康复训练联合心理护理对刺激性气体中毒患者肺功能康复的影响  

Effect of Abdominal Respiratory Rehabilitation Training Combined with Psychological Nursing on Pulmonary Function Rehabilitation of Patients with Irritating Gas Poisoning

作　　者：周燕 张莉 ZHOU Yan;ZHANG Li(Medical Department of Xinjiang first worker sanatorium,Urumqi,830000)

机构地区：[1]新疆第一工人疗养院医务科,乌鲁木齐830000

出　　处：《农垦医学》2021年第5期439-442,共4页Journal of Nongken Medicine

摘　　要：目的:探究腹式呼吸康复训练联合心理护理对刺激性气体中毒患者肺功能康复的影响。方法:选取2017年2月至2020年2月我院收治的刺激性气体中毒患者98例,随机分为观察组(50例)和对照组(48例),两组均进行常规治疗,对照组采用常规护理结合心理护理,但不包括非药物型康复锻炼,观察组在对照组基础上结合腹式呼吸康复训练,干预3个月。观察两组患者肺功能、心理状态及生活质量。结果:干预后,两组患者用力呼气肺活量1秒量、用力呼气肺活量、最大呼气流量升高,观察组上升幅度大于对照组,两组比较差异具有统计学意义,P<0.05;干预后,两组汉密尔顿焦虑量表、汉密尔顿抑郁量表评分均降低,且观察组下降幅度大于对照组(P<0.05);干预后,两组患者疾病状态、疾病影响、日常生活、心理状态及总分均升高,且观察组上升幅度大于对照组(P<0.05)。结论:对刺激性气体中毒患者采用腹式呼吸康复训练联合心理护理可有效改善肺功能及负面心理,提高生活质量。Objective:To explore the effect of abdominal breathing rehabilitation training combined with psychological nursing on pulmonary function rehabilitation of patients with irritating gas poisoning.Methods:98 patients with irritant gas poisoning admitted to our hospital from February 2017 to February 2020 were selected and randomly divided into observation group(50 cases) and control group(48 cases). Both groups were given conventional treatment. Thecontrol group was given routine nursing combined with psychological nursing, but non drug rehabilitation exercise was not included. The observation group was intervened for 3 months based on the control group combined with abdominal breathing rehabilitation training. Lung function, mental state and quality of life were observed.Results:After the intervention, the forced expiratory vital capacity in 1 second, forced expiratory vital capacity and maximum expiratory flow of the two groups were increased, and the increase amplitude of the observation group was greater than that of the control group(P<0.05). After the intervention, the scores of Hamilton Anxiety Scale and Hamilton Depression Scale in the two groups were decreased, and the decrease range of the observation group was greater than that of the control group(P<0.05). After the intervention, the disease status,disease influence, daily life, psychological state and total score of the two groups were increased, and the increase amplitude of the observation group was greater than that of the control group(P <0.05).Conclusions:Abdominal respiratory rehabilitation training combined with psychological nursing can effectively improve lung function and negative psychology, and improve the quality of life.

关 键 词：腹式呼吸康复训练 心理护理 刺激性气体中毒 肺功能 心理状态 生活质量 

分 类 号：R47[医药卫生—护理学]