自我效能干预与呼吸康复训练对慢性阻塞性肺疾病患者肺功能的影响

Effects of Self-Efficacy Intervention and Respiratory Rehabilitation Training on Pulmonary Function of Patients with Chronic Obstructive Pulmonary Disease

目的:探讨自我效能干预和呼吸康复训练对慢性阻塞性肺疾病(COPD)患者肺功能的影响。方法:选取2020年6月—2021年6月南京医科大学附属南京医院收治的80例COPD患者作为研究对象,根据随机数字表法分为对照组和观察组,各40例。对照组在常规护理的基础上实施呼吸康复训练,观察组在对照组的基础上实施自我效能干预。比较两组肺功能指标、动脉血气指标及生活质量。结果:干预3个月后,两组肺活量(VC)、第1秒用力呼气容积(FEV_(1))和FEV_(1)占所有呼气量的比例(FEV_(1)/FVC)均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组动脉血氧分压(PaO_(2))均高于干预前,动脉血二氧化碳分压(PaCO_(2))均低于干预前,且观察组PaO_(2)高于对照组,PaCO_(2)低于对照组,差异有统计学意义(P<0.05)。两组呼吸症状、疾病影响及活动受限评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:对COPD患者采用自我效能干预联合呼吸康复训练,有利于加强其肺功能,改善动脉血气指标,提升生活质量。

Objective:To investigate the effects of self-efficacy intervention and respiratory rehabilitation training on pulmonary function of patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 80 patients with COPD admitted to xx hospital from June 2020 to June 2021 were selected as the study subjects,and they were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given respiratory rehabilitation training on the basis of routine nursing,while the observation group was given self-efficacy intervention on the basis of the control group.The lung function indexes,arterial blood gas indexes and quality of life in two groups were compared.Results:At 3 months after the intervention,the vital capacity(VC),forced expiratory volume in 1 second(FEV_(1))and the ratio of FEV_(1) to forced vital capacity(FEV_(1)/FVC)in the two groups were higher than those before the intervention,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).The arterial partial pressure of oxygen(PaO_(2))in two groups was higher than that before the intervention,and the arterial partial pressure of carbon dioxide(PaCO_(2))in two groups was lower than that before the intervention;the PaO_(2) in the observation group was higher than that in the control group,and the PaCO_(2) in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).The scores of respiratory symptoms,disease effects and activity limitation in the two groups were lower than those before the intervention,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of self-efficacy intervention combined with respiratory rehabilitation training in patients with COPD is conducive to strengthening pulmonary function,improving arterial blood gas indexes and improving quality of life.