呼吸康复操联合中医延续性护理对特发性肺纤维化患者生活质量的影响

Effects of Respiratory Rehabilitation Exercise Combined with Continuous Nursing Intervention of TCM on Quality of Life of Patients with Idiopathic Pulmonary Fibrosis

目的:探讨呼吸康复操结合中医延续性护理对特发性肺纤维化(idiopathic pulmonary fibrosis,IPF)患者生活质量的影响。方法:将88例IPF患者按随机数字表法分为研究组和对照组各44例。对照组给予常规护理,研究组在对照组基础上予呼吸康复操联合中医延续性护理。比较两组患者护理前后肺功能指标(一氧化碳弥散量占预计值百分比、肺总量预计值占比、用力肺活量预计值占比)、呼吸力学指标(呼气末跨肺压、吸气末跨肺压,跨肺驱动压)及生活质量。结果:护理后研究组患者肺功能指标高于对照组、呼吸力学指标低于对照组(P<0.05),IPF患者生活质量特异性量表评分低于对照组(P<0.05)。结论:呼吸康复操联合中医延续性护理有助于提高IPF患者肺功能,改善其呼吸困难症状,且能提高IPF患者生活质量。

Objective:To discuss the effects of respiratory rehabilitation exercise and continuous nursing intervention of TCM on quality of life in patients with idiopathic pulmonary fibrosis(IPF).Methods:All 88 IPF patients were allocated to the study group and the control group in light of random number table method.The control group accepted conventional care,while the study group was given respiratory rehabilitation exercise and continuous nursing intervention of TCM based on the control group.To compare the indexes of lung function(percent predicted carbon monoxide diffusing capacity,percent predicted total lung capacity,percent predicted forced vital capacity),respiratory mechanics indicators(end-expiratory transpulmonary pressure,end-inspiratory transpulmonary pressure,transpulmonary driving pressure)and quality of life before and after nursing between both groups.Results:Compared with the control group after the nursing,the indexes of lung function were higher and the respiratory mechanics indicators were lower in the study group(P<0.05);the ATAQ-IPF(A tool to assess quality of life in IPF)were lower than these of the control group(P<0.05).Conclusion:Respiratory rehabilitation exercise and continuous nursing intervention of TCM is helpful to raise lung function in IPF patients,improve dyspnea and quality of life in IPF patients.