以时机理论为指导的居家护理结合阶梯式呼吸训练对尘肺患者居家氧疗行为及呼吸功能的影响

Effects of home care guided by timing theory combined with stepwise respiratory training on home oxygen therapy behavior and respiratory function of pneumoconiosis patients

目的探讨以时机理论为指导的居家护理结合阶梯式呼吸训练对尘肺患者居家氧疗行为及呼吸功能的影响。方法选取2020年4月至2022年4月收治的80例尘肺患者作为研究对象,以随机数字表法将其分为对照组和观察组,各40例。对照组实施常规护理,观察组实施以时机理论为指导的居家护理结合阶梯式呼吸训练。比较两组的干预效果。结果观察组的居家氧疗行为优良率高于对照组(P<0.05)。干预后,观察组的第1秒用力呼气容积(FEV_(1))、最大通气量(MVV)、血氧饱和度(SpO_(2))及pH值高于对照组(P<0.05)。干预后,观察组的圣·乔治呼吸问卷(SGRQ)评分低于对照组,6 min步行距离长于对照组(P<0.05)。结论以时机理论为指导的居家护理结合阶梯式呼吸训练能改善尘肺患者居家氧疗行为和呼吸功能,提高生活质量,值得推广。

Objective To explore the effects of home care guided by timing theory combined with stepwise respiratory training on home oxygen therapy behavior and respiratory function of pneumoconiosis patients.Methods A total of 80 pneumoconiosis patients admitted from April 2020 to April 2022 were selected as the research objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given home care guided by timing theory combined with stepwise respiratory training.The intervention effects of the two groups were compared.Results The excellent and good rate of home oxygen therapy behavior in the observation group was higher than that in the control group(P<0.05).After intervention,the forced expiratory volume in first second(FEV_(1)),maximal voluntary ventilation(MVV),oxygen saturation of blood(SpO_(2))and pH value in the observation group were higher than those in the control group(P<0.05).After intervention,the ST George's Respiratory Questionnaire(SGRQ)score of the observation group was lower than that of the control group,and the 6 min walking distance was longer than that of the control group(P<0.05).Conclusion The home care guided by timing theory combined with stepwise respiratory training can improve the home oxygen therapy behavior and respiratory function of pneumoconiosis patients,and elevate the quality of life,which is worthy of promotion.