首页|以5A护理模式为基础的肺康复训练对老年COPD患者肺功能及生活质量的影响

以5A护理模式为基础的肺康复训练对老年COPD患者肺功能及生活质量的影响

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目的 探讨以 5A护理模式为基础的肺康复训练对老年慢性阻塞性肺疾病(COPD)患者肺功能及生活质量的影响.方法 选择我院 2021 年 3 月—2022 年 5 月收治的 106 例COPD患者为研究对象,以随机数字表法将其分为对照组和观察组,各53例.对照组采取常规护理,观察组在对照组基础上采取以 5A护理模式为基础的肺康复训练干预.比较两组肺功能、生活质量及护理满意度.结果 干预前,两组的肺功能与生活质量比较,组间差异无统计学意义(P﹥0.05).干预后,观察组用力肺活量(FVC)、第1 秒用力呼气容积(FEV1)分别为(2.79±0.49)L、(1.96±0.47)L,均大于对照组的(2.47±0.43)L、(1.54±0.38)L,FEV1/FVC为(71.52±8.61),高于对照组的(64.67±7.53),组间差异有统计学意义(P﹤0.05);观察组世界卫生组织生存质量测定量表简表的生理领域、环境领域、心理领域与社会关系领域各个维度评分均高于对照组,组间差异有统计学意义(P﹤0.05).结论 给予老年COPD患者以 5A护理模式为基础的肺康复训练进行干预,可明显促进其肺功能恢复,改善生活质量,并提高患者对护理人员服务的满意度.
Effects of Pulmonary Rehabilitation Training Based on 5A Nursing Model on Lung Function and Quality of Life in Elderly Patients with Chronic Obstructive Pulmonary Disease
Objective To explore the effects of pulmonary rehabilitation training based on 5A nursing model on lung function and quality of life in elderly patients with chronic obstructive pulmonary disease(COPD).Methods 106 COPD patients admitted to our hospital from March 2021 to May 2022 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 53 cases in each group.The control group was given routine nursing,and the observation group was given pulmonary rehabilitation training based on 5A nursing model on the basis of the control group.The lung function,quality of life and nursing satisfaction were compared between the two groups.Results Before intervention,there were no statistically significant differences in lung function and quality of life between the two groups(P﹥0.05).After intervention,the forced vital capacity(FVC)and forced expiratory volume in the first second(FEV1)of the observation group were(2.79±0.49)L and(1.96±0.47)L,respectively,which were greater than(2.47±0.43)L and(1.54±0.38)L of the control group,and FEV1/FVC was(71.52±8.61),which was higher than(64.67±7.53)in the control group,the differences between the two groups were statistically significant(P﹤0.05);the scores of physiological field,environmental field,psychological field and social relationship field of the World Health Organization Quality of Life Scale Brief version in the observation group were higher than those in the control group,and the differences between the two groups were statistically significant(P﹤0.05).Conclusion The intervention of pulmonary rehabilitation training based on 5A nursing model for elderly COPD patients can significantly promote the recovery of lung function,improve the quality of life,and improve the satisfaction of patients with the service of nursing staff.

Chronic obstructive pulmonary disease5A nursing modeLung rehabilitation trainingLung functionQuality of life

张彩霞、殷长靖、姚兰娟

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滨州医学院附属医院老年医学科,山东滨州 256603

慢性阻塞性肺疾病 5A护理模式 肺康复训练 肺功能 生活质量

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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