目的 为慢性阻塞性肺气肿患者开展呼吸功能训练联合优质护理,观察其对患者肺功能的影响.方法 随机选取2021年1月—2023年1月莆田市第一医院收治的60例慢性阻塞性肺气肿患者为研究对象,采用随机数表法分为对照组(30例,常规护理)和观察组(30例,呼吸功能训练联合优质护理).观察两组患者护理前后的肺功能指标[第 1 s呼气容积(Forced Expiratory Volume in One Second,FEV1)、用力肺活量(Forced Vital Capacity,FVC)、FEV1/FVC]、运动耐力[6 min步行测试(6 Minutes Walk Test,6 MWT)]与呼吸功能障碍[伯格量表(Borg Scale)]、生活质量评分[圣乔治呼吸问卷(St.George's Breath Questionnaire,SGRQ)].结果 护理后,观察组FEV1(1.64±0.32)L高于对照组(1.46±0.31)L,FVC(2.32±0.47)L高于对照组(1.97±0.51)L,FEV1/FVC(65.17±3.02)%高于对照组(59.22±3.02)%,差异有统计学意义(t=2.213,2.764,7.631,P均<0.05);观察组的6 MWT远于对照组,Borg量表评分低于对照组,差异有统计学意义(P均<0.05);观察组的临床症状、疾病影响、日常活动以及SGRQ总评分低于对照组,差异有统计学意义(P均<0.05).结论 为慢性阻塞性肺气肿患者应用呼吸功能训练联合优质护理,对改善肺功能有积极帮助,可明显提升运动耐力和呼吸功能,促使患者生活质量提高.
Effect of Respiratory Function Training Combined with Quality Nursing Care on Pulmonary Function in Patients with Chronic Obstructive Pulmo-nary Emphysema
Objective To carry out respiratory function training combined with quality nursing care for patients with chronic obstructive pulmonary emphysema,and to observe the effect on patients'lung function.Methods A total of 60 patients of chronic obstructive pulmonary emphysema patients admitted to Putian First Hospital between January 2021 and January 2023 were randomly selected as the study objects,and were divided into the control group(30 cases,rou-tine care)and the observation group(30 cases,respiratory function training combined with quality nursing care)by random number table method.The pulmonary function indexes[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),FEV1/FVC],6 minutes walk test(6 MWT)and respiratory dysfunction(Borg Scale),and quality of life score[St.George's Breath Questionnaire(SGRQ)]before and after care were observed in both groups.Results After care,the FEV1 of the observation group was(1.64±0.32)L,which was higher than that of the control group(1.46±0.31)L.The FVC in the observation group was(2.32±0.47)L,which was higher than(1.97±0.51)L in the con-trol group.The FEV1/FVC of the observation group was(65.17±3.02)%,which was higher than that of the control group(59.22±3.02)%,and the differences were statistically significant(t=2.213,2.764,7.631,all P<0.05).The 6 MWT of the observation group was longen than that of the control group,and the Borg scale score was lower than that of the control group,and the differences were statistically significant(both P<0.05).The clinical symptoms,disease im-pact,daily activities,and total SGRQ scores of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The application of respiratory function training combined with quality nursing care for patients with chronic obstructive pulmonary emphysema is positively helpful in improving pulmonary function,which can significantly improve exercise endurance and respiratory function,and con-tribute to the improvement of patients'quality of life.
Chronic obstructive pulmonary emphysemaRespiratory function trainingQuality nursingLung function
NETL
NSTL
万方数据
维普
