出院准备服务在慢性阻塞性肺疾病患者康复中的应用研究

Application of hospital discharge preparation service in rehabilitation of patients with chronic obstructive pulmonary disease

目的探究在慢性阻塞性肺疾病患者康复中出院准备服务的应用效果。方法选取2022年11月至2023年11月南昌大学第四附属医院收治的80例慢性阻塞性肺疾病患者作为研究对象,按随机数字表法分为对照组及观察组,每组各40例。对照组接受常规出院服务,观察组接受出院准备服务,均干预3个月。比较两组呼吸训练依从性、肺功能、日常生活能力、生活质量。结果观察组呼吸训练总依从性高于对照组,差异有统计学意义(P<0.05);两组干预3个月后的用力肺活量、第1秒用力呼气容积、呼气峰流量、第1秒用力呼气容积/用力肺活量、改良Barthel指数(MBI)评分均高于干预前,圣·乔治呼吸问卷(SGRQ)各维度评分均低于干预前,差异有统计学意义(P<0.05);观察组干预3个月后的用力肺活量、第1秒用力呼气容积、呼气峰流量、第1秒用力呼气容积/用力肺活量、MBI评分均高于对照组,SGRQ各维度评分均低于对照组,差异有统计学意义(P<0.05)。结论出院准备服务可提升慢性阻塞性肺疾病患者呼吸训练依从性,改善肺功能,提高日常生活能力、生活质量。

Objective To explore the application effect of hospital discharge preparation service in the rehabilitation of patients with chronic obstructive pulmonary disease.Methods A total of 80 patients with chronic obstructive pulmonary disease admitted to the Fourth Affiliated Hospital of Nanchang University from November 2022 to November 2023 were selected as the study objects and they were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group received routine hospital discharge service,and the observation group received hospital discharge preparation service.The intervention lasted for 3 months.Respiratory training compliance,lung function,daily living ability and quality of life were compared between the two groups.Results The total compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 3 months of intervention,forced vital capacity,forced expiratory volume in the first second,peak expiratory flow,forced expiratory volume in the first second/forced vital capacity,and modified Barthel index(MBI)score in two groups were higher than before intervention,and scores in all dimensions of St.George's respiratory questionnaire(SGRQ)were lower than before intervention,with statistical significances(P<0.05).After 3 months of intervention,forced vital capacity,forced expiratory volume at the first second,peak expiratory flow,forced expiratory volume at the first second/forced vital capacity,and MBI score in the observation group were higher than those in the control group,and scores in all dimensions of SGRQ scores were lower than those in the control group,with statistical significances(P<0.05).Conclusion Hospital discharge preparation service can improve the respiratory training compliance of patients with chronic obstructive pulmonary disease,improve lung function,improve daily living ability and quality of life.