老年慢性阻塞性肺疾病患者的综合家庭肺康复研究
Effect of comprehensive home-based pulmonary rehabilitation in older patients with chronic obstructive pulmonary disease
徐娜平 1张野 2刘贤亮 2汪冕 3李琳琴1
作者信息
- 1. 华中科技大学协和深圳医院呼吸与危重症医学科(广东深圳,518052)
- 2. 华中科技大学协和深圳医院护理部(广东深圳,518052)
- 3. 香港理工大学护理学院
- 折叠
摘要
目的 制定适合老年慢性阻塞性肺疾病患者的综合家庭肺康复方案,以提高肺康复效果.方法 将60例病情稳定出院的老年慢性阻塞性肺疾病患者随机分为对照组和干预组各30例.对照组实施常规护理,干预组实施基于证据的综合家庭肺康复方案,干预6个月.采用呼吸困难评分、6 min步行试验、圣乔治呼吸问卷进行效果评价.结果 干预3个月、6个月干预组呼吸困难评分及圣乔治呼吸问卷得分显著低于对照组,6 min步行试验距离显著长于对照组(均P＜0.05).结论 对老年慢性阻塞性肺疾病稳定期患者实施综合家庭肺康复,有助于改善呼吸困难症状、提高机体活动能力、改善生活质量.
Abstract
Objective To develop a comprehensive home-based pulmonary rehabilitation protocol for older patients with chronic ob-structive pulmonary disease(COPD),and to improve rehabilitation efficacy.Methods Sixty older patients with stable COPD were randomly divided into a control group and an intervention group,with 30 in each group,receiving either routine care or evidence-based comprehensive home-based pulmonary rehabilitation for 6 months.The effect was evaluated using the St.George's Respira-tory Questionnaire(SGRQ),6-minute walk test(6 MWT),and the modified Medical Research Council(mMRC)scale dyspnea score.Results The intervention group had significantly lower dyspnea score and SGRQ score,whereas significantly longer 6-minute walk distance after 3 and 6 months of intervention compared with the control group(all P＜0.05).Conclusion Comprehensive home-based pulmonary rehabilitation can ameliorate dyspnea in older patients with stable COPD,enhance their ability to perform physical activity,and improve quality of life.
关键词
老年患者/慢性阻塞性肺疾病/肺康复/呼吸困难/活动能力/生活质量/运动锻炼/家庭肺康复Key words
older patients/chronic obstructive pulmonary disease/pulmonary rehabilitation/dyspnea/mobility/quality of life/physical exercise/home-based pulmonary rehabilitation引用本文复制引用
基金项目
深圳市南山区卫生科技项目(2020036)
深圳市科创委基础研究面上项目(JCYJ20190809104805486)
出版年
2024
NETL
NSTL
万方数据