老年慢性阻塞性肺疾病患者代谢当量运动护理的应用价值研究  

Application value of metabolic equivalent exercise nursing in elderly patients with chronic obstructive pulmonary disease

作　　者：汪秋萍[1] 刘文文 Wang Qiuping;Liu Wenwen(Outpatient Department,Wuxi Second People's Hospital,Wuxi 214000,China;Emergency Room,Wuxi Second People's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市第二人民医院门诊,无锡214000 [2]无锡市第二人民医院急诊抢救室,无锡214000

出　　处：《国际医药卫生导报》2023年第1期64-68,共5页International Medicine and Health Guidance News

基　　金：江苏省自然科学基金青年基金(BK20190129)。

摘　　要：目的研究老年慢性阻塞性肺疾病(慢阻肺)患者代谢当量运动护理方案建立及应用价值。方法本研究为随机对照试验。选取2019年6月至2021年6月在无锡市第二人民医院接受治疗的90例慢阻肺患者作为研究对象,根据随机数字表法将其分为对照组和研究组,每组45例。对照组男20例、女25例,年龄(66.32±5.24)岁,行常规运动护理;研究组男22例、女23例,年龄(66.58±5.19)岁,行代谢当量运动护理。比较两组慢阻肺患者入院次日、干预2周时心功能、肺功能及生活质量。采用t检验、χ^(2)检验。结果入院次日,两组患者6 min步行距离、用力肺活量(FVC)、第1秒用力呼气量(FEV1)、第1秒用力呼气量占用力肺活量比值(FEV1/FVC)比较,差异均无统计学意义(均P>0.05);干预2周时,研究组6 min步行距离[(402.36±32.56)m]、FVC[(2.84±0.32)L]、FEV1[(2.30±1.16)L]、FEV1/FVC[(64.73±2.39)%]均高于对照组[(385.62±32.13)m、(2.68±0.38)L、(1.79±1.18)L、(63.54±2.43)%],差异均有统计学意义(均P<0.05)。入院次日,两组患者慢性阻塞性肺疾病生命质量测定量表(QLICD-COPD)各维度评分及总分比较,差异均无统计学意义(均P>0.05);干预2周时,研究组躯体功能[(38.59±4.12)分]、心理功能[(40.36±4.32)分]、社会功能[(34.56±2.69)分]、特异模块评分[(49.02±4.06)分]及总分[(162.53±15.19)分]均高于对照组[(36.58±4.06)分、(38.49±4.19)分、(33.25±2.65)分、(46.52±5.02)分、(154.84±15.92)分],差异均有统计学意义(均P<0.05)。结论老年慢阻肺患者行代谢当量运动护理可有效改善患者6 min步行距离、FVC、FEV1等心肺功能,提升生活质量。Objective To study the establishment and application value of metabolic equivalent exercise nursing program in elderly patients with chronic obstructive pulmonary disease(COPD).Methods It was a randomized controlled trial.A total of 90 cases of COPD treated in Wuxi Second People's Hospital from June 2019 to June 2021 were selected as the research objects,and were divided into a control group and a study group according to the random number table,with 45 cases in each group.In the control group,20 males and 25 females,aged(66.32±5.24)years,received routine exercise nursing;in the study group,22 males and 23 females,aged(66.58±5.19)years,received metabolic equivalent exercise nursing.The cardiac function,lung function,and qualities of life of COPD patients in the two groups were compared on the second day after admission and after 2 weeks of intervention.t test andχ^(2) test were used.Results On the second day after admission,there were no statistically significant differences in the 6 min walking distance,forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),and ratio of forced expiratory volume in the first second to forced vital capacity(FEV1/FVC)between the two groups(all P>0.05).After 2 weeks of intervention,the 6 min walking distance[(402.36±32.56)m],FVC[(2.84±0.32)L],FEV1[(2.30±1.16)L],and FEV1/FVC[(64.73±2.39)%]in the study group were higher than those in the control group[(385.62±32.13)m,(2.68±0.38)L,(1.79±1.18)L,and(63.54±2.43)%],with statistically significant differences(all P<0.05).On the second day after admission,there were no statistically significant differences in the total score and scores of each dimension of Quality of Life Instruments for Chronic Diseases-Chronic Obstructive Pulmonary Disease(QLICD-COPD)between the two groups(all P>0.05).After 2 weeks of intervention,the scores of physical function[(38.59±4.12)points],psychological function[(40.36±4.32)points],social function[(34.56±2.69)points],and specific module[(49.02±4.06)points]and total score[(162.5

关 键 词：慢性阻塞性肺部疾病 中心率测定 运动护理 心功能 肺功能 

分 类 号：R473.5[医药卫生—护理学]