慢性阻塞性肺疾病急性加重期肺康复护理干预的运用价值

Application Value of Pulmonary Rehabilitation Nursing Intervention in Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的观察慢性阻塞性肺疾病急性加重期肺康复护理干预的运用价值。方法选取于2020年7月—2022年7月我院收治的慢性阻塞性肺疾病急性加重期患者92例作为研究对象,遵循随机抽样分组原则分为传统组和康复组,每组有46例患者,分别实施传统护理干预和肺康复护理干预。分析两组干预前和干预后的肺功能状态、生活质量、运动耐力、疾病症状积分、康复锻炼配合度、干预满意度的差异。结果在干预后,康复组的第1秒呼气容量、用力肺活量、第1秒呼气容量/用力肺活量等肺功能状态指标水平均高于传统组(均P<0.05);在干预后,康复组的生活质量评分低于传统组,运动耐力水平高于传统组(均P<0.05);在干预后,康复组的咳嗽、咳痰、喘息、胸闷等疾病症状积分均低于传统组(均P<0.05);在干预后,康复组的康复锻炼配合度及患者对护理干预的满意度均高于传统组(均P<0.05)。结论将肺康复护理干预应用于慢性阻塞性肺疾病急性加重期中可帮助患者肺功能不断恢复,减轻疾病症状,维持较好生活质量,增强运动耐力,提高康复锻炼配合度,加快患者康复进程。

Objective To observe the application value of pulmonary rehabilitation nursing intervention in acute exacerbation of chronic obstructive pulmonary disease.Methods The 92 patients with acute exacerbation of chronic obstructive pulmonary disease admitted to our hospital from July 2020 to July 2022 were selected as the research subjects,and were divided into the traditional group and the rehabilitation group according to the principle of random sampling,with 46 patients in each group,and were implemented traditional nursing intervention,and pulmonary rehabilitation nursing intervention respectively.Analyze the differences in pulmonary function status,quality of life,exercise endurance,disease symptom score,rehabilitation exercise cooperation,and intervention satisfaction between the two groups before and after the intervention.Results In the post-intervention period,the levels of pulmonary functional status indicators such as 1st second expiratory capacity,exertional lung capacity,and 1st second expiratory capacity/exertional lung capacity were higher in the rehabilitation group than in the traditional group(all P<0.05);after the intervention,the quality of life score of the rehabilitation group was lower than that of the traditional group,and the level of exercise endurance was higher than that of the traditional group(all P<0.05);after the intervention,the disease symptom scores of cough,sputum,wheezing,and chest tightness in the rehabilitation group were lower than those of the traditional group(all P<0.05);in the post-intervention period,the rehabilitation exercise cooperation level and patient satisfaction with nursing intervention in the rehabilitation group were higher than those in the traditional group(all P<0.05).Conclusions Applying pulmonary rehabilitation nursing interventions to acute exacerbations of chronic obstructive pulmonary disease can help patients recover lung function,reduce symptoms,maintain a better quality of life,enhance exercise tolerance,improve cooperation with rehabilitation exercises,and accelerate the recovery process.