首页|健康教育干预联合运动康复治疗在肺尘埃沉着病患者中的应用效果

健康教育干预联合运动康复治疗在肺尘埃沉着病患者中的应用效果

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目的 探讨健康教育干预联合运动康复治疗在肺尘埃沉着病患者中的应用效果。方法 选择2017-2021年经江西省尘肺病诊断组诊断,在中国疾病预防控制中心信息系统上网络直报,并且在于都县铁山垅镇卫生院就诊的93例肺尘埃沉着病患者为研究对象,采用随机数字表法分为健康教育组、运动康复组、联合组,每组31例,分别给予健康教育干预、运动康复治疗、健康教育联合运动康复治疗。随访6个月,比较三组患者治疗前后肺功能、血氧饱和度(SpO2)、运动耐力及生存质量差异。结果 治疗前,三组患者第1秒用力呼吸容积(FEV1)、用力肺活量(FVC)、FEV1/FVC、SpO2、6min步行距离(6MWT)、圣乔治呼吸问卷(SGRQ)及健康调查简表(SF-36)评分比较,差异无统计学意义(P>0。05)。治疗后,三组患者FVC、FEV1/FVC、SpO2、6MWT、SF-36评分均高于本组治疗前,而SGRQ评分低于本组治疗前,差异有统计学意义(P<0。05);三组患者FVC、FEV1/FVC、SpO2、6MWT、SGRQ、SF-36评分比较,差异有统计学意义(P<0。05);FEV1/FVC、6MWT组间两两比较,差异有统计学意义(P<0。05);联合组SGRQ、SF-36评分高于健康教育组和运动康复组,差异有统计学意义(P<0。05)。结论 健康教育干预联合运动康复治疗可提高肺尘埃沉着病患者血氧饱和度和运动耐力,并有效改善患者肺功能及生存质量,值得推广。
Application effect of health education intervention combined with exercise rehabilitation in patients with pneumoconiosis
Objective To explore the effect of health education intervention combined with exercise rehabilitation in pa-tients with pneumoconiosis.Methods A total of 93 pneumoconiosis patients diagnosed by Jiangxi provincial pneumoconiosis diagnosis team from 2017 to 2021,reported directly on the information system of Chinese Center for Disease Control and Prevention,and treated in Tieshanlong Town Health Center of Yudu County were selected as study subjects.They were di-vided into health education group,exercise rehabilitation group and combined group according to random number table method,with 31 cases in each group.Health education intervention,exercise rehabilitation treatment,health education com-bined with exercise rehabilitation treatment were given respectively.After 6 months of follow-up,pulmonary function,blood oxygen saturation(SpO2),exercise endurance and quality of life of the three groups were compared before and after treat-ment.Results Before treatment,there were no significant differences in forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC),FEV1/FVC,SpO2,6 minute walking distance(6MWT),St.George's respiratory questionnaire(SGRQ)and the MOS 36-item short form health survey(SF-36)scores among the three groups(P>0.05).After treatment,the scores of FVC,FEV1/FVC,SpO2,6MWT and SF-36 in the three groups were higher than those before treatment,while the scores of SGRQ were lower than those before treatment,with statistical significances(P<0.05).There were significant differences in FVC,FEV1/FVC,SpO2,6MWT,SGRQ and SF-36 scores among three groups(P<0.05).The pairwise comparison of FEV1/FVC and 6MWT was statistically significant(P<0.05).The SGRQ and SF-36 scores of the combined group were higher than those of the health education group and the exercise rehabilitation group,and the differences were statistically significant(P<0.05).Conclusion Health education intervention combined with exercise rehabilitation can improve blood oxygen saturation and exercise endurance of patients with pneumoconiosis,and effectively improve lung function and life quality of patients,which is worth popularizing.

PneumoconiosisRehabilitation therapyCardiopulmonary functionEfficacy

段德昌、宋英利、崔开旺、黄玉梅、廖艳芳

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江西省赣州市疾病预防控制中心职业卫生科,江西赣州 341000

江西省赣州市第五人民医院呼吸与危重症医学科,江西赣州 341000

肺尘埃沉着病 康复治疗 心肺功能 疗效

江西省卫生健康委科技计划项目

202312003

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(9)
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