[1]张吉瑞.呼吸康复护理联合分级运动训练对慢性阻塞性肺疾病患者呼吸功能及运动耐力的影响[J].医学信息,2024,37(13):157-160.[doi:10.3969/j.issn.1006-1959.2024.13.034]
 Effect of Respiratory Rehabilitation Nursing Combined with Graded Exercise Training on Respiratory Function and Exercise Endurance in Patients with Chronic Obstructive Pulmonary Disease.Effect of Respiratory Rehabilitation Nursing Combined with Graded Exercise Training on Respiratory Function and Exercise Endurance in Patients with Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2024,37(13):157-160.[doi:10.3969/j.issn.1006-1959.2024.13.034]
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呼吸康复护理联合分级运动训练对慢性阻塞性肺疾病患者呼吸功能及运动耐力的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
157-160
栏目:
护理研究
出版日期:
2024-07-01

文章信息/Info

Title:
Effect of Respiratory Rehabilitation Nursing Combined with Graded Exercise Training on Respiratory Function and Exercise Endurance in Patients with Chronic Obstructive Pulmonary Disease
文章编号:
1006-1959(2024)13-0157-04
作者:
张吉瑞
(天津市胸科医院呼吸四科,天津 300222)
Author(s):
Effect of Respiratory Rehabilitation Nursing Combined with Graded Exercise Training on Respiratory Function and Exercise Endurance in Patients with Chronic Obstructive Pulmonary Disease
(The Fourth Department of Respiratory,Tianjin Chest Hospital,Tianjin 300222,China)
关键词:
呼吸康复护理分级运动训练慢性阻塞性肺疾病呼吸功能运动耐力
Keywords:
espiratory rehabilitation nursingGraded exercise trainingChronic obstructive pulmonary diseaseRespiratory functionExercise tolerance
分类号:
R563
DOI:
10.3969/j.issn.1006-1959.2024.13.034
文献标志码:
A
摘要:
目的 研究呼吸康复护理联合分级运动训练对慢性阻塞性肺疾病患者呼吸功能及运动耐力的影响。方法 选取2021年3月-2022年3月在天津市胸科医院诊治的62例慢性阻塞性肺疾病患者为研究对象,采用随机数字表法分为对照组和观察组,各组31例。对照组采用常规护理,观察组在对照组基础上应用呼吸康复护理联合分级运动训练,比较两组患者6 min步行距离、肺功能指标[用力肺活量(FVC)、第一秒用力呼气容积(FEV1)及FEV1/FVC%、呼吸功能指标[气道峰值吸气压力(PIP)、气道阻力(RAW)],以及护理满意度。结果 两组护理后6 min步行距离均大于护理前,且观察组大于对照组(P<0.05);两组护理后FVC、FEV1、FEV1/FVC%均高于护理前,且观察组高于对照组(P<0.05);两组护理后PIP、RAW均低于护理前,且观察组低于对照组(P<0.05);观察组护理满意度为93.55%,高于对照组的80.65%(P<0.05)。结论 呼吸康复护理联合分级运动训练可改善慢性阻塞性肺疾病患者呼吸功能,促进肺功能恢复,提高运动耐力,提升护理满意度。
Abstract:
Objective To study the effect of respiratory rehabilitation nursing combined with graded exercise training on respiratory function and exercise endurance in patients with chronic obstructive pulmonary disease.Methods A total of 62 patients with chronic obstructive pulmonary disease who were diagnosed and treated in Tianjin Chest Hospital from March 2021 to March 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 31 patients in each group. The control group was treated with routine nursing, and the observation group was treated with respiratory rehabilitation nursing combined with graded exercise training on the basis of the control group. The 6 min walking distance, lung function indexes [forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and FEV1/FVC%, respiratory function indexes [peak inspiratory pressure (PIP), airway resistance (RAW)] and nursing satisfaction were compared between the two groups.Results The 6 min walking distance of the two groups after nursing was greater than that before nursing, and that of the observation group was greater than that of the control group (P<0.05). After nursing, FVC, FEV1 and FEV1/FVC% in the two groups were higher than those before nursing, and those in the observation group were higher than those in the control group (P<0.05). After nursing, PIP and RAW in the two groups were lower than those before nursing, and those in the observation group were lower than those in the control group (P<0.05). The nursing satisfaction of the observation group was 93.55%, which was higher than 80.65% of the control group (P<0.05).Conclusion Respiratory rehabilitation nursing combined with graded exercise training can improve the respiratory function of patients with chronic obstructive pulmonary disease, promote the recovery of lung function, improve exercise endurance and improve nursing satisfaction.

