Analysis of the Effect of Psychological Nursing Combined with Breathing Exercises in Improving Lung Function in Patients with Pneumoconiosis

Objective: To analyze the effect of psychological nursing combined with breathing exercises on lung function of patients with pneumoconiosis, and to analyze the methods. A total of 64 cases of pneumoconiosis admitted from January 2020 to December 2022 were divided into the reference group and the experimental group by random numerical table. On the basis of symptomatic treatment, the control group was combined with conventional nursing measures and breathing exercises, while the experimental group was treated with psychological nursing on the basis of the control group, and the pulmonary function indexes and adverse mood of the two groups before and after nursing were compared. Results: There was no difference in SAS score, SDS score and pulmonary function indexes between the two groups before intervention (P > 0.05), and the SAS score in the experimental group was the SDS score was lower than that of the control group, and FEV1, FEV1% and FEV1/FVC were higher than those of the control group, and the P < 0.05 was lower.

Effects of relaxation breathing exercise on fatigue and cortisol level among Indonesian gynecological cancer patients undergoing chemotherapy:a pilot study

Objective:This study aimed to determine the effect of the relaxation breathing exercise(RBE)on fatigue and cortisol levels among Indonesian women with gynecological cancer undergoing chemotherapy.Methods:This pilot study consecutively recruited 44 gynecological cancer patients to receive RBE(22)or usual care(22).Cortisol level was measured before and after completion of the intervention(day 8).Fatigue was measured using the Piper Fatigue Scale(PFS).Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale(HADS)at the baseline days of the study for days 1,4,and 8.The obtained data were analyzed using Fisher’s exact test,the independent t-test,and the Mann-Whitney U test.Results:There were significant increases in cortisol levels within the groups,either the intervention or control groups,respectively(P-value=0.0003 and 0.001).Despite there being no statistical significance between the intervention and control groups,there were noticeable differences in the cortisol levels,indicating the extreme increase in cortisol levels in the control group(Median[IQR1-IQR3]:2.30[0.99-9.09];Min-Max:0.43-23.38)compared with the intervention group(Median[IQR1-IQR3]=2.97[1.26-5.18];Min-Max=0.39-6.91).Conclusions:RBE helps prevent a significant increase in cortisol levels that can alleviate fatigue for women with gynecological cancer.Further research was recommended to compare several intervention modalities for fatigue and cancer-related symptom management based on cortisol level changes.

The effect of slow deep breathing relaxation exercise on pain levels during and post chest tube removal after coronary artery bypass graft surgery

Objectives:This study aimed to evaluate the effectiveness of slow deep breathing relaxation exercise(SDBRE)in reducing patients’pain levels during chest tube removal(CTR)post coronary artery bypass grafting(CABG)surgery.Methods:In 2019,fifty post-CABG patients were conveniently selected from a cardiac intensive care unit in Jordan’s major referral heart institute.The patients were randomly assigned to either an intervention group or a control group.A total of 25 patients were assigned into the experimental group who received slow deep breathing relaxation Exercise(SDBRE)alongside the conventional care before CTR.The remaining 25 patients constituted the control group(50%)that had CTR following conventional care.The Visual Analogue Scale(VAS)was used to measure the participants’pain levels during three phases:before CTR(Time 1),5-min post CTR(Time 2),and 15-min post CTR(Time 2)to compare the intervention effect between the two groups.Results:The data analysis findings for the control and intervention group of patients showed that there was a statistically significant decline in their pain level across time for both groups(H¼32.71,P<0.01;H=47.23,P<0.01)respectively.The intervention group had significantly lower pain levels than the control group at Time 2(3.50[1.20,5.30]vs.7.90[7.00,9.00],P<0.01)and Time 3(0.00[0.00,1.30]vs.3.60[2.40,4.10]P<0.01).Conclusions:Using SDBRE during CTR is an effective technique for reducing pain which can minimize the need for analgesics and their associated adverse effects.

