综合性肺康复护理对矽肺伴慢性阻塞性肺疾病患者肺功能及生存质量的提升效果

Improvement effect of comprehensive pulmonary rehabilitation nursing on pulmonary function and quality of life in patients with silicosis and chronic obstructive pulmonary disease

目的探讨综合性肺康复护理对矽肺伴慢性阻塞性肺疾病(COPD)患者肺功能及生存质量的提升效果。方法依据入院编号奇偶性将60例矽肺合并COPD患者分为观察组与参照组,各30例。观察组实施综合性肺康复护理,参照组实施常规肺康复护理。比较两组的干预效果。结果干预后,观察组的每分钟最大通气量(MVV)、呼气流量峰值(PEF)、第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)及FEV_(1)/FVC均高于参照组(P<0.05)。干预后,观察组的世界卫生组织生存质量测定量表(WHOQOL-100)各维度评分均高于参照组(P<0.05)。观察组的不良事件总发生率低于参照组(P<0.05)。结论综合性肺康复护理在矽肺合并COPD患者中的应用效果理想,可提升肺功能,改善生存质量,降低不良事件发生率,值得临床推广与应用。

Objective To explore the improvement effect of comprehensive pulmonary rehabilitation nursing on pulmonary function and quality of life in patients with silicosis and chronic obstructive pulmonary disease(COPD).Methods According to the parity of admission number,60 patients with silicosis and COPD were divided into observation group and reference group,with 30 cases in each group.The observation group received comprehensive pulmonary rehabilitation nursing,and the reference group received routine pulmonary rehabilitation nursing.The intervention effects of the two groups were compared.Results After intervention,the maximal voluntary ventilation(MVV),peak expiratory flow(PEF),forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC in the observation group were higher than those in the reference group(P<0.05).After intervention,the scores of all dimensions of the World Health Organization Quality of Life-100(WHOQOL-100)in the observation group were higher than those in the reference group(P<0.05).The total incidence of adverse events in the observation group was lower than that in the reference group(P<0.05).Conclusion The comprehensive pulmonary rehabilitation nursing for patients with silicosis and COPD has ideal application effect,which can promote pulmonary function,improve quality of life and reduce the incidence of adverse events.It is worthy of clinical promotion and application.