Application effect of stepped rehabilitation nursing in elderly patients with acute exacerbation of chronic obstructive pulmonary disease
Objective To explore the effect of stepped rehabilitation nursing in elderly patients with a-cute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 74 elderly pa-tients with AECOPD admitted to the hospital from January 2022 to January 2023 were divided into two groups by random number table method,37 cases in each group.The control group was given routine nursing,while the observation group was given routine nursing combined with stepped rehabilitation nursing.The lung function,motor function,degree of dyspnea,daily living ability,psychological status and complications were compared between the two groups.Results After eight weeks of discharge,the forced expiratory volume in the first second(FEV1)and FEV1/forced vital capacity of the two groups were higher than those at admis-sion,and the observation group was higher than the control group,the differences were statistically significant(P＜0.05).The modified medical research council dyspnea scale scores of the two groups were lower than those at admission,and the observation group was lower than the control group.The six min walking distance and Barthel index scores of the two groups were higher than those at admission,and the observation group was higher than the control group.The differences were statistically significant(P＜0.05).The scores of self-rating anxiety scale and self-rating depression scale in the two groups were lower than those at admission,and the scores in the observation group were lower than those in the control group,the differences were statistical-ly significant(P＜0.05).There was no significant difference in the incidence of complications between the two groups at hospitalization and follow-up after discharge(P＞0.05).Conclusion Stepped rehabilitation nursing for elderly patients with AECOPD can improve lung function,improve daily living ability and exercise ability,and alleviate negative emotions.
Chronic obstructive pulmonary diseaseAcute exacerbation stageElderlyStepwise rehabilitation nursingLung function
万方数据
维普
