首页|三阶段肺康复程序护理联合呼吸训练在慢性阻塞性肺疾病急性加重期患者恢复中的应用效果

三阶段肺康复程序护理联合呼吸训练在慢性阻塞性肺疾病急性加重期患者恢复中的应用效果

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目的 探讨三阶段肺康复程序护理联合呼吸训练在慢性阻塞性肺疾病急性加重期(AECOPD)患者恢复中的应用效果.方法 选择 2021 年10月—2023年 9 月滨州医学院烟台附属医院收治的 78 例AECOPD患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 39 例.对照组采用常规护理,观察组采用三阶段肺康复程序护理联合呼吸训练.比较两组患者的肺功能、呼吸困难症状及运动耐力.结果 护理后,观察组的用力肺活量(FVC)、第1秒用力呼气容积(FEV1)均大于对照组、FEV1/FVC高于对照组,组间差异有统计学意义(P<0.05);观察组的改良版英国医学研究会呼吸困难量表评分为(1.64±0.24)分,低于对照组的(2.25±0.68)分,6 min步行距离为(357.49±30.25)m,长于对照组的(269.82±25.99)m,组间差异有统计学意义(P<0.05).结论 三阶段肺康复程序护理联合呼吸训练能更好地提高AECOPD患者的肺功能,减轻其呼吸困难症状,改善其运动耐力及生活质量,可进一步促进疾病康复.
Effect of Three-Stage Pulmonary Rehabilitation Program Nursing Combined with Respiratory Training on Recovery of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Objective To explore the effect of three-stage pulmonary rehabilitation program nursing combined with respiratory training on the recovery of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 78 AECOPD patients admitted to Yantai Affiliated Hospital of Binzhou Medical College from October 2021 to September 2023 were selected as the research objects and were divided into a control group and an observation group by random number table method,with 39 cases in each group.The control group received routine nursing,and the observation group received three-stage pulmonary rehabilitation program nursing combined with respiratory training.The pulmonary function,dyspnea symptoru and exercise endurance were compared between the two groups.Results After nursing,The forced vital capacity(FVC)and the forced expiratory volume in the first second(FEV1)of the observation group were greater than those of the control group,and the ratio of FEV1/FVC was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05);the modified British Medical Research council Dyspnea Scale(mMRC)of the observation group was(1.64±0.24)points,which was lower than(2.25±0.68)points of the control group,and the 6-min walking distance was(357.49±30.25)m,which was longer than(269.82±25.99)m of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The three-stage pulmonary rehabilitation program nursing combined with respiratory training can better improve the pulmonary function of AECOPD patients,reduce their dyspnea symptoms,improve their exercise endurance and quality of life,and further promote the rehabilitation of the disease.

Acute exacerbation of chronic obstructive pulmonary diseaseThree-Stage pulmonary rehabilitation program nursingRespiratory trainingPulmonary functionExercise endurance

孙长安、刘珊、徐宁

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滨州医学院烟台附属医院重症医学科,山东 烟台 264100

滨州医学院烟台附属医院介入手术室,山东 烟台 264100

滨州医学院附属医院党委院长办公室,山东 滨州 256600

慢性阻塞性肺疾病急性加重期 三阶段肺康复程序护理 呼吸训练 肺功能 运动耐力

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(14)