呼吸肌功能锻炼联合深呼吸体操在COPD患者护理中的应用效果

Application Effect of Respiratory Muscle Function Exercise Combined with Deep Breathing Exercise in Nursing of COPD Patients

目的:探究呼吸肌功能锻炼联合深呼吸体操在慢性阻塞性肺疾病(COPD)患者护理中的应用效果。方法:选取2019年12月—2021年12月于厦门大学附属第一医院治疗的160例COPD患者,按随机数表法分为观察组(n=80)与对照组(n=80),对照组采用常规护理模式,观察组采用呼吸肌功能锻炼联合深呼吸体操模式。比较两组肺功能指标、运动耐力、呼吸困难量表、血气分析指标、护理满意度。结果:干预6个月后,两组第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC%水平均高于干预前,且观察组均高于对照组,差异有统计学意义(P<0.05)。干预6个月后,两组6分钟步行试验(6MWT)距离均长于干预前,观察组6WMT距离长于对照组,差异有统计学意义(P<0.05)。干预6个月后,两组改良的英国呼吸困难量表(mMRC)评分均低于干预前,观察组mMRC评分低于对照组,差异有统计学意义(P<0.05)。干预6个月后,两组动脉血氧饱和度(SpO_(2))、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PCO_(2))水平均优于干预前,观察组SpO_(2)、PaO_(2)水平高于对照组,PCO_(2)水平低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:呼吸肌功能锻炼联合深呼吸体操可以改善COPD患者的肺功能,提高患者的运动耐力,并且能够减轻患者的呼吸困难症状,提高护理满意度。

Objective:To explore the application effect of respiratory muscle function exercise combined with deep breathing exercise in the nursing of patients with chronic obstructive pulmonary disease(COPD).Method:A total of 160 COPD patients treated in the First Affiliated Hospital of Xiamen University from December 2019 to December 2021 were selected,and they were divided into observation group(n=80)and control group(n=80)according to random number table method.The control group was treated with routine nursing mode,and the observation group was treated with respiratory muscle function exercise combined with deep breathing exercises mode.Lung function index,exercise endurance,dyspnea scale,blood gas analysis index and nursing satisfaction were compared between the two groups.Result:After 6 months of intervention,the levels of forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC%of both groups were higher than those before intervention,and the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After 6 months of intervention,the 6-minute walking test(6MWT)distance of both groups were longer than those before intervention,and the 6WMT distance of the observation group was longer than that of the control group,the differences were statistically significant(P<0.05).After 6 months of intervention,the modified British Dyspnea Scale(mMRC)scores of both groups were lower than those before intervention,and the mMRC score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).After 6 months of intervention,arterial oxygen saturation(SpO_(2)),arterial partial oxygen pressure(PaO_(2))and partial arterial blood pressure of carbon dioxide(PCO_(2))levels in both groups were superior to those before intervention,SpO_(2) and PaO_(2) levels in the observation group were higher than those in the control group,while PCO_(2) levels were lower than those in the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Respiratory muscle function exercise combined with deep breathing exercise can improve the lung function of COPD patients,improve the exercise endurance of patients,reduce the symptoms of dyspnea,and improve nursing satisfaction.