基于目标策略的渐进性肺康复护理对COPD稳定期患者的干预效果观察

Target strategy-based progressive pulmonary rehabilitation nursing in patients with stable COPD

目的探讨基于目标策略的渐进性肺康复护理对慢性阻塞性肺疾病(COPD)稳定期患者的干预效果,以期为临床治疗提供参考。方法本研究选取2018年5月—2019年5月在武汉市汉口医院进行治疗的100例COPD患者为研究对象,采用随机数字表法,将患者随机分为观察组与对照组,每组50例。对照组患者采取定期的呼吸道管理和定期的肺康复护理,观察组患者采用基于目标策略的渐进性肺康复护理干预。比较2组患者干预前后(干预后为出院时)第1秒用力呼气量(FEV1)、用力肺活量(FVC)。比较2组患者干预前后(干预后为出院时)慢性阻塞性肺疾病评估量表(CAT)评分。结果干预前,2组患者FVC水平比较,差异无统计学意义(P>0.05)。干预后,2组患者FVC、FEV1水平均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者CAT评分比较,差异无统计学意义(P>0.05)。干预后,2组患者CAT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)。结论在稳定期COPD患者康复过程中使用基于目标策略的渐进性肺康复护理干预能够有效地提高患者生活质量水平,改善患者呼吸困难症状,值得推广应用。

Objective This study aimed to investigate the effect of progressive pulmonary rehabilitation nursing based on tar-get strategy in patients with stable COPD,so as to provide evidence for clinical treatment.Methods A total of 100 patients with COPD who received treatment in Wuhan Hankou Hospital from May 2018 to May 2019 were selected as the study par-ticipants.They were randomly assigned to the observation and control groups by random number table,with 50 cases in each group.Patients in the control group received regular respiratory tract management and pulmonary rehabilitation nurs-ing;patients in the observation group,progressive pulmonary rehabilitation nursing intervention based on target strategy.Forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC)were compared between the two groups before and after intervention(at discharge after intervention).COPD Assessment Test(CAT)scores were compared between the 2 groups before and after intervention(at discharge after intervention).Results Before intervention,there was no signifi-cant difference in FVC,FEV1 levels between the groups(P>0.05).After intervention,FVC,FEV1 levels in the two groups were increased,and the observation group was higher than the control group,with statistical significance(P<0.05).Before intervention,there was no significant difference in CAT scores between the groups(P>0.05).After inter-vention,the CAT scores of patients in both groups were decreased,and the study group was lower than the control group,with statistical significance(P<0.05).Conclusion Progressive pulmonary rehabilitation nursing intervention based on tar-get strategy in the rehabilitation of patients with stable COPD can effectively raise the quality of life of patients and amelio-rate the symptoms of dyspnea.These benefits hold promise for a wider application.