早期分阶段计划性肺康复训练对老年重度COPD机械通气患者生存质量的影响  

EFFECT OF EARLY STAGED PLANNED PULMONARY REHABILITATION TRAINING ON QUALITY OF LIFE IN THE ELDERLY PATIENTS WITH SEVERE COPD UNDERGOING MECHANICAL VENTILATION

作　　者：许丽华[1] 王忠锁[1] 曹新 Xu Lihua;Wang Zhongsuo;Cao Xin(Huludao Central Hospital,Huludao 125001,China)

机构地区：[1]辽宁省葫芦岛市中心医院

出　　处：《中国煤炭工业医学杂志》2018年第6期649-653,共5页Chinese Journal of Coal Industry Medicine

基　　金：葫芦岛市科技局项目(编号:2009009)

摘　　要：目的探究早期分阶段计划性肺康复训练干预老年重度慢性阻塞性肺疾病(COPD)机械通气患者对其生存质量的影响。方法选取我院2015年1月-2018年1月收治的老年重度COPD机械通气患者136例,随机分为对照组和观察组,各68例。对照组由责任护士给予常规护理干预,观察组由同批护士护理并在对照组基础上增加早期分阶段计划性肺康复训练。比较二组干预前后体质指数(BMI)、第一秒用力呼气容积/用力肺活量(FEV1/FVC)比值、英国医学研究委员会呼吸问卷(MMRC)评分、6分钟步行试验(6MWT)距离、BODE指数及EQ-5D评分。结果BMI:二组干预前后无明显变化(P>0.05);FEV1/FVC比值:观察组干预后较干预前提高(P<0.05);MMRC评分:二组干预后较干预前提高(P<0.05),且观察组较对照组提高显著(P<0.05);6MWT距离:干预后观察组高于对照组(P<0.05);BODE指数:干预后二组较干预前降低(P<0.05),且观察组较对照组降低显著(P<0.05);EQ-5D评分:二组干预后较干预前提高(P<0.05),且观察组较对照组提高显著(P<0.05)。结论早期分阶段肺康复训练对老年重度COPD机械通气患者干预效果良好,可有效改善患者呼吸症状及活动能力,降低患者死亡风险,改善患者生存质量。Objective To investigate the effect of early staged planned pulmonary rehabilitation training on quality of life of elderly patients with severe chronic obstructive pulmonary disease (COPD)undergoing mechanical ventilation.Methods A total of 136elderly patients with severe GOPD undergoing mechanical ventilation who were admitted to the hospital from January 2015to January 2018were randomly divided into con- trol group and observation group,68cases in each group.The control group was given routine nursing intervention by responsible nurses,while the observation group was additionally given early staged planned pulmonary rehabilitation training by the same group of nurses,based on the control group.The body mass index (BMI),ratio of forced expiratory volume in is/forced vital capacity (FEV1/FVC},Modified Medical Research Council Scale (MMRC)scores,6-minute walk test (6MWT)distance,BODE index and EQ -5D scores were compared between the two groups before and after the intervention.Results There was no significant change of BMI before and after intervention (P>0.05).The FEV1/FVC ratio in the observation group was increased after intervention (P<0.05).MMRC scores of both groups were increased after intervention (P<0. 05),and the score of observation group was significantly higher than that of the control group {P<0.05).The 6MWT distance of observation group was longer than that of the control group after the intervention (P<0. 05).The BODE index of each group was decreased after intervention (P<0.05),and the index in the observation group was significantly lower than that in the control group (P<0.05}.The EQ-5D scores of both groups were increased after the intervention (P<0.05),and the score of the observation group was significantly higher than that of the control group (P<0.051.Conclusion The intervention effect of early staged pulmonary rehabilitation training is good in elderly patients with severe COPD undergoing mechanical ventilation.It can effectively relieve respiratory symptoms,improve activities of patients

关 键 词：肺康复 老年人 重度COPD 机械通气 护理 

分 类 号：R563[医药卫生—呼吸系统]