目的:探究互动达标式分期康复训练在慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)患者中的应用。方法:选取 2022 年 2 月—2024 年 2 月苏州明基医院收治的 102 例COPD患者。根据随机数表法将其分为对照组和观察组，各 51 例。对照组给予常规护理，观察组在对照组基础上给予互动达标式分期康复训练。比较两组护理前后呼吸困难程度、疾病症状、肺功能、自我管理能力。结果:护理后，两组改良版英国医学研究委员会呼吸困难问卷(modified British Medical Research Council，mMRC)、COPD评估测试(COPD assessment test，CAT)评分均降低，观察组mMRC评分、CAT评分均低于对照组，差异有统计学意义(P<0。05)。护理后，两组第 1 秒用力呼气容积(forced expiratory volume in the first second，FEV1)、用力肺活量(forced vital capacity，FVC)、FEV1/FVC均升高，观察组FEV1、FVC、FEV1/FVC均高于对照组，差异有统计学意义(P<0。05)。护理后，两组呼吸道治疗控制、危险因素治疗控制、日常生活照顾、疾病治疗评分均升高，观察组呼吸道治疗控制、危险因素治疗控制、日常生活照顾、疾病治疗评分均高于对照组，差异有统计学意义(P<0。05)。结论:互动达标式分期康复训练在降低COPD患者呼吸困难程度，可提高肺功能和自我管理能力。
Application of Interactive Standardized Staged Rehabilitation Training in Patients with Chronic Obstructive Pulmonary Disease
Objective:To investigate the application of interactive standardized staged rehabilitation training in patients with chronic obstructive pulmonary disease(COPD).Method:A total of 102 COPD patients admitted to Suzhou Mingji Hospital from February 2022 to February 2024 were selected.They were divided into control group and observation group according to random number table method,51 cases in each group.The control group was given routine nursing,the observation group was given interactive standard stage rehabilitation training on the basis of the control group.The degree of dyspnea,disease symptoms,lung function and self-management ability before and after nursing were compared between the two groups.Result:After nursing,scores of the modified British Medical Research Council breathlessness questionnaire(mMRC)and COPD assessment test(CAT)were reduced in both groups,the mMRC and CAT scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,forced expiratory volume in the first second(FEV1),forced vital capacity(FVC)and FEV1/FVC were all increased in both groups.FEV1,FVC and FEV1/FVC in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,scores of respiratory tract treatment control,risk factor treatment control,daily life care and disease treatment were increased in both groups,and scores of respiratory tract treatment control,risk factor treatment control,daily life care and disease treatment in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The interactive standard stage rehabilitation training has a significant effect on reducing the degree of dyspnea in COPD patients and improving lung function and self-management ability.
Chronic obstructive pulmonary diseaseInteractive standard stage rehabilitation trainingDyspneaLung functionSelf-management ability
万方数据
维普
