观察心肺康复护理对老年阻塞性肺疾病患者肺功能、睡眠质量与生命质量的影响

To Observe the Effects of Cardiopulmonary Rehabilitation Nursing on Lung Function,Sleep Quality and Quality of Life in Elderly Patients with Obstructive Pulmonary Disease

目的:观察心肺康复护理对老年阻塞性肺疾病患者肺功能、睡眠质量与生命质量的影响。方法:选取2020年3月至2021年2月厦门大学附属中山医院康复老年科收治的慢性阻塞性肺疾病(COPD)老年患者110例作为研究对象,按照随机数字表法分为观察组和对照组,每组55例。对照组给予常规护理干预,观察组给予心肺康复护理干预。比较2组患者干预前与干预3个月后的心肺功能情况,包括第1秒用力呼力容积(FEV1)、用力肺活量(FVC)、左室射血分数(LVEF),以及6 min步行试验,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前与干预3个月后的睡眠质量,采用圣乔治呼吸调查问卷(SGRQ)比较2组干预前与干预3个月后的生命质量,并比较2组患者的护理满意度。结果:干预3个月后,观察组FEV1、FVC与LVEF、6 min步行试验结果均显著高于对照组,观察组PSQI评分显著低于对照组,SGRQ评分显著高于对照组,观察组护理满意度显著高于对照组(均P<0.05)。结论:心肺康复护理能够有效增强老年COPD患者的心肺功能,提高睡眠质量与生命质量,加快康复进程,值得临床推广使用。

Objective:To observe the effects of cardiopulmonary rehabilitation nursing on lung function,sleep quality and quality of life in elderly patients with obstructive pulmonary disease.Methods:A total of 110 elderly patients with chronic obstructive pulmonary disease(COPD)treated in the Department of Rehabilitation and Geriatrics of Zhongshan Hospital Affiliated to Xiamen University from March 2020 to February 2021 were selected as the study objects,and were divided into observation group and control group according to the random number table method,with 55 cases in each group.The control group was given routine nursing intervention,the observation group was given cardiopulmonary rehabilitation nursing intervention.The cardiopulmonary function of the 2 groups before intervention and 3 months after intervention was compared,including the first second forced expiratory volume(FEV 1),forced vital capacity(FVC),left ventricular ejection fraction(LVEF),and 6 min walking test.The sleep quality of the 2 groups before intervention and 3 months after intervention was compared using the Pittsburgh Sleep Quality Index(PSQI).St.George′s Respiratory Questionnaire(SGRQ)was used to compare the quality of life between the 2 groups before intervention and 3 months after intervention,and the nursing satisfaction between the 2 groups was compared as well.Results:After 3 months of intervention,the FEV 1,FVC,LVEF and 6 min walking test results of the observation group were significantly higher than those of the control group,the PSQI score of the observation group was significantly lower than the control group,and the SGRQ score was significantly higher than the control group,nursing satisfaction of the observation group was significantly higher than the control group,and the differences between the two groups were statistically significant(P s<0.05).Conclusion:Cardiopulmonary rehabilitation nursing can effectively enhance the cardiopulmonary function of elderly patients with COPD,improve the quality of sleep and life,and accelerate the rehabilitation process,which is worthy of clinical promotion.