康复护理自我管理对慢性阻塞性肺疾病患者肺功能及生活质量的影响

Effect of Rehabilitation Nursing Self-Management on Pulmonary Function and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

目的:探讨康复护理自我管理对慢性阻塞性肺疾病(COPD)患者肺功能及生活质量的影响。方法:选取2021年1—12月山东第一医科大学第一附属医院治疗的80例COPD患者作为研究对象,根据随机数字表法分为观察组与对照组,各40例。对照组给予常规护理,观察组在对照组基础上实施康复护理自我管理。对比两组肺功能指标、生活质量。结果:护理后,两组动脉血氧分压、动脉血氧饱和度、每分钟静息通气量、第1秒用力呼气容积、最大呼气流量高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组二氧化碳分压低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理后,两组生理功能、生理职能、活力、社会功能、情感职能、精神健康、总体健康评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:COPD患者实施康复护理自我管理,可明显改善肺功能,提高生活质量。

Objective:To explore the effects of rehabilitation nursing self-management on lung function and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 80 patients with COPD treated in the First Affiliated Hospital of Shandong First Medical University from January 2021 to December 2021 were selected as the study subjects.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 routine nursing and the observation group was given rehabilitation nursing self-management on the basis of the control group.The lung function indexes and quality of life in two groups were compared.Results:After nursing,the arterial partial pressure of oxygen,arterial oxygen saturation,resting ventilation per minute,forced expiratory volume in 1 second,and maximal expiratory flow in two groups were higher than those before nursing,and the observation group was higher than the control group,with statistically significant differences(P<0.05).The partial pressure of carbon dioxide in the two groups was lower than that before nursing,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).After nursing,the physiological function,physiological functioning,vitality,social function,emotional function,mental health,and overall health scores in the two groups were higher than those before nursing,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of rehabilitation nursing self-management in patients with COPD can significantly improve lung function and improve quality of life.