基于德尔菲法的肺康复方案在重叠综合征患者中的应用效果  

Effect of pulmonary rehabilitation program based on Delphi method in patients with overlap syndrome

作　　者：霍世芳 张方[1] 姚瑶[1] 韩蕾[1] 朱慧明 刘振花 李生婷 石艳爽 Huo Shifang;Zhang Fang;Yao Yao;Han Lei;Zhu Huiming;Liu Zhenhua;Li Shengting;Shi Yanshuang(Second Ward,Department of Respiratory and Critical Care Medicine,Qinghai Provincial People's Hospital,Xining 810000,China)

机构地区：[1]青海省人民医院呼吸与危重症医学科二病区,西宁810000

出　　处：《中华现代护理杂志》2022年第31期4353-4357,共5页Chinese Journal of Modern Nursing

基　　金：青海省卫生健康系统重点课题(2019-wjzdx-11)。

摘　　要：目的探讨基于德尔菲法的肺康复方案在重叠综合征(OS)患者中的应用效果。方法采用便利抽样法选取2019年3月—2021年3月青海省人民医院收治的107例OS患者,通过随机数字表法将其分为观察组54例和对照组53例。对照组予以常规护理,观察组在此基础上予以基于德尔菲法的肺康复方案干预。采用慢性阻塞性肺疾病评估测试(CAT)、6 min步行试验(6MWT)、圣乔治呼吸问卷(SGRQ)比较两组OS患者干预前后病情改善、运动耐力和生活质量。结果干预后观察组OS患者CAT评分低于对照组,6MWD长于对照组,SGRQ中临床症状、疾病影响和活动能力得分低于对照组,差异均有统计学意义(P<0.05)。结论基于德尔菲法的肺康复方案应用于OS患者,可减轻患者病情,提高运动耐力,改善生活质量。Objective To explore the effect of pulmonary rehabilitation program based on Delphi method in patients with overlap syndrome(OS).Methods From March 2019 to March 2021,a total of 107 OS patients admitted to Qinghai Provincial People's Hospital were enrolled using the convenience sampling method and divided into the observation group(n=54)and the control group(n=53)by the random number table method.The control group received conventional nursing,and the observation group conducted pulmonary rehabilitation program based on Delphi method on the basis of conventional nursing.The COPD Assessment Test(CAT),the 6-Minute Walk Test(6MWT),and the St George's Respiratory Questionnaire(SGRQ)were used to assess the improvement of the conditions,exercise endurance,and quality of life of the two groups before and after intervention.Results After intervention,the CAT score of the observation group was lower than that of the control group,6MWD was longer than that of the control group,and the clinical symptoms,disease impact,and activity scores of SGRQ were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions The pulmonary rehabilitation program based on the Delphi method can reduce patients'condition,improve exercise endurance and quality of life.

关 键 词：肺疾病 慢性阻塞性 重叠综合征 阻塞性睡眠呼吸暂停低通气综合征 德尔菲法 肺康复分级方案 

分 类 号：R473.5[医药卫生—护理学]