呼吸操训练对慢性阻塞性肺疾病患者预后的影响研究  

The research of breathing exercises on the prognosis of patients with COPD

作　　者：吴军勇[1] 李莲[1] 乔有萍[1] 

机构地区：[1]广东医学院附属医院呼吸内科,湛江524001

出　　处：《国际护理学杂志》2011年第6期895-898,共4页international journal of nursing

摘　　要：目的观察呼吸操训练对慢性阻塞性肺疾病（COPD）患者肺功能、生活质量及急性发作次数的影响。方法干预组及对照组各30例，观察时间为1年。对照组采用常规护理方法，观察组在此基础上进行呼吸功能训练护理干预，两组均在出院前和出院后1年检测肺功能和生活质量，同时通过电话、复诊、上门随访等方法随访1年，记录患者病情变化情况。结果经1年干预后，干预组患者的肺功能、生活质量、急性加重及再次住院的频率与干预前、对照组比较有明显改善，差异具有统计学意义（P〈0．05）。结论呼吸操训练能改善COPD患者肺功能，延缓肺功能进一步恶化，提高患者的生活质量，改善预后，值得临床推广。Objective To observe breathing exercises for patients with COPD on pulmonary function, quality of life and the num- ber of acute attacks. Methods Sixty patients with COPD were randomly divided into intervention group （n = 30） and control group （n = 30） for 1 - year observation period. Traditional care was applied in control group, and breathing exercises nursing intervention was added to in- tervention group. In both groups, the patients＇pulmonary function and quality of life were measured before and after discharge for I year. The progress of patients＇conditions were recorded by telephone, return visit, follow - up visits for 1 year. Results After intervention by I year, in intervention group the patients＇lung function, quality of life and the number of exacerbation and readmission were significant improved as compared to control group and before intervention, the difference was statistically significant （P 〈 O. 05 ） . Conclusions The breathing exer- cises can improve pulmonary function, delay further deterioration of lung function, improve quality of llfe of patients and the prognosis, it is worthy of promotion.

关 键 词：COPD 呼吸操 肺功能 生存质量 

分 类 号：R473.5[医药卫生—护理学]