纤支镜肺泡灌洗术联合PDCA健康教育对尘肺患者生活质量及呼吸功能的影响  

Effect of bronchoalveolar lavage combined with PDCA health education on quality of life and respiratory function in pneumoconiosis patients

作　　者：景华[1,2,3] 崔萍[1,2,3] 宋学术 孙广娥 李红梅[1,2,3] 张放[1,2,3] JING Hua;CUI Ping;SONG Xue-shu;SUN Guang-e;LI Hong-mei;ZHANG Fang(Drug Clinical Research Base,Shandong Academy of Occupational Health and Occupational Medicine,Shandong First Medical University(Shandong Academy of Medical Sciences),Jinan Shandong,250002,China;Department of Occupational Poisoning,Shandong Academy of Occupational Health and Occupational Medicine,Shandong First Medical University(Shandong Academy of Medical Sciences),Jinan Shandong,250002,China;Detection and Evaluation Center,Shandong Academy of Occupational Health and Occupational Medicine,Shandong First Medical University(Shandong Academy of Medical Sciences),Jinan Shandong,250002,China;Health Management Center,Qingdao Central Hospital,Qingdao Shandong,266000,China;Department of Occupational Diseases,Shandong Gold Occupational Disease Prevention and Control Hospital,Zhaoyuan Shandong,265400,China)

机构地区：[1]山东省职业卫生与职业病防治研究院,山东第一医科大学(山东省医学科学院)药物临床研究基地,山东济南250002 [2]山东省职业卫生与职业病防治研究院,山东第一医科大学(山东省医学科学院)职业性中毒科,山东济南250002 [3]山东省职业卫生与职业病防治研究院,山东第一医科大学(山东省医学科学院)检测评价中心,山东济南250002 [4]青岛市中心医院健康管理中心,山东青岛266000 [5]山东黄金职业病防治院职业病科,山东招远265400

出　　处：《职业与健康》2022年第2期153-156,共4页Occupation and Health

基　　金：山东省重点研发计划软科学项目(2020RKC03004);山东省医药卫生科技发展计划(2017WS021);济南市临床医学科技创新计划(202019110)。

摘　　要：目的 分析纤支镜肺泡灌洗术联合管理循环护理程序(plan,do,check,act,PDCA)健康教育对尘肺患者生活质量及呼吸功能影响。方法 选取2016年1月—2020年1月在山东省职业病医院确诊的尘肺患者120例。按照随机数字表法将患者分为对照1组、对照2组和干预组,每组40例。对照1组给予传统健康教育及常规治疗,对照2组在对照1组的基础上给予纤支镜肺泡灌洗术,干预组在常规治疗基础上给予纤支镜肺泡灌洗术治疗及PDCA健康教育,比较3组患者干预前后呼吸功能及生活质量情况。结果 干预后干预组肺功能第1 s用力呼气量占预计值的百分比为(94.71±12.30)%,呼吸困难症状评分M(P_(25),P_(75))为0(0,0),6 min步行距离为(540.58±57.94)m,生活质量评分为(40.44±17.98)分,与对照组比较,差异均有统计学意义(均P<0.05)。结论 纤支镜肺泡灌洗术联合PDCA健康教育能够改善尘肺患者呼吸功能,提升患者生活质量。Objective To study the effect of bronchofiberscope alveolar lavage combined with management circular care procedures[(plan,do,check,act),PDCA]health education on the quality of life and respiratory function of pneumoconiosis patients.Methods Totally 120 pneumoconiosis patients diagnosed in Shandong Occupational Disease Hospital from January 2016 to January 2020 were selected.According to random number table method,the patients were randomly divided into control group 1,control group 2 and intervention group,with 40 cases in each group.The control group 1 was given traditional health education and routine treatment,the control group 2 was given bronchofiberscope alveolar lavage on the basis of control group 1,and the intervention group was given bronchofiberscope alveolar lavage and PDCA health education on the basis of routine treatment.The respiratory function and quality of life of the three groups were compared before and after intervention.Results After the intervention,the percentage of forced expiratory volume in the predicted value in the first second of pulmonary function in the intervention group was (94.71±12.30)%,the M((P_(25),P_(74)) of dyspnea symptom score was 0 (0,0),the 6-minute walking distance was (540.58±57.94)m,the score of quality of life was (40.44±17.98)points.Compared with the control groups,the differences were all statistically significant (all P<0.05).Conclusion Bronchofiberscope alveolar lavage combined with PDCA health education can improve the respiratory function and quality of life of pneumoconiosis patients.

关 键 词：肺泡灌洗 健康教育 尘肺病 生活质量 呼吸功能 

分 类 号：R135.2[医药卫生—劳动卫生]