Effectiveness of Relaxation Breathing Exercise on fatigue in gynecological cancer patients undergoing chemotherapy

Purpose:This study aimed to determine the effectiveness of Relaxation Breathing Exercise(RBE)on fatigue in patients with gynaecological cancer undergoing chemotherapy.Methods:We used a quasi-experiment with pre-and post-test design.Forty-two patients were consecutively sampled,21 of whom were assigned to the group receiving RBE four times a day and 21 to the group receiving RBE twice a day.Fatigue scores were measured every day for 7 days for both groups using the Piper Fatigue Scale.Data obtained were analysed using repeated-ANOVA and independent ttest with a significant level of a<0.01.Results:We found a significant decrease(P<0.01)in the mean fatigue scores of both groups(four times RBE in a day group=3.29±0.59 and twice RBE in a day group=4.19±0.61)after the completion of the intervention.However,the four times RBE a day group showed larger decrease on fatigue scores than the twice RBE a day group did(Mean Difference=0.91;99%CI=0.41 to 1.41;P=0.001).Conclusion:Conducting RBE four times a day effectively alleviated fatigue better than RBE twice a day on gynaecological cancer patients undergoing chemotherapy.

Effects of mindful breathing combined with sleep-inducing exercises in patients with insomnia

BACKGROUND Insomnia is the most common sleep disorder.It disrupts the patient’s life and work,increases the risk of various health issues,and often requires long-term intervention.The financial burden and inconvenience of treatments discourage patients from complying with them,leading to chronic insomnia.AIM To investigate the long-term home-practice effects of mindful breathing combined with a sleep-inducing exercise as adjunctive insomnia therapy.METHODS A quasi-experimental design was used in the present work,in which the patients with insomnia were included and grouped based on hospital admission:40 patients admitted between January and April 2020 were assigned to the control group,and 40 patients admitted between May and August 2020 were assigned to the treatment group.The control group received routine pharmacological and physical therapies,while the treatment group received instruction in mindful breathing and a sleep-inducing exercise in addition to the routine therapies.The Pittsburgh Sleep Quality Index(PSQI),Generalized Anxiety Disorder 7-item(GAD-7)scale,and Insomnia Severity Index(ISI)were utilized to assess sleepquality improvement in the patient groups before the intervention and at 1 wk,1 mo,and 3 mo postintervention.RESULTS The PSQI,GAD-7,and ISI scores before the intervention and at 1 wk postintervention were not significantly different between the groups.However,compared with the control group,the treatment group exhibited significant improvements in sleep quality,daytime functioning,negative emotions,sleep latency,sleep duration,sleep efficiency,anxiety level,and insomnia severity at 1 and 3 mo postintervention(P<0.05).The results showed that mindful breathing combined with the sleep-inducing exercise significantly improved the long-term effectiveness of insomnia treatment.At 3 mo,the PSQI scores for the treatment vs the control group were as follows:Sleep quality 0.98±0.48 vs 1.60±0.63,sleep latency 1.98±0.53 vs 2.80±0.41,sleep duration 1.53±0.60 vs 2.70±0.56,sleep efficiency 2.35±0.58 vs 1.63±0.49,sleep disturbance 1.68±0.53 vs 2.35±0.53,hypnotic medication 0.53±0.64 vs 0.93±0.80,and daytime dysfunction 1.43±0.50 vs 2.48±0.51(all P<0.05).The GAD-7 scores were 2.75±1.50 vs 7.15±2.28,and the ISI scores were 8.68±2.26 vs 3.38±1.76 for the treatment vs the control group,respectively(all P<0.05).CONCLUSION These simple,cost-effective,and easy-to-implement practices used in clinical or home settings could have profound significance for long-term insomnia treatment and merit wide adoption in clinical practice.

