家用无创呼吸机治疗的慢性阻塞性肺疾病患者自我管理能力与肺康复的相关性  

Correlation between self-management ability and pulmonary rehabilitation of patients with chronic obstructive pulmonary disease treated with home non-invasive ventilator

作　　者：何晓蓉 王婕[1] 李林蔚 李春雨 HE Xiaorong;WANG Jie;LI Linwei;LI Chunyu(Department of Respiratory Medicine,the First People’s Hospital of Guangyuan,Sichuan Province,Guangyuan 628017,China)

机构地区：[1]四川省广元市第一人民医院呼吸内科,四川广元628017

出　　处：《中国医药导报》2021年第1期107-110,共4页China Medical Herald

摘　　要：目的分析家用无创呼吸机治疗的慢性阻塞性肺疾病患者自我管理能力与肺康复的相关性。方法回顾性分析2017年8月—2019年2月经四川省广元市第一人民医院诊治后行家用无创呼吸机治疗的80例慢性阻塞性肺疾病患者临床资料。比较治疗前、治疗3个月后患者肺功能[用力肺活量(FEV1)、第1秒用力呼气量占所有呼气量的比例(FEV1/FVC)]水平及自我管理能力。根据患者自我管理能力评价结果进行分组:高水平组(12例)、中水平组(54例)、低水平组(14例)。比较各组肺康复情况,分析自我管理能力与肺康复的相关性。结果无创呼吸机治疗3个月后,患者自我管理能力量表各主要维度评分及总分均高于治疗前,差异有统计学意义(P <0.05)。无创呼吸机治疗3个月后,患者FEV1、FEV1/FVC较治疗前升高,差异有统计学意义(P <0.05)。高水平组FEV1、FEV1/FVC高于中水平、低水平组,中水平组FEV1、FEV1/FVC高于低水平组,差异有统计学意义(P <0.05)。家用无创呼吸机治疗的慢性阻塞性肺疾病患者自我管理能力各维度及整体评分与FEV1、FEV1/FVC均呈正相关(r> 0,P <0.05)。结论慢性阻塞性肺疾病患者经家用无创呼吸机治疗均能获得较好的肺康复效果,但肺康复获益大小与患者自我管理能力水平有关,建议早期采取一定干预措施提升患者自我管理能力,这对提高家用无创呼吸机肺康复效果意义重大。Objective To analyze the correlation between self-management ability and pulmonary rehabilitation of patients with chronic obstructive pulmonary disease treated with non-invasive ventilator. Methods A retrospective analysis of the clinical data of 80 patients with chronic obstructive pulmonary disease who were treated with home non-invasive ventilator after diagnosis and treatment by the First People’s Hospital of Guangyuan, Sichuan Province from August 2017 to February 2019. The lung function(forced vital capacity [FEV1], the ratio of forced expiratory volume in the first second to all expiratory volume [FEV1/FVC]) levels and self-management ability were compared before and after three months of treatment. According to the evaluation results of patients’ self-management ability, they were divided into groups: high-level group(12 cases), middle-level group(54 cases), and low-level group(14 cases). The pulmonary rehabilitation of each group were compared and the correlation between self-management ability and pulmonary rehabilitation were analyzed. Results After three months of non-invasive ventilator treatment, the scores of the main dimensions of the patient’s self-management ability scale and total scores were higher than those before treatment, and the differences were statistically significant(P < 0.05). After thre months of non-invasive ventilator treatment, the patients’ FEV1, FEV1/FVC were higher than those before treatment, and the differences were statistically significant(P < 0.05).The FEV1 and FEV1/FVC of high-level self-management patients were higher than those of middle and low-level patients, and the FEV1 and FEV1/FVC of middle-level patients were higher than those of low-level patients, and the differences were statistically significant(P < 0.05). All dimensions and overall scores of self-management ability of COPD patients treated with home non-invasive ventilator were positively correlated with FEV1 and FEV1/FVC(r > 0, P < 0.05).Conclusion Patients with chronic obstructive pulmonary dise

关 键 词：慢性阻塞性肺疾病 无创呼吸机 自我管理能力 肺功能 相关性 

分 类 号：R459.7[医药卫生—急诊医学]