首页|认知-预警干预对慢性阻塞性肺疾病患者肺功能、生活质量及康复依从性的影响

认知-预警干预对慢性阻塞性肺疾病患者肺功能、生活质量及康复依从性的影响

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目的:探讨认知-预警干预对慢性阻塞性肺疾病(COPD)患者肺功能、生活质量及康复依从性的影响.方法:选取 2020 年 1 月—2022 年 11 月广州市第一人民医院收治的 97 例COPD患者作为研究对象,经Excel表格建立随机数表,将患者分为对照组(48 例)与研究组(49 例).对照组采用常规护理,研究组在对照组基础上采用认知-预警干预,分别于入院时、出院时评估两组肺功能[用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)、一秒率(FEV1/FVC%)]、生存质量及康复依从性.结果:出院时,两组FVC、FEV1、FEV1/FVC%较入院时升高,且研究组高于对照组,差异有统计学意义(P<0.05);出院时,两组症状、活动能力、疾病影响评分低于入院时,且研究组低于对照组,差异有统计学意义(P<0.05);研究组康复依从性高于对照组,差异有统计学意义(P<0.05).结论:认知-预警干预可改善COPD患者肺功能,改善生活质量,提升患者康复依从性.
Effect of Cognitive-early Warning Intervention on Lung Function,Quality of Life and Rehabilitation Compliance in Patients with Chronic Obstructive Pulmonary Disease
Objective:To explore the effect of cognitive-early warning intervention on lung function,quality of life and rehabilitation compliance in patients with chronic obstructive pulmonary disease(COPD).Method:A total of 97 patients with COPD who admitted to Guangzhou First People's Hospital from January 2020 to November 2022 were selected as the research objects,the patients were divided into the control group(48 cases)and the study group(49 cases)by random number table method established by Excel table.The control group was given routine nursing,and the study group was given cognitive-early warning intervention on the basis of the control group,the lung function[forced vital capacity(FVC),forced expiratory volume in one second(FEV1),one second rate(FEV1/FVC%)],quality of life at admission and discharge and rehabilitation compliance of two groups were evaluated.Result:At discharge,FVC,FEV1 and FEV1/FVC%in two groups were higher than those at admission,and those in the study group were higher than the control group,the differences were statistically significant(P<0.05);at discharge,the scores of symptoms,activity ability and disease impact in two groups were lower than those at admission,and those in the study group were lower than the control group,the differences were statistically significant(P<0.05);the rehabilitation compliance of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Cognitive-early warning intervention can improve COPD patients'lung function,improve quality of life,and enhance patient rehabilitation compliance.

Chronic obstructive pulmonary diseaseCognitive-early warning interventionRehabilitation complianceLung function

李银爱

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广州市第一人民医院 广东 广州 510180

慢性阻塞性肺疾病 认知-预警干预 康复依从性 肺功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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