Combination of diaphragmatic breathing with therapeutic walking exercise to increase peak expiratory flow rate in asthma patients

Objective:This study aimed to determine the effect of combined diaphragmatic breathing and therapeutic walking exercise on peak expiratory flow in asthma patients.Methods:The research design used a quasi-experiment nonequivalent pretest and posttest design.The research sample contained 38 respondents divided into intervention and control groups,selected by simple random sampling.The control group received standard drug therapy,while the intervention group received standard drug therapy and a combination of diaphragmatic breathing and therapeutic walking exercise for 2 weeks.This exercise was carried out in the morning,6 times a week,with 5 diaphragmatic breathing and exhalations per exercise.After that,a 1-min break was followed by a therapeutic walking exercise of 5–15 min,with an increased duration.Both groups measured the peak expiratory flow before and after the intervention using a peak flow meter.The data analysis used central tendency and t-test.Results:The results showed that the mean peak expiratory flow in the intervention group was 306.84,while in the control group,it was 232.63,with the value of the t-test being-14.17(P<0.0001).Conclusions:Diaphragmatic breathing and therapeutic walking exercise significantly increased the peak expiratory flow in asthma patients.

Efficacy Evaluation of Self-created"Lung Health Breathing Exercise"in Adjuvant Therapy for Patients with Stable Chronic Obstructive Pulmonary Disease

[Objectives]To evaluate the intervention effect and safety of self-created Lung Health Breathing Exercise on TCM syndromes,6-min walk test(6MWT)and quality of life in patients with stable chronic obstructive pulmonary disease(COPD).[Methods]76 cases of outpatient or inpatient patients who were diagnosed with stable COPD in Nanchong Traditional Chinese Medicine Hospital from January 2020 to March 2021 were selected,randomly divided into experimental group and control group,38 cases in each group.Both groups were given conventional western medicine treatment and nursing measures.The experimental group was added with the self-created Lung Health Breathing Exercise.After 12 weeks of treatment,the TCM syndrome score,6MWT distance,quality of life score and the incidence of adverse events were observed in the both groups.[Results]After treatment,the 6MWT distance and quality of life scores in both groups were significantly improved(P<0.01),and the TCM syndrome scores were significantly lower than those before treatment(P<0.01).[Conclusions]Lung Health Breathing Exercise can benefit patients in terms of symptom improvement,quality of life and exercise ability,and is a safe and effective rehabilitation measure for patients with stable COPD.

Dead Space Breathing in Patients with Malignancies: Determination by Cardiopulmonary Exercise Testing

Rationale: Patients with cancer commonly experience dyspnea originating from ventilatory, circulatory and musculoskeletal sources, and dyspnea is best determined by cardiopulmonary exercise testing (CPET). Objectives: In this retrospective pilot study, we evaluated patients with hematologic and solid malignancies by CPET to determine the primary source of their dyspnea. Methods: Subjects were exercised on a cycle ergometer with increasing workloads. Minute ventilation, heart rate, breathing reserve, oxygen uptake (V’O2), O2-pulse, ventilatory equivalents for carbon dioxide and oxygen (V’E/V’CO2 and V’E/V’O2, respectively) were measured at baseline and peak exercise. The slope and intercept for V’E/V’CO2 was computed for all subjects. Peak V’O2 4% predicted indicated a circulatory or ventilatory limitation. Results: Complete clinical and physiological data were available for 36 patients (M/F 20/16);32 (89%) exhibited ventilatory or circulatory limitation as shown by a reduced peak V’O2 and 10 subjects with normal physiologic data. The largest cohort comprised the pulmonary vascular group (n = 18) whose mean ± SD peak V’O2 was 61% ± 17% predicted. There were close associations between V’O2 and spirometric values. Peak V’E/V’O2 and V’E/V’CO2 were highest in the circulatory and ventilatory cohorts, consistent with increase in dead space breathing. The intercept of the V’E-V’CO2 relationship was lowest in patients with cardiovascular impairment. Conclusion: Dyspneic patients with malignancies exhibit dead space breathing, many exhibiting a circulatory source for exercise limitation with a prominent pulmonary vascular component. Potential factors include effects of chemo- and radiation therapy on cardiac function and pulmonary vascular endothelium.

