康复阶梯图对慢性阻塞性肺疾病患者呼吸功能及生活能力的影响

Effects of rehabilitation ladder diagram on the respiratory function and daily lifeactivity in the patients with chronic obstructive pulmonary disease

目的 探究康复阶梯图对慢性阻塞性肺疾病(COPD)患者呼吸功能及生活能力的影响。方法 选取2019年7月至2021年10月于南京医科大学附属淮安第一医院接受治疗的COPD患者125例作为研究对象,按照护理干预的不同分为对照组(62例)和观察组(63例),对照组采用常规护理,观察组在对照组基础上采用组康复阶梯图实施康复训练。对比2种护理模式的疗效以及干预前后呼吸功能指标和生活质量变化。结果 干预后观察组患者的治疗总有效率为95.16%,显著高于对照组的82.54%,差异有统计学意义(P<0.05);干预前2组患者的呼吸功能指标肺泡氧分压(alveolar oxygen partial pressure,PaO_(2))、动脉血氧饱和度(arterial oxygen saturation, SaO_(2))、用力肺活量(forced vital capacity, FVC)、一秒钟用力呼气量(forced expiratory volume in one second, FEV1)以及生活质量物质生活状态评分、躯体功能评分、角色功能评分、社会功能评分差异均无统计学意义(P>0.05);干预后2组患者的呼吸功能指标PaO_(2)、 SaO_(2)、FVC、FEV1以及生活质量物质生活状态评分、躯体功能评分、角色功能评分、社会功能评分均高于干预前,且干预后观察组患者的呼吸功能指标PaO_(2)、SaO_(2)、FVC、FEV1以及生活质量物质生活状态评分、躯体功能评分、角色功能评分、社会功能评分高于对照组,差异有统计学意义(P<0.05)。结论 对于COPD患者应用康复阶梯图,临床护理中效果显著,可明显改善COPD患者呼吸功能及生活能力,值得在临床中推广应用。

Objective To explore the effects of rehabilitation ladder diagram on respiratory function and daily life activity in the patients with chronic obstructive pulmonary disease(COPD).Methods A total of 125 COPD patients treated in the hospital from July 2019 to October 2021 were selected as research subjects, and were divided into the control group(n=62)and the observation group(n=63) according to different nursing interventions. The patients in the control group were given routine nursing care, while the patients in the observation group received rehabilitation training with rehabilitation ladder diagram on the basis of the control group.The curative effects of the two nursing modes were compared and the changes in respiratory function indexes and quality of life in the patients of the two groups were compared before and after intervention.Results After intervention, the total effective rate of the patients in the observation group was 95. 16%, which was significantly higher than 82. 54% in the control group, and there was statistical significance when comparisons were made between the 2 groups(P<0. 05). There was no statistical significance in the scores of alveolar oxygen partial pressure(PaO_(2)), arterial oxygen saturation(SaO_(2)), forced vital capacity(FVC), forced expiratory volume in one second(FEV1), life quality, somatic function and social role function, when detections were made before intervention(P>0. 05). However, after intervention, the above indexes of the 2 groups were all higher than those before intervention, with those of the observation group being higher than those of control group, with statistical significance(P<0. 05).Conclusion The application of the rehabilitation ladder diagram to the COPD patients could achieve significant effects in clinical nursing, and could significantly improve the respiratory function and daily life activity ability of the COPD patients. For this reason, it is worth further clinical application.