improved significantly,and the improvement of pulmonary function indexes and quality of life scores of COPD patients in the experimental group were better than those in the control group(P<0.05).The total satisfaction rate of patients in the experimental group was 98.00%,and the total satisfaction rate of patients in the control group was 84.00%.The total satisfaction rate of patients in the experimental group was significantly higher than that in the control group(P<0.05).Conclusions The application of respiratory function exercise combined with behavioral transformation theory nursing is more conducive to improve the quality of life of patients with COPD,improve the pulmonary ventilation function of patients,and improve the satisfaction of patients.