Study on the Effect of High-quality Nursing Combined with Breathing Exercises on Patients with Chronic Obstructive Pulmonary Disease

Objective:To study the effect of high-quality nursing combined with breathing exercises on patients with COPD.Methods:Using the random number table method of medical experiments,60 patients with COPD received in our hospital from March 2020 to March 2021 were used as research samples.According to the differences in treatment measures,they were equally divided into control group and intervention group.Symptomatic support treatment and nursing routine,high-quality nursing combined with respiratory function exercise treatment and nursing were given respectively,and the application effects of the two groups were compared and analyzed.Results:The controllable rate of disease between the intervention group and the control group was 93.33%(28/30)and 66.67%(20/30)respectively,which was statistically significant(P<0.05).The comparison between the intervention group and the control group on the pulmonary function indexes of VT,TPTEF/Te,VEF/Te/,Ti/Te was statistically significant(P<0.05).The results of the intervention group on exercise pulse and 6-minute walking distance were significantly higher than those of the control group(P<0.05).Conclusions:The combination of high-quality nursing care and breathing exercises has outstanding disease controllable rate in patients with COPD,especially in improving the lung function of the patients and the level of treatment and care.It can be used as a feasible measure in the subsequent clinical treatment and nursing practice of patients.It is worthy of clinical promotion and implementation.

Shortness of breath in clinical practice: A case for left atrial function and exercise stress testing for a comprehensive diastolic heart failure workup

The symptom cluster of shortness of breath(SOB) contributes significantly to the outpatient workload of cardiology services. The workup of these patients includes blood chemistry and biomarkers, imaging and functional testing of the heart and lungs. A diagnosis of diastolic heart failure is inferred through the exclusion of systolic abnormalities, a normal pulmonary function test and normal hemoglobin, coupled with diastolic abnormalities on echocardiography. Differentiating confounders such as obesity or deconditioning in a patient with diastolic abnormalities is difficult. While the most recent guidelines provide more avenues for diagnosis, such as incorporating the left atrial size, little emphasis is given to understanding left atrial function, which contributes to at least 25% of diastolic left ventricular filling; additionally, exercise stress testing to elicit symptoms and test the dynamics of diastolic parameters, especially when access to the "gold standard" invasive tests is lacking, presents clinical translational gaps. It is thus important in diastolic heart failure work up to understand left atrial mechanics and the role of exercise testing to build a comprehensive argument for the diagnosis of diastolic heart failure in a patient presenting with SOB.

Exercise manual for liver disease patients

AIM: To increase inspiratory muscle strength and improve the quality of life of candidates for liver transplantation.METHODS: Twenty-three candidates for liver transplantation participated in the control group and 14 made up the intervention group. The control group consisted of 18 men and 5 women, body mass index(BMI) 27.3 ± 4.5 kg/m2 and Model for End-Stage Liver Disease(MELD) 18.2 ± 6.1. The intervention group consisted of 11 men and 3 women, BMI 28.6 ± 5.4 kg/m2 and MELD 18 ± 4.5. The presence or absence of ascites was identified in the first patient evaluation and after three months. We evaluated maximal inspiratory pressure(MIP) and maximal expiratory pressure, spirometry, root mean square(RMS) of diaphragm and rectus abdominis, and the quality of life. The exercises were performed daily by patients at home for three months and were supervised at distance monthly. The manual consisted of diaphragmatic breathing exercises, diaphragmatic isometric exercise, Threshold IMT&#174;, lifting upper limbs with a bat and strengthening the abdomen. RESULTS: There was significant difference(P = 0.01) between the first(initial) and the third month(final) MIP in the control group and in the intervention group, but there was no difference(P = 0.45) between the groups.The RMS of the diaphragm was lower(P = 0.001) and the functional capacity was higher(P = 0.006) in the intervention group compared to the control. The general health and mental health domains received higher scores after three months in the control group(P = 0.01) and the intervention group(P = 0.004), but there was no significant difference between them. The comparison between the presence of initial ascites with the presence of ascites was performed after three months in the control group(P = 0.083) and intervention group(P = 0.31). There was no significant difference, in relation to the presence of ascites after three months between groups(P = 0.21). In the intervention group, patients with ascites at the end of the time period had decreased scores on the social aspects SF-36 domain(P = 0.023) compared to those who had no ascites. CONCLUSION: The proposed exercises provide an increase in the inspiratory muscle strength and improve functional capacity, consequently bettering the quality of life of liver disease patients.

