赋能早期呼吸康复训练在新型冠状病毒感染患者中的应用效果

Application effect of early empowering respiratory rehabilitation training in patients with coronavirus disease 2019

目的分析赋能早期呼吸康复训练在新型冠状病毒感染患者中的应用效果。方法采取随机数字表法对2020年3月~2021年6月收治的104例新型冠状病毒感染患者分组,每组各52例,除去7例因出院、转院、死亡等各类原因导致的临床资料缺失者后,对照组51例,为患者提供常规康复训练;观察组46例,在对照组基础上实施赋能早期呼吸康复训练。比较两组患者康复训练前后呼吸频率、血氧饱和度指标变化,记录肺部病灶吸收时间;比较两组康复训练前后功能独立性评定(functional independence measure,FIM)评分以及巴塞尔(Barthel)评分,同时比较两组对康复训练的依从性。结果观察组康复训练后与康复训练前相比呼吸频率较低、血氧饱和度较高,FIM评分较高,Barthel评分较高,差异有统计学意义(P<0.05)。观察组与对照组相比肺部病灶吸收时间缩短,康复训练依从性较高,差异有统计学意义(P<0.05)。结论在新型冠状病毒感染患者中应用赋能早期呼吸康复训练可有效改善患者的呼吸频率及血氧饱和度,提高独立生活能力,患者依从性较高。

Objective To explore and analyze the application of early empowering respiratory muscle rehabilitation training in patients with coronavirus disease 2019.Methods A total of 104 patients with coronavirus disease 2019 admitted from March 2020 to June 2021 were divided into groups by random number table method,with 52 cases in each group.Excluding the absence of 7 cases of clinical data due to discharge,hospital transfer,death and other reasons,51 cases were in the control group,and routine rehabilitation training was provided for patients,and 46 cases were in the observation group,on the basis of the control group,the early empowering respiratory rehabilitation training was performed.The changes of respiratory rate and blood oxygen saturation before and after rehabilitation training were compared between the two groups,and the absorption time of lung lesions was recorded.The functional independence measure(FIM)score and Barthel score before and after rehabilitation training were compared between the two groups,and the compliance to rehabilitation training between the two groups was also compared.Results Compared with before rehabilitation training,the observation group had lower respiratory rate,higher blood oxygen saturation,higher FIM score and higher Barthel score after rehabilitation training,the difference was statistically significant(P<0.05).Compared with the control group,the absorption time of lung lesions in the observation group was shorter and the compliance of rehabilitation training was higher,the difference was statistically significant(P<0.05).Conclusion The application of early empowering respiratory rehabilitation training in patients with coronavirus disease 2019 can effectively improve respiratory rate and blood oxygen saturation of patients,improve the independent living ability,and patients have a high compliance to such rehabilitation training.