摘要
目的:探讨基于格林模式的肺康复训练对肺癌合并慢性阻塞性肺疾病(COPD)术后患者居家康复的效果.方法:将2022 年 7 月1 日～10 月31 日收治的50 例COPD患者纳入对照组,实施常规出院健康教育;将2022 年11 月1 日～2023 年4 月30日收治的 51 例COPD患者纳入实验组,通过云平台的媒介实施基于格林模式的居家肺康复训练.比较两组入院时、出院 4 周后肺功能[包括第一秒用力呼气容积(FEV1)、呼气峰值流速(PEF)]、血气分析[包括动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、动脉血氧饱和度(SaO2)]、运动能力[6 分钟步行距离(6MWD)],两组术后肺部并发症(PPCs)发生情况、康复训练依从性情况.结果:出院 4 周后,实验组FEV1、PEF、PaO2、PaCO2、SaO2 指标及 6MWD均优于对照组(P<0.05,P<0.01);实验组康复训练依从性高于对照组(P<0.01),PPCs发生率低于对照组(P<0.05).结论:基于格林模式的肺康复训练能改善肺癌合并COPD术后患者肺功能、提高康复依从性,保证康复质量.
Abstract
Objective:To explore the effect of pulmonary rehabilitation training based on Precede-Proceed model on home rehabilitation of postoperative patients with lung cancer complicated with chronic obstructive pulmonary disease(COPD).Methods:A total of 50 COPD patients admitted from July 1 to October 31,2022 were included in the control group,and routine discharge health education was implemen-ted.Other 51 COPD patients admitted from November 1,2022 to April 30,2023 were included in the experimental group,and the home pulmonary rehabilitation training based on Precede-Proceed model was implemented through the medium of the online platform.The pulmo-nary function,including FEV1,PEF,PaO2,PaCO2,SaO2,6MWD,PPCs and the compliance of rehabilitation training were compared be-tween the two groups at admission and 4 weeks after discharge.Results:Four weeks after discharge,FEV1,PEF,PaO2,PaCO2,SaO2 and 6MWD in the experimental group were better than those in the control group(P<0.05,P<0.01).The compliance of rehabilitation training in the experimental group was higher than that in the control group(P<0.01),and the incidence of PPCs was lower than that in the control group(P<0.05).Conclusion:Pulmonary rehabilitation training based on Precede-Proceed model can improve the lung function and reha-bilitation compliance of patients with lung cancer complicated with COPD after surgery,and can ensure the quality of rehabilitation.
基金项目
山东省老年医学学会2021年度科技发展计划项目(LKJGG2021Y034)
NETL
NSTL
万方数据