Suggested Exercise Protocol for High Risk Population with COVID-19

Background: People who have underlying medical conditions and those over 60 years old have a higher risk of developing coronavirus disease complications (COVID-19) with more mortality rate. Breathing exercises is good for clearing the mucus from lungs and improves chest expansion while circulatory exercises enhance cardiopulmonary/vascular systems. Aim: This study aims to suggest exercise program for prevention, decrease morbidity and mortality in COVID-19 patients and patients with other respiratory co-morbidities. Conclusion: Regular simple exercises include respiratory and circulatory exercises may have a great effect on improving lung function and immunity in addition to relieving psychological stress thus can help in treatment of high risk people from COVID-19.

远程医疗管理在老年中重度慢性阻塞性肺疾病患者稳定期呼吸康复中的效果:一项随机对照研究

背景我国慢性阻塞性肺疾病(COPD)患者数量巨大,呼吸康复训练作为COPD患者稳定期管理的重要部分,可有效提高患者肺功能及生活质量,减少家庭及社会负担,国外有研究数据显示远程医疗管理下实施呼吸康复可提高患者的肺功能和生活质量(QOL)评分,但是国内,尤其是西部尚缺乏相关实践。目的评估通过远程医疗管理进行呼吸康复训练与传统治疗相结合对老年中重度COPD患者通气能力及肺功能的影响。方法本研究为前瞻性随机对照研究,连续性纳入2021年6月—2022年6月就诊于四川省第四人民医院及5个联合社区的COPD患者,采用随机数字表进行简单随机分组,将患者分为试验组和对照组。对照组接受传统的长期规律吸入支气管扩张剂及口服药物治疗,试验组在对照组治疗方案的基础上采用远程医疗管理。对两组患者进行为期6个月的研究,分别在基线时及干预1、3、6个月后记录患者的肺功能、博格评分(Borg评分)、6 min步行试验(6MWT)、QOL评分。结果研究对象分为对照组(72例)和试验组(73例),两组患者的性别、年龄及基线时肺功能[第1秒用力呼气末容积占预计值百分比(FEV_(1)%pred)及第1秒用力呼气末容积与用力肺活量(FVC)的比值(FEV_(1)/FVC)]比较,差异均无统计学意义(P>0.05)。时间和组间对FEV_(1)%pred、FEV_(1)/FVC、6MWT水平、QOL评分中呼吸困难、情绪存在交互作用(P<0.05)。干预1、3、6个月后,试验组FEV_(1)%pred、FEV_(1)/FVC、Borg评分、6MWT、QOL评分优于对照组(P<0.05);干预3、6个月后,试验组FEV_(1)%pred、FEV_(1)/FVC、Borg评分、6MWT、QOL评分优于干预后1个月时(P<0.05)。结论采用远程医疗管理对老年中重度COPD稳定期患者进行呼吸康复,干预3、6个月后能有效改善该类患者肺功能,提高生活质量及生存质量。

