家庭肺康复联合健康教育对稳定期COPD患者心肺功能的影响  

Effect of family pulmonary rehabilitation combined with health education on cardiopulmonary function in patients with stable COPD

作　　者：袁丽芬[1] 荀细辉[1] 李国萍 Yuan Lifen;Xun Xihui;Li Guoping(Respiratory Medicine,the Second People's Hospital of Shenzhen,518000,China)

机构地区：[1]深圳市第二人民医院呼吸内科,518000

出　　处：《国际护理学杂志》2020年第10期1763-1766,共4页international journal of nursing

基　　金：深圳市知识创新计划基础研究(JCY20150330102720150)。

摘　　要：目的分析家庭肺康复联合健康教育对稳定期慢性阻塞性肺疾病(COPD)患者心肺功能的影响。方法选取2016年1月至2017年12月深圳市第二人民医院收治的84例稳定期COPD患者为研究对象,随机分为观察组、对照组,各42例。对照组实施常规护理,观察组实施家庭肺康复联合健康教育。对比两组患者依从性、白介素-8(IL-8)、肿瘤坏死因子(TNF)-α、体重指数(BMI)及心肺功能变化情况。结果观察组依从性高于对照组,差异有统计学意义(P<0.05)。护理前,两组患者IL-8、TNF-α、BMI比较差异无统计学意义(P>0.05);护理后,观察组IL-8、TNF-α、BMI均优于对照组,差异有统计学意义(P<0.05)。护理前,两组患者心肺功能指标对比差异无统计学意义(P>0.05);护理后,观察组患者心肺功能指标均优于对照组,差异有统计学意义(均P<0.05)。结论家庭肺康复联合健康教育在稳定期COPD患者中的应用价值较高,可有效改善患者的心肺功能。Objective To analyze the value of family pulmonary rehabilitation combined with health education in patients with chronic obstructive pulmonary disease(COPD)and its effect on cardiopulmonary function.Methods A total of 84 patients with stable COPD admitted to the Second People's Hospital of Shenzhen from January 2016 to December 2017 were randomly divided into observation group and control group,each with 42 patients.The control group received routine nursing,and the observation group received family lung rehabilitation combined with health education.Compliance,interleukin-8(IL-8),tumor necrosis factor(TNF)-α,body mass index(BMI)and changes in cardiopulmonary function were compared between the two groups.Results The compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in IL-8,TNF-α,and BMI between the two groups(P>0.05).After nursing,IL-8,TNF-αlevels and BMI in the observation group were better than those in the control group,with statistically significant differences(P<0.05).Before nursing,there was no statistically significant difference in cardiopulmonary function between the two groups(P>0.05).After nursing,the cardiopulmonary function indexes of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).Conclusions The application value of family lung rehabilitation combined with health education in patients with stable COPD is high,which can effectively improve the cardiopulmonary function of patients.

关 键 词：家庭肺康复 健康教育 慢性阻塞性肺疾病 依从性 

分 类 号：R473.5[医药卫生—护理学]