Influence of micro-customary pulmonary rehabilitation nursing on rehabilitation compliance and therapeutic effect in patients with chronic obstructive pulmonary disease
Objective To explore the effect of micro-customary pulmonary rehabilitation nursing on the rehabilitation compliance and therapeutic effect in patients with chronic obstructive pulmonary disease(COPD).Methods This study was a randomized controlled trial.A total of 86 patients with COPD treated in the Department of Respiratory and Critical Care Medicine,The First Affiliated Hospital of Guangzhou Medical University from March 2021 to July 2022 were selected and were divided into a control group and an experimental group according to the random number table method,with 43 cases in each group.In the control group,there were 16 males and 27 females,aged(62.02±11.80)years.There were 18 males and 25 females in the experimental group,aged(65.79±9.82)years.The control group adopted the pulmonary rehabilitation nursing mode,which was led by the pulmonary rehabilitation nurses,centered on airway clearance,assisted by breathing and exercise training,and accompanied by full health education.On this basis,the experimental group established and applied micro-customary pulmonary rehabilitation nursing.The compliance and effect of rehabilitation were compared between the two groups.x2 test and independent sample ttest were used.Results The compliance ofthe control group was(68.4±23.0)%,and that of the experimental group was(94.8±5.4)%,with a statistically significant difference between the two groups(t=7.195,P<0.005).After 3 months of intervention,the 6-min walking distance of the experimental group was(468.2±102.0)m,the peak expiratory flow accounted for(67.5±20.5)%of the predicted value,and the forced expiratory volume in the first second accounted for(66.6±15.0)%of the predicted value,which were higher than(414.9±107.2)m,(51.8±19.8)%,and(56.3±17.4)%of the control group,with statistically significant differences(t=2.860,P=0.007;t=4.758,P<0.001;t=3.871,P<0.001).Conclusion Micro-customary pulmonary rehabilitation nursing can improve the compliance and effect of COPD patients,which is worthy of clinical recommendation.