节拍式呼吸疗法在老年急性心肌梗死患者PCI术后家庭心脏康复中的应用效果

目的 探讨节拍式呼吸疗法在老年急性心肌梗死(AMI)患者经皮冠状动脉介入(PCI)术后家庭心脏康复中的应用效果。方法 纳入46例PCI术后老年AMI患者,其中观察组26例、对照组20例。两组患者在病情稳定出院后接受家庭心脏康复干预,其中观察组患者采取节拍式呼吸疗法,对照组患者采取常规腹式呼吸训练。在出院当天(干预前)和干预3个月后检测两组患者的血流动力学指标[每搏输出量(SV)、每搏输出量指数(SVI)、心排血量(CO)、心排血量指数(CI)、左心室做功(LVSW)、左心室做功指数(LVSWI)、加速指数(ACI)、速度指数(VI)、全身血管阻力(SVR)、全身血管阻力指数(SVRI)、心率及收缩压、舒张压],采用36项健康调查简表(SF-36)评定两组患者的生活质量。通过康复记录评估患者的家庭心脏康复干预依从性。结果 (1)干预3个月后,观察组的SV、SVI、CO、CI、VI、LVSW、LVSWI高于干预前水平,SVR、SVRI低于干预前(P<0.05);观察组的SV、SVI、CO、CI和VI高于对照组,SVR、SVRI和收缩压低于对照组(P<0.05)。(2)干预3个月后,观察组SF-36原始总分和生理功能维度、躯体疼痛维度、总体健康维度、活力维度、社会功能维度、情感职能维度、精神健康维度得分高于干预前(P<0.05);观察组SF-36原始总分和生理功能维度、躯体疼痛维度、总体健康维度和精神健康维度的得分高于对照组(P<0.05)。(3)观察组患者的家庭心脏康复干预依从性优于对照组(P<0.05)。结论 与常规腹式呼吸训练相比,应用节拍式呼吸疗法进行PCI术后家庭心脏康复,可以在短期内有效地降低老年AMI患者的体循环血管阻力,增强患者的左心室射血功能,提高其家庭心脏康复依从性,改善其生活质量,值得临床应用推广。

缩唇腹式呼吸联合有氧抗阻运动训练对慢性阻塞性肺疾病肺康复患者的影响

目的探讨缩唇腹式呼吸联合有氧抗阻运动训练对慢性阻塞性肺疾病(COPD)肺康复患者肺功能和运动耐力的影响。方法选取接受肺康复训练的COPD患者153例,按随机数表法分为对照组76例、研究组77例,对照组采用缩唇腹式呼吸训练,研究组采用缩唇腹式呼吸联合有氧抗阻运动训练。治疗3个月后,比较两组患者肺功能指标(用力肺活量(FVC)、1 s用力呼气容积(FEV1/FVC)、每min最大通气量(MVV))、呼吸困难分级(mMRC)、血气分析指标(动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))、动脉血二氧化碳分压(PaCO_(2))、6 min步行距离(6 MWD))以及外周血炎性因子(白介素10(IL-10)、IL-17)、血管重塑指标(血管内皮生长因子(VEGF)、高迁移率族蛋白B1(HMGB1))水平。结果治疗后,两组患者FVC、FEV1/FVC和MVV均升高(P<0.05),研究组FVC、FEV1/FVC和MVV显著高于对照组(P<0.05);治疗后,两组患者mMRC评分均降低(P<0.05),研究组显著低于对照组(P<0.05);治疗后,两组患者PaO_(2)、SaO_(2)升高(P<0.05),PaCO_(2)降低(P<0.05),且治疗后与对照组比较,研究组患者PaO_(2)、SaO_(2)升高(P<0.05),PaCO_(2)降低(P<0.05);治疗后,两组患者6MWD均升高(P<0.05),且治疗后研究组高于对照组(P<0.05);治疗后,两组患者外周血IL-10水平升高(P<0.05),IL-17、VEGF、HMGB1水平降低(P<0.05),且治疗后研究组IL-10水平高于对照组(P<0.05),IL-17、VEGF、HMGB1水平低于对照组(P<0.05)。结论缩唇腹式呼吸联合有氧抗阻运动训练能改善COPD肺康复患者肺功能和血气分析指标,提高运动耐力,减轻肺部炎症反应和血管重塑,值得临床推广。

