康复训练对老年心肺功能受损患者心肺功能及心理状态的影响研究

Study on effect of rehabilitation training on cardiopulmonary function and psychological state in elderly patients with impaired cardiopulmonary function

目的观察康复训练对老年心肺功能受损患者心肺功能恢复及心理状态的影响。方法72例老年心肺功能受损的住院患者,以随机数字表法分为对照组(予以常规治疗及干预)和研究组(在对照组基础上配合康复训练干预),各36例。比较两组患者干预前后心肺功能指标、不良情绪评分及满意度。结果两组患者干预前的心率、呼吸频率、血氧饱和度、每分钟最大通气量及步行6 min距离、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分比较,无显著差异性(P>0.05);干预后,两组心率、呼吸频率、SDS评分、SAS评分均较干预前降低,血氧饱和度、每分钟最大通气量及步行6 min距离均较干预前更高,研究组患者心率(69.86±3.22)次/min、呼吸频率(19.79±1.31)次/min、SDS评分(49.58±6.61)分、SAS评分(49.15±3.99)分低于对照组的(76.17±7.55)次/min、(22.38±2.38)次/min、(54.17±5.62)分、(54.02±4.74)分,血氧饱和度(98.49±0.45)%、每分钟最大通气量(85.58±6.73)L/min及步行6 min距离(235.27±14.01)m高于对照组的(95.18±1.31)%、(80.42±7.91)L/min、(208.54±10.11)m(P<0.05)。研究组总满意率100.00%较对照组的83.33%更高(P<0.05)。结论老年心肺功能受损的住院患者在常规治疗基础上配合康复训练,可明显提升心肺功能,改善不良情绪,获得患者一致满意,效果理想。

Objective To observe the effect of rehabilitation training on cardiopulmonary function and psychological state in elderly patients with impaired cardiopulmonary function.Methods 72 elderly patients with impaired cardiopulmonary function were divided into a control group(routine treatment and intervention)and a study group(rehabilitation training intervention on the basis of the control group)according to random numerical table,each with 36 cases.The cardiopulmonary function indicators and negative emotion score before and after intervention,and satisfaction were compared between the two groups.Results Before intervention,there was no significant difference between the two groups in terms of heart rate,respiratory rate,oxygen saturation,maximal voluntary ventilation,6-min walking distance,self-rating depression scale(SDS)score,self-rating anxiety scale(SAS)score(P>0.05).After intervention,the heart rate,respiratory rate,SDS score and SAS score in both groups were lower than those before intervention,and the blood oxygen saturation,maximal voluntary ventilation and 6-min walking distance were higher than those before intervention;in the study group,the heart rate was(69.86±3.22)beats/min,the respiratory rate was(19.79±1.31)times/min,SDS score was(49.58±6.61)points,SAS score was(49.15±3.99)points,which were lower than(76.17±7.55)beats/min,(22.38±2.38)times/min,(54.17±5.62)points,(54.02±4.74)points in the control group;the blood oxygen saturation was(98.49±0.45)%,the maximal voluntary ventilation was(85.58±6.73)L/min and the 6-min walking distance was(235.27±14.01)m,which were higher than(95.18±1.31)%,(80.42±7.91)L/min and(208.54±10.11)m in the control group(P<0.05).The total satisfaction rate of the study group was 100.00%,which was higher than 83.33%in the control group(P<0.05).Conclusion In elderly inpatients with impaired cardiopulmonary function,rehabilitation training on the basis of routine treatment can significantly improve cardiopulmonary function and negative emotions,and achieve consistent patient satisfaction with ideal results.