目的 探讨慢性阻塞性肺疾病(COPD)合并高血压患者实施负荷深呼吸训练联合精细化护理的影响。 方法 选取该院2019年7月至2021年7月收治的COPD伴高血压患者100例，根据双色球分为对照组和试验组，各50例。两组均采用饮食护理，对照组实施常规呼吸训练，试验组实施负荷深呼吸训练。对两组干预前后的肺功能和血压水平，营养指标和肠黏膜屏障功能指标进行比较；应用日常生活能力量表(Activity Living Scale，ADL)对两组干预前后的生活能力进行评分。 结果 干预前两组肺功能、血压、营养指标以及肠黏膜屏障功能指标、日常生活能力差异无统计学意义；干预7 d后试验组患者肺功能和血压水平改善情况，营养指标和肠黏膜屏障功能指标以及生活能力评分高于对照组，差异有统计学意义(P<0。05)。 结论 COPD合并高血压患者给予负荷深呼吸训练联合饮食护理，通过呼吸训练改善肠道蠕动提升精细化护理流程，改善营养状态提高日常生活能力，可加快肺功能的恢复。 Objective To explore the influence of load deep breathing training combined with refined care in patients with COPD and hypertension。 Methods A total of 100 hypertensive COPD patients were admitted in this Hospital from July 2019 to July 2021。According to the double chromosphere was divided into reference and observation groups， 50 cases each。All two groups were given fine dietary care， routine breathing training was implemented in the reference group， and load deep breathing training was implemented in the observation group。Lung function and blood pressure level， nutrition index and intestinal mucosal barrier function indexes before and after the intervention were compared with the living scale (Activity Living Scale， ADL)。 Results Before the intervention， there was no difference in lung function， blood pressure， nutrition index， intestinal mucosal barrier function index and daily living ability， with no statistical significance (P>0。05)。 After 7 d of intervention， the patients improved lung function and blood pressure level， nutrition index， intestinal mucosal barrier function index and living ability score were higher than the reference group， and the difference was statistically significant respectively (P<0。05)。 Conclusions Patients with COPD and hypertension combined with load-based deep breathing training and refined nursing， which can improve intestinal peristalsis， improve nutritional status and improve daily living ability， and accelerate the recovery effect of pulmonary function。
Effect of load deep breathing training combined with refined dietary care in patients with COPD and hypertension
Objective To explore the influence of load deep breathing training combined with refined care in patients with COPD and hypertension. Methods A total of 100 hypertensive COPD patients were admitted in this Hospital from July 2019 to July 2021.According to the double chromosphere was divided into reference and observation groups, 50 cases each.All two groups were given fine dietary care, routine breathing training was implemented in the reference group, and load deep breathing training was implemented in the observation group.Lung function and blood pressure level, nutrition index and intestinal mucosal barrier function indexes before and after the intervention were compared with the living scale (Activity Living Scale, ADL). Results Before the intervention, there was no difference in lung function, blood pressure, nutrition index, intestinal mucosal barrier function index and daily living ability, with no statistical significance (P>0.05). After 7 d of intervention, the patients improved lung function and blood pressure level, nutrition index, intestinal mucosal barrier function index and living ability score were higher than the reference group, and the difference was statistically significant respectively (P<0.05). Conclusions Patients with COPD and hypertension combined with load-based deep breathing training and refined nursing, which can improve intestinal peristalsis, improve nutritional status and improve daily living ability, and accelerate the recovery effect of pulmonary function.
Load deep-breathing trainingRefined dietary careCOPD with hypertensionLung functionQuality of life
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