呼吸训练对慢性心力衰竭患者预后影响的meta分析

目的 系统评价呼吸训练对慢性心力衰竭患者(CHF)的心肺功能、运动耐力及生活质量的影响。方法 从中国知网、万方医学网、维普资讯中文期刊服务平台、PubMed、EBSCO、Embase、Web of Science、The Cochrane Library、SinoMed等数据库检索关于呼吸训练对CHF患者心肺功能、运动耐力及生活质量影响的随机对照试验(RCT)文献,检索时限为建库至2023年12月。由2名研究人员独立进行文献筛选、资料提取和质量评价,最终整合后采用RevMan5.4软件进行meta分析。肺功能指标包括峰值摄氧量(PeakVO_(2))和二氧化碳通气当量斜率(VE/VCO_(2) slope),心功能指标包括左心室射血分数(LVEF)和脑利钠肽前体(NT-proBNP),以PeakVO_(2)和6 min步行试验(6MWT)评价运动耐力,以明尼苏达心力衰竭生活质量表(MLHFQ)评价生活质量。结果 纳入13篇RCT共900例患者。与对照组比较,观察组的呼吸训练明显增强了患者PeakVO_(2)、VE/VCO_(2) slope,差异均有统计学意义[标准化均方差(SMD)/均方差(MD)=0.47、-3.20,95%可信区间(95%CI)0.03~0.91、-4.49~-1.19,P=0.04、<0.001],改善了患者NT-proBNP、LVEF、6MWT、MLHFQ评分,差异均有统计学意义(MD/SMD=-134.25、0.53、77.71、-7.68,95%CI-141.95~-126.56、0.16~0.90、69.50~85.92、-8.99~-6.37,P<0.001、=0.005、<0.001、<0.001)。结论 呼吸训练能可显著增加CHF患者的肺功能及运能耐力,在一定程度上改善其心功能和生活质量。

呼吸康复操对进展性肺纤维化患者疗效观察

目的本研究探讨呼吸康复操对进展性肺纤维化(PPF)患者疗效的观察。方法将60例符合纳入标准的PPF出院患者为研究对象,采用随机数字表法分成对照组和治疗组,每组各30例。对照组给予常规用药指导和健康宣教,治疗组在此基础上于出院后进行呼吸康复操锻炼,疗程为3个月。两组患者均在治疗前后评估用力肺活量占预计值百分比(FVC%)、肺一氧化碳弥散量占预计值百分比(D_(L)CO%)、6分钟步行距离占预计值百分比(6MWD%)、呼吸困难程度(mMRC)、咳嗽视觉模拟量表(VAS)和健康状况量表(K-BILD)评分。结果经呼吸康复操锻炼后,治疗组肺功能中FVC%、D_(L)CO%均高于对照组(P<0.05);与治疗前对比,对照组FVC%、D_(L)CO%水平呈现下降趋势(P<0.01),治疗组治疗前后比较差异无统计学意义(P>0.05);治疗组6MWD%、mMRC、K-BILD均优于对照组(P<0.05),VAS评分差异无统计学意义(P>0.05)。结论呼吸康复操可以延缓PPF患者肺功能下降,提高活动耐力,缓解呼吸困难症状,提高治疗效果。