参考文献/References:

[1]Henoch I,Strang P,L?觟fdahl CG,et al.Equal palliative care for patients with COPD A nationwide register study[J].Upsala Journal of Medical Sciences,2019,124(2):140-147.[2]刘啟,孙家蓉,万婷,等.基于行为转变理论的综合康复护理措施对慢性阻塞性肺疾病稳定期患者的效果[J].临床与病理杂志,2018,38(5):1043-1048.[3]谭春苗,周向东,伊焕英,等.出院计划模式在慢性阻塞性肺疾病患者护理中的应用[J].中国康复医学杂志,2018,33(7):845-849.[4]孙娜.老年慢性阻塞性肺疾病患者应用综合康复护理措施对肺功能的影响[J].实用临床医药杂志,2018,22(14):19-22.[5]张弛.康复护理团队干预对老年慢性阻塞性肺病(COPD)稳定期疗效分析[J].黑龙江医药,2018,31(5):1154-1155.[6]刘萍,王永斌,高天霖,等.综合性肺康复治疗对稳定期慢性阻塞性肺疾病患者运动能力与生存质量影响[J].中国康复医学杂志,2016,31(8):884-888.[7]中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.慢性阻塞性肺疾病基层诊疗指南(实践版·2018)[J].中华全科医师杂志,2018,17(11):871-877.[8]谭平,龙苗.护理干预对慢性阻塞性肺疾病急性加重期患者负性情绪及治疗依从性的影响[J].河北医学,2016,22(10):1706-1708.[9]张继华,张丽琼,杨耀鹏,等.营养和心理干预联合肺康复训练操对慢阻肺患者的疗效[J].中华医学杂志,2020,100(2):110-115.[10]张晓燕,焦兴爱,孙翔.无创呼吸机联合安全护理对慢阻肺合并Ⅱ型呼吸衰竭患者的影响[J].齐鲁护理杂志,2019,25(11):12-14.[11]邓云兰,冯月荣.整体护理干预对外伤性硬膜外血肿伴颅骨缺损术后生活质量及护理工作满意度的影响[J].医学信息,2022,35(10):183-185.[12]吴挺实,陈钰,梁勇.个体化健康教育模式对改善稳定期慢阻肺患者行为和生活质量的作用[J].中国健康教育,2017,33(9):855-858.[13]刘毓英,韩洁,王红,等.PDCA循环管理对慢阻肺患者呼吸、运动功能及生命质量的影响[J].贵州医药,2019,43(3):467-468.[14]孙印,韦海燕.慢阻肺患者血清IL-17TLR4水平与FEV1%predmMRC分级及CAT评分的相关性[J].河北医学,2020,26(10):1630-1633.[15]董玉环.优化护理对慢阻肺患者肺功能及满意度的影响[J].河北医药,2018,40(20):3189-3191.[16]肖汉,孔德生,张妍,等.患者感知医患共情对慢阻肺患者炎症因子的影响:焦虑、自我效能、睡眠的中介作用[J].中国临床心理学杂志,2020,28(3):611-614.[17]仇晓敏,邵志燕,鲍晓芳.老年慢阻肺疾病护理中优质护理应用的效果分析[J].中国妇幼健康研究,2017,28(2):383-384.[18]虞萍,姜秀峰.健身气功八段锦锻炼应用于慢性阻塞性肺疾病稳定期患者效果观察[J].皖南医学院学报,2019,38(6):607-610.[19]孔令霞,王宏伟.品管圈在降低慢性阻塞性肺疾病老年患者机械通气并发症发生率中的应用[J].检验医学与临床,2017,14(18):2664-2666.[20]邓智健.个体化健康教育模式对改善稳定期慢阻肺患者行为和生活质量的影响[J].牡丹江医学院学报,2019,40(6):46-47.

更新日期/Last Update: 1900-01-01