康复护理及自我管理对慢阻肺患者的干预效果

Intervention effect of rehabilitation nursing and self-management on patients with chronic obstructive pulmonary disease

目的 观察对慢阻肺患者实施康复护理及自我管理的效果,为提升患者康复效果提供参考。方法 选取2019年7月—2021年7月高唐县人民医院收治的慢阻肺患者81例,随机分为观察组41例和对照组40例。对照组实施传统护理干预,观察组实施康复护理联合自我管理干预。比较两组的肺功能和护理前后生活质量评分,肺功能包括6 min步行距离(6MWD)、第1秒用力呼气容积(FEV1)、用力肺活量(FVC)。结果 观察组FVC、FEV1、6MWD分别为(3.06±0.24)L、(2.34±0.31)L、(450.67±8.91)m,均优于对照组的(2.06±0.13)L、(1.57±0.28)L、(408.92±10.34)m,差异均有统计学意义(P<0.05)。干预后,观察组生活质量评分为(82.19±4.81)分,高于对照组的(70.84±3.54)分,差异有统计学意义(P<0.05)。结论 对慢阻肺患者开展康复护理联合自我管理,可有效改善患者的肺功能指标,提升患者的生活质量,促进患者早日康复,值得临床推广应用。

Objective To observe the effect of rehabilitation nursing and self-management on patients with chronic obstructive pulmonary disease(COPD),and provide reference for improving the rehabilitation effect of patients.Methods A total of 81 patients with COPD admitted to Gaotang County People's Hospital from July 2019 to July 2021 were selected and randomly divided into observation group with 41 cases and control group with 40 cases.The control group implemented traditional nursing intervention,and the observation group implemented rehabilitation nursing combined with self-management intervention.The lung function and the score of life quality before and after nursing of the two groups were compared,and the lung function included 6 min walking distance(6MWD),forced expiratory volume in the first second(FEV1),and forced vital capacity(FVC).Results FVC,FEV1 and 6MWD in the observation group were(3.06±0.24)L,(2.34±0.31)L and(450.67±8.91)m respectively,which were better than those in the control group with(2.06±0.13)L,(1.57±0.28)L and(408.92±10.34)m,and the differences were statistically significant(P<0.05).After intervention,the score of life quality in the observation group was(82.19±4.81)points,which was higher than that in the control group with(70.84±3.54)points,and the difference was statistically significant(P<0.05).Conclusion The rehabilitation nursing combined with self-management for patients with COPD could effectively improve the lung function index of patients,improve the quality of life of patients,and promote the early recovery of patients,which was worthy of clinical promotion and application.