集束化肺康复对稳定期慢性阻塞性肺疾病患者肺功能及自我效能和运动耐力的影响  

Effects of Cluster Pulmonary Rehabilitation on Pulmonary Function, Self-efficacy and Exercise Endurance in Patients with Stable Chronic Obstructive Pulmonary Disease

作　　者：李挺[1] LI Ting(Shenzhen Second Peo-ple's Hospital,Shenzhen 518000,China)

机构地区：[1]深圳市第二人民医院综合内科,广东深圳518000

出　　处：《航空航天医学杂志》2020年第8期910-912,共3页Journal of Aerospace medicine

摘　　要：目的探究集束化肺康复对稳定期慢性阻塞性肺疾病患者肺功能,以及自我效能和运动耐力的影响。方法选取2018年10月~2019年10月收治的稳定期慢性阻塞性肺疾病患者72例,根据康复方式的不同将其分为两组,各36例。对照组采用常规康复干预,观察组采用集束化肺康复干预,对比两组患者干预前后的肺功能、呼吸困难程度、运动耐力、自我效能和生活质量。结果干预前,两组各项指标对比均无明显差异(P>0.05);干预后,对照组FVC、FEV1和FEV1%均低于观察组(P<0.05);对照组MMRC和SGRQ评分高于观察组(P<0.05),对照组CSES评分和6MWD低于观察组(P<0.05)。结论稳定期慢性阻塞性肺疾病患者经集束化肺康复干预,可有效改善其肺功能和呼吸功能,提高运动耐力和自我效能,改善生活质量,效果确切。Objective To explore the effects of cluster pulmonary rehabilitation on pulmonary function,self-efficacy and exercise endurance in patients with stable chronic obstructive pulmonary disease.Methods 72 patients with stable chronic obstructive pulmonary disease admitted to our hospital from October 2018 to October 2019 were selected and divided into two groups according to different rehabilitation methods,36 patients in each group.The control group was treated with conventional rehabilitation intervention,while the observation group was treated with cluster pulmonary rehabilitation intervention.The pulmonary function,degree of dyspnea,exercise endurance,self-efficacy and quality of life of the two groups of patients before and after the intervention were compared.Results Before intervention,there was no significant difference between the two groups(P>0.05).After intervention,FVC,FEV1 and FEV1%in the control group were all lower than those in the observation group(P<0.05).MMRC and SGRQ scores in the control group were higher than those in the observation group(P<0.05),while CSES scores and 6 MWD scores in the control group were lower than those in the observation group(P<0.05).Conclusions Cluster pulmonary rehabilitation intervention in patients with stable chronic obstructive pulmonary disease can effectively improve their lung function and respiratory function,improve exercise endurance and self-efficacy,improve the quality of life,the effect is accurate,and is worth applying.

关 键 词：慢性阻塞性肺疾病 集束化肺康复 肺功能 自我效能 运动耐力 

分 类 号：R563[医药卫生—呼吸系统]