放松训练联合呼吸操对急性下肢深静脉血栓患者术前焦虑术后疼痛及治疗配合度的影响

目的 探讨放松训练联合呼吸操对血栓清除术治疗急性下肢深静脉血栓(LEDVT)患者术前焦虑、术后疼痛及治疗配合度的影响。方法 将96例急性LEDVT患者根据随机数字表法分为对照组和观察组,各48例。对照组患者给予常规干预,观察组患者给予放松训练联合呼吸操干预。采用汉密顿焦虑量表(HAMA)、广泛性焦虑量表(GAD-7)、视觉模拟评分法(VAS)、自制治疗配合度调查问卷及纽卡斯尔护理满意度量表(NSNS)评估两组患者术前焦虑情况、术后疼痛、治疗配合度及护理满意度,统计并比较两组患者住院期间并发症发生率。结果 干预后,两组患者HAMA、GAD-7评分均较干预前降低,且观察组患者HAMA、GAD-7、VAS评分均低于对照组(P<0.01);观察组患者治疗配合度、护理总满意度均高于对照组(P<0.05)。观察组患者并发症总发生率低于对照组,但差异无统计学意义(P>0.05)。结论 放松训练联合呼吸操可有效改善LEDVT患者行血栓清除术前的焦虑状态,缓解患者术后疼痛情况,显著提高患者治疗配合度及护理满意度,具有临床推广价值。

补肺一号方联合呬字诀呼吸操治疗COPD患者的临床研究

目的探讨补肺一号方联合呬字诀呼吸操对慢性阻塞性肺疾病(COPD)患者的临床疗效。方法选取2022年2月至2023年2月福建中医药大学附属第二人民医院收治的COPD稳定期肺气虚证患者90例作为研究对象。按照“就诊时间顺序编号”将对象分为三组,每组30例,试验1组(补肺1号方汤剂治疗),试验2组(补肺1号方汤剂联合呬字诀操锻炼治疗),对照组(吸入硫酸沙丁胺醇气雾剂治疗)。对比外周血Th17、Treg细胞含量、慢性阻塞性肺疾病评估测试评分(CAT)、肺活量(VC)、呼气峰流速(PEF)以及第1秒用力呼气容积(FEV_(1))。结果治疗后,试验2组的外周血Th17细胞含量以及CAT评分低于试验1组与对照组,差异有统计学意义(P<0.05);试验2组比对照组、试验1组的VC、PEF、FEV_(1)数值以及外周血Treg细胞含量更高(P<0.05);试验1组的外周血Th17细胞含量以及CAT评分低于对照组,差异有统计学意义(P<0.05);对照组相比于试验1组,其VC、PEF、FEV_(1)数值以及外周血Treg细胞含量更低(P<0.05)。结论在COPD稳定期患者的治疗中,采用补肺一号方联合呬字诀呼吸操能够有效调节患者肺功能指标,改善外周血Th17、Treg细胞含量,同时改善患者咳嗽、气喘等症状,提升睡眠质量,调整患者精神状态,促进患者康复。

无支撑上肢运动联合呼吸训练在稳定期COPD患者中的应用效果

【目的】探讨无支撑上肢运动联合呼吸训练在稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者中的应用效果。【方法】选取2021年7月至12月在河南科技大学第二附属医院诊治的90例稳定期COPD患者,按照随机数字表法分为观察组和对照组,每组45例。对照组采用常规护理干预,观察组在常规护理基础上加用无支撑上肢运动联合呼吸训练干预。比较两组总有效率、6 min步行距离、COPD患者评估测试表(CAT)评分、圣乔治呼吸问卷(SGRQ)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分。【结果】干预后,观察组总有效率高于对照组,差异有统计学意义(P<0.05);干预后,观察组6 min步行距离远于对照组,差异有统计学意义(P<0.05);干预后,观察组CAT评分、SGRQ评分、SDS评分、SAS评分均低于对照组,差异均有统计学意义(P<0.05)。【结论】无支撑上肢运动联合呼吸训练可加强稳定期COPD患者的运动耐力,改善患者生活质量,减轻患者焦虑、抑郁情绪,值得临床推广应用。