呼吸八段锦联合综合慢病管理对稳定期慢性阻塞性肺疾病患者的应用效果分析

Analysis of Application Effect of Breathing Baduanjin Combined with Comprehensive Chronic Disease Management in Patients with Stable Chronic Obstructive Pulmonary Disease

目的:分析呼吸八段锦联合综合慢病管理对稳定期慢性阻塞性肺疾病患者肺功能、心理状态和生活质量的影响。方法:选取2020年6月-2021年8月因慢性阻塞性肺疾病在睢宁县人民医院治疗后进入稳定期的104例患者为研究对象,依据随机数字表法分为对照组和观察组,各52例。对照组应用常规管理干预,观察组在对照组基础上应用呼吸八段锦联合综合慢病管理干预。比较两组患者入院当天及干预4个月后的用力肺活量、第1秒用力呼气容积,评估两组生活质量及不良情绪。结果:干预前,两组用力肺活量、第1秒用力呼气容积比较,差异无统计学意义(P>0.05);干预后,观察组用力肺活量、第1秒用力呼气容积均高于对照组,差异有统计学意义(P<0.05)。干预前,两组生活质量、抑郁、焦虑评分比较,差异无统计学意义(P>0.05);干预后,观察组生活质量评分高于对照组,抑郁、焦虑评分低于对照组,差异有统计学意义(P<0.05)。结论:对稳定期慢性阻塞性肺疾病患者应用呼吸八段锦联合综合慢病管理干预,能够改善患者肺功能及心理状态,提升其生活质量。

Objective: To analyze the effect of breathing Baduanjin combined with comprehensive chronic disease management on pulmonary function, psychological state and quality of life of patients with stable chronic obstructive pulmonary disease. Methods: A total of 104 patients who entered the stable period after receiving treatment for chronic obstructive pulmonary disease in Suining People’s Hospital from June 2020 to August 2021 were selected as the study subjects. They were divided into control group and observation group according to the random number table method, with 52 patients in each group. The control group was given routine management intervention. On the basis of the control group, the observation group was given breathing Baduanjin combined with comprehensive chronic disease management intervention. The forced vital capacity and forced expiratory volume within the first second in the two groups on the day of admission and after 4 months of interventions were compared, and the quality of life and adverse emotions in the two groups were evaluated. Results: Before the intervention, there was no significant difference between the two groups in forced vital capacity and forced expiratory volume within the first second(P>0.05). After the intervention,the forced vital capacity and forced expiratory volume within the first second in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Before the intervention, there were no significant differences in quality of life, depression and anxiety scores between the two groups(P>0.05). After the intervention, the quality of life scores in the observation group were higher than those in the control group, and the scores of depression and anxiety in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05). Conclusion: The application of breathing Baduanjin combined with comprehensive chronic disease management intervention in patients with stable chronic obstructive pulmonary disease can improve patients’ pulmonary function, psychological state, and quality of life.