首页|多元化健康教育对老年慢阻肺稳定期患者呼吸肌群锻炼的作用效果

多元化健康教育对老年慢阻肺稳定期患者呼吸肌群锻炼的作用效果

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目的:在多元化健康教育应用后,观察该教育模式对老年稳定期慢性阻塞性肺疾病(Stable chronic obstructive pulmonary disease,sCOPD)患者呼吸肌群锻炼的影响.方法:本研究开展前瞻性研究,将我院 2023年 1 月至 2023年 11 月收治的106 例老年sCOPD患者纳入本研究,分成两组,按照随机数字表法进行分组,即A组与B组,其中B组患者行常规健康教育,A组患者在B组基础上采用多元化健康教育.对比两组患者干预前、干预 3 m后自我效能感、疾病认知得分情况、最大通气能力(Maximal voluntary ventilation,MVV)及 6 min步行距离(Six minutes walk test,6MWT),比较两组干预 3 m后呼吸功能锻炼依从性.结果:干预 3 m后,两组患者自我效能评分较干预前均有所上升,较之B组,A组各项评分更高,P<0.05.患者经干预 3 m后,两组患者疾病知识评分中基本知识、治疗知识、自我护理、肺康复锻炼评分均较干预前上升,A组各项评分高于B组,P<0.05.干预 3 m后,两组患者MVV、6MWT水平较干预前上升且A组高于B组,P<0.05;(4)A组患者缩唇呼吸、腹式呼吸、全身性呼吸体操按时做的人数明显高于B组.结论:多元化健康教育对老年sCOPD患者干预效果理想,能够明显提高患者自我效能及认知水平,加强肺功能及肢体运动功能,提升锻炼的依从性.
Effect of diversified health education on respiratory muscle exercise in elderly patients with chronic obstructive pulmonary disease
Objective:To observe the effect of the education mode on respiratory muscle exercise in elderly patients with stable chronic obstructive pulmonary disease(sCOPD)after applying diversified health education.Methods:In this prospective study,106 elderly sCOPD patients admitted to our hospital from January 2023 to November 2023 were included in this study and divided into group A and group B according to random number table method.Patients in group B received routine health education,and patients in group A received diversified health education based on group B.Self-efficacy,disease cognition score,maximal voluntary ventilation(MVV)and six minutes walk test(6MWT)of the two groups were compared before intervention and 3 months after intervention.The respiratory function exercise compliance of the two groups was compared after 3 months of intervention.Results:After 3 months of intervention,the self-efficacy scores of patients in both groups increased compared with those before intervention,and the scores in group A were higher than those in group B(P<0.05).After 3 months of intervention,the scores of basic knowledge,treatment knowledge,self-care and pulmonary rehabilitation exercise in both groups were higher than before intervention,and the scores in group A were higher than those in group B(P<0.05).After 3 months of intervention,the levels of MVV and 6MWT in 2 groups were higher than before intervention,and group A was higher than group B(P<0.05);(4)The number of patients in group A who performed lip contraction breathing,abdominal breathing and systemic breathing exercises on time was significantly higher than that in group B.Conclusion:The intervention effect of diversified health education is ideal for elderly sCOPD patients,which can significantly improve patients'self-efficacy and cognitive level,enhance lung function and limb motor function,and improve exercise compliance.

Diversified health educationStable stage of chronic obstructive pulmonary diseaseRespiratory muscle groupExercise effectElderly patients

刘丛、陈月、姜亚杰

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漯河市第七人民医院呼吸二科,河南 漯河 462000

漯河市第七人民医院呼吸一科,河南 漯河 462000

多元化健康教育 慢性阻塞性肺疾病稳定期 呼吸肌群 锻炼效果 老年患者

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(9)
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