Objective To explore the value of hand Taiyin lung meridian tapping combined with traditional Chinese medicine five tone therapy in the nursing of stable chronic obstructive pulmonary disease(COPD)patients.Methods A total of 94 stable COPD patients admitted from January 2022 to May 2023,at the Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine were selected as the study subjects.They were randomly selected with numbers(1-90)and divided into two groups based on their odd or even numbers,with 47 cases in each group.The control group received routine nursing intervention,while the experimental group received hand Taiyin lung meridian tapping combined with traditional Chinese medicine five tone therapy on the basis of routine nursing.The lung function indicators,modified medical research council(mMRC),symptom status,and 6-minute walking test(6MWT)distance between two groups were compared.Results Before nursing,there was no statistically significant difference in the ratio of forced expiratory volume in one second(FEV1)to forced vital capacity(FCV),FEV1/FCV,FEV1%of expected value,mMRC,COPD assessment test(CAT)score,and 6MWT distance between the two groups of lung function indicators(P>0.05).After 4 and 8 weeks of nursing,the differences were statistically significant(P<0.05).Compared with the control group,the FEV1/FCV of the experimental group was(54.69±4.04)vs.(57.72±4.18)after 4 weeks;(55.95±4.28)vs.(59.85±3.44)after 8 weeks;FEV1%[51.37±3.85)%vs.(54.08±4.26)%after 4 weeks;after 8 weeks,(53.89±3.94)%vs.(58.63±4.07)%was higher,the mMRC grade 3-4 ratio(46.81%vs.19.15%after 4 weeks,38.30%vs.14.89%after 8 weeks)was lower,and the CAT score was lower[4 weeks,(18.25±5.12)points vs.(15.46±4.35)points;8 weeks,(14.19±4.25)points vs.(12.08±3.36)points],and the distance between 6MWT was longer[(438.58±32.69)m vs.(459.42±31.86)m;8 weeks,(466.4±30.57)m vs.(482.08±29.15)m.Conclusion In the nursing of stable COPD patients,the implementation of hand Taiyin lung meridian tapping combined with traditional Chinese medicine five tone therapy intervention has a significant effect on improving lung function,helping to reduce the severity of breathing difficulties and clinical symptoms,and promoting the improvement of patient activity endurance.
关键词
手太阴肺经拍打/中医五音疗法/慢性阻塞性肺疾病/中医护理/肺功能/活动耐力
Key words
hand Taiyin lung meridian tapping/traditional Chinese medicine five tone therapy/chronic obstructive pulmonary disease/traditional Chinese medicine nursing/lung function/activity tolerance
维普
万方数据