基于专职康复护理小组康复干预对老年慢性阻塞性肺疾病患者的影响

Influence of Rehabilitation Intervention Based on Professional Rehabilitation Nursing Group on Elderly Patients with Chronic Obstructive Pulmonary Disease

目的:探究基于专职康复护理小组康复干预对老年慢性阻塞性肺疾病(COPD)患者的影响。方法:选取商丘市第一人民医院2020年1月至2021年2月期间收治的100例老年COPD患者,采用随机数字表法分为两组,各50例。对照组患者进行常规护理干预,观察组患者在此基础上组建专职康复护理小组实施护理干预和指导,比较两组患者干预前后肺功能和运动功能的变化,运用圣乔治呼吸问卷(SGRQ)调查患者干预前后生活质量。结果:干预后,两组患者呼气流量峰值(PEF)、第1秒用力呼气量(FEV1)和第1秒用力呼气量占用力肺活量比值(FEV1/FVC)均高于干预前,且干预后观察组患者PEF、FEV1和FEV1/FVC均高于对照组,差异具有统计学意义(P<0.05);干预后,两组患者6 min步行距离均长于干预前,且干预后观察组患者6 min步行距离长于对照组,差异具有统计学意义(P<0.05);干预后,两组患者SGRQ各项评分均低于干预前,且干预后观察组患者SGRQ各项评分均低于对照组,差异具有统计学意义(P<0.05)。结论:基于专职康复护理小组康复干预可有效改善老年COPD患者的肺功能和运动功能,促进患者生活质量的提升。

Objective To explore the effect of rehabilitation intervention based on full-time rehabilitation nursing group on elderly patients with chronic obstructive pulmonary disease COPD.Methods 100 elderly patients with COPD admitted to Shangqiu First People's Hospital,from January 2020 to February 2021 were randomly divided into two groups with 50 cases each.The patients in the control group received routine nursing intervention,and the patients in the observation group set up a full-time rehabilitation nursing group to implement nursing intervention and guidance.The changes of lung function and motor function of the two groups were compared before and after the intervention,and the quality of life of the patients before and after the intervention was investigated using the St.George's Respiratory Questionnaire(SGRQ).Results After intervention,PEF,FEV1 and FEV1/FVC in the first second of the two groups were higher than those before intervention,and the PEF,FEV1 and FEV1/FVC in the observation group were higher than those in the control group after intervention,with statistical significances(P<0.05);After intervention,the 6-minute walking distance of patients in the two groups was longer than that before intervention,and the 6-minute walking distance of patients in the observation group was longer than that in the control group after intervention,the difference was statistically significant(P<0.05);After intervention,the SGRQ scores of patients in the two groups were lower than those before intervention,and the SGRQ scores of patients in the observation group were lower than those in the control group after intervention,the differences were statistically significant(P<0.05).Conclusion The rehabilitation intervention based on the full�time rehabilitation nursing group can effectively improve the lung function and motor function of elderly patients with COPD,and promote the quality of life of patients.