多学科协同肺康复训练在慢性阻塞性肺疾病急性期患者中的应用  

Application of Multi-disciplinary Lung Rehabilitation Training in Patients with Chronic Obstructive Pulmonary Disease in Acute Stage

作　　者：周莹[1] 曾婷[1] 吴瑞明[1] 陈仁华[1] 张萍[1] 付新云 赵雪姣 Zhou Ying;Zeng Ting;Wu Ruiming(Guizhou Provincial People's Hospital,Guiyang Guizhou 550002,China)

机构地区：[1]贵州省人民医院,贵州贵阳550002

出　　处：《齐鲁护理杂志》2021年第11期1-4,共4页Journal of Qilu Nursing

基　　金：2019年贵州省卫生健康委科学技术基金项目(编号:gzwjkj2019-1-028)。

摘　　要：目的:探讨多学科协同肺康复训练在慢性阻塞性肺疾病(COPD)急性期患者中的应用效果。方法:将2019年12月1日~2020年5月31日收治的87例COPD急性期患者根据随机数字表法分为对照组43例和实验组44例,对照组采用临床常规护理,实验组实施多学科协同肺康复训练操配合临床常规护理;比较两组治疗前后肺功能[包括用力呼气量(FVC)、第一秒用力呼气量(FEV_(1))、FEV_(1)/FVC]、呼吸困难程度[采用呼吸困难量表(MRC)],比较两组血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、呼吸道感染情况及护理满意度。结果:治疗后,实验组FVC、FEV_(1)、FEV_(1)/FVC指标高于对照组(P<0.05);实验组PaO_(2)、PaCO_(2)优于对照组(P<0.01);治疗后2周,实验组MRC评分低于对照组(P<0.01);实验组呼吸道感染率低于对照组(P<0.05),护理满意度高于对照组(P<0.05)。结论:多学科协同肺康复训练操配合临床常规护理能有效改善COPD急性期患者肺通气功能,缓解呼吸困难症状,降低呼吸道感染发生率,提高护理满意度,值得临床推广。Objective:To explore the application effect of multi-disciplinary lung rehabilitation training in patients with chronic obstructive pulmonary disease in acute stage.Methods:A total of 87 patients with acute chronic obstructive pulmonary disease during December 1,2019 to May 31,2020 were divided by the random number table method into the control group with 43 cases,the clinical routine nursing was given and the experimental group with 44 cases,the multi-disciplinary lung rehabilitation exercise combined with clinical routine nursing was given;Comparison was made between the two groups before and after treatment on the lung functions including FVC,FEV_(1),FEV_(1)/FVC,dyspnea by MRC,blood oxygen pressure(PaO_(2))and arterial blood carbon dioxide pressure(PaCO_(2)),respiratory tract infection,and nursing satisfaction were compared between the two groups after training.Results:the indexes of FVC,FEV_(1),FEV_(1)/FVC in the experimental group were higher than those in the control group(P<0.05);the PaO_(2) and PaCO_(2) in the experimental group were better than those in the control group(P<0.05).The MRC scores in the experimental group were lower than those in the control group(P<0.05),and the respiratory tract infection in the experimental group was lower than that in the control group(P<0.05),and the nursing satisfaction in the experimental group was higher than that in the control group(P<0.05).Conclusion:Multi-disciplinary lung rehabilitation training combined with clinical routine nursing can effectively improve lung ventilation function,alleviate dyspnea symptoms,reduce the incidence of respiratory tract infection among patients with COPD in acute stage,and improve the nursing satisfaction,which is worthy of clinical promotion.

关 键 词：多学科协同肺康复训练 慢性阻塞性肺疾病 急性期 

分 类 号：R473.56[医药卫生—护理学]