慢性阻塞性肺疾病患者气球吹摆法肺功能锻炼的依从性研究  

Balloon-blowing Pendulum Lung Function Exercises:A Study of Compliance of COPD Patients

作　　者：施春娜[1] 马红映[1] 丁群力[1] 叶勉之[1] 邓在春[1] 

机构地区：[1]宁波大学医学院附属医院呼吸内科,浙江省宁波市315020

出　　处：《中国全科医学》2013年第35期4207-4209,共3页Chinese General Practice

基　　金：2011年宁波市科技计划项目(2011C50073)

摘　　要：目的调查慢性阻塞性肺疾病(COPD)患者气球吹摆法肺功能锻炼的依从性。方法选择2008年12月—2011年12月在宁波大学医学院附属医院呼吸内科住院的COPD患者68例,按随机数字表法和实际情况分为传统组32例和改良组34例。传统组进行缩唇腹式呼吸锻炼,改良组进行气球吹摆法肺功能锻炼。采用自行设计的问卷调查两组患者出院前1 d及出院1、3、6、12个月的每次锻炼时间和每日锻炼次数。结果出院6个月及12个月随访,改良组患者的每次锻炼时间和每日锻炼次数均较传统组增多,差异有统计学意义(P<0.05)。结论接受气球吹摆法肺功能锻炼的COPD患者在出院6个月后均表现出比传统缩唇腹式呼吸锻炼患者更好的依从性,且气球吹摆法肺功能锻炼具有动作步骤简单、趣味性强、家庭参与度高、方便监测等优点,值得临床推广。Objective To survey the compliance of patients with chronic obstructive pulmonary disease （COPD） to balloon - blowing pendulum lung function exercises. Methods A total of 68 COPD patients hospitalized in this hospital from De- cember 2008 to December 2011 were divided randomly into groups traditional （ n = 32） and improved （ n = 34）. Traditional group had lip - shrinking abdominal breathing exercises, improved group had balloon - blowing pendulum lung function exerci- ses. A self - made questionnaire was used to investigate the length of every time for exercises and frequencies of exercises within one day before discharge, and in months 1, 3, 6, 12 after discharge. Results The time and frequencies for exercises were more in improved group than in traditional group, the difference was significant （ P 〈 0. 05 ）. Conclusion COPD patients hav- ing balloon - blowing lung function exercises better compliance than those having traditional exercises. It is a simple, interesting method with a high family involvement, which is worthy of promotion.

关 键 词：肺疾病 慢性阻塞性 肺功能锻炼 气球吹摆法 依从性 

分 类 号：R563.9[医药卫生—呼吸系统]