呼吸肌训练结合高频胸壁振荡排痰仪排痰在老年长期卧床坠积性肺炎预防中的应用效果

Application of Respiratory Muscle Training Combined with High-Frequency Chest Wall Oscillation Sputum Extractor in Prevention of Long-Term Bedridden Hypostatic Pneumonia of Elderly and Respiratory Function Analysis

目的分析呼吸肌训练结合高频胸壁振荡排痰仪排痰对老年长期卧床坠积性肺炎的预防效果及对呼吸功能的影响。方法选取本院呼吸内科2021年6月—2023年7月收治的118例需要长期卧床的老年患者作为研究对象,随机将其分为对照组和试验组,每组59例。对照组采取常规护理,试验组在常规护理的基础上联合呼吸肌训练以及高频胸壁振荡排痰仪治疗,对比两组治疗效果。结果试验组坠积性肺炎发生率低于对照组,呼吸功能优于对照组(P<0.05);试验组自行排痰率高于对照组,排痰量高于对照组(P<0.05);试验组护理满意度高于对照组(P<0.05)。结论将呼吸肌训练结合高频胸壁振荡排痰仪应用于老年长期卧床患者,可以减少坠积性肺炎的发生率,提高患者的呼吸功能和自主排痰能力,且能提升护理满意度,有利于建立良好的护患关系。

Objective To analyze preventive effect of respiratory muscle training combined with highfrequency chest wall oscillation sputum extractor on long-term bedridden hypostatic pneumonia of elderly and its effect on respiratory function.Methods The paper chose 118 elderly patients with long-term bed rest in Respiratory Department of our hospital from June 2021 to July 2023 as research subjects,and divided them into control group and experimental group randomly,with 59 cases in each group.Control group was treated with routine nursing,while experimental group with respiratory muscle training combined with high-frequency chest wall oscillation sputum extractor treatment on the basis of routine nursing.Curative effect between two groups was compared.Results Incidence of hypostatic pneumonia in experimental group was lower than control group,respiratory function was better than control group.Self sputum extracting rate was higher than control group,sputum output was higher than control group,nursing satisfaction degree was higher than control group(P<0.05).Conclusion Respiratory muscle training combined with highfrequency chest wall oscillation sputum extractor can reduce incidence of hypostatic pneumonia,improve respiratory function and autonomous sputum extracting ability,and enhance nursing satisfaction degree of elderly long-term bedridden patients,which can help establish good nurse patient relationship.