呼吸综合训练联合康复护理在老年慢性阻塞性肺疾病患者中的应用价值  

Application Value of Respiratory Comprehensive Training Combined with Rehabilitation Nursing in Elderly Patients with Chronic Obstructive Pulmonary Disease

作　　者：白雪莲 邹外龙[1] 杨琴 BAI Xuelian;ZOU Wailong;YANG Qin(Aerospace Center Hospital,Beijing 100049,China;不详)

机构地区：[1]航天中心医院,北京100049

出　　处：《中外医学研究》2023年第13期65-69,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：吴阶平医学基金会临床科研专项资助基金项目(320.6750.19089-2)。

摘　　要：目的:分析呼吸综合训练联合康复护理在老年慢性阻塞性肺疾病患者中的应用价值。方法:选取航天中心医院2021年1月—2022年1月收治的200例老年慢性阻塞性肺疾病患者。按照随机数表法将其平均分为对照组、观察组,各100例,对照组实施康复护理,观察组实施呼吸综合训练联合康复护理。比较两组干预前、干预1个月后的肺功能指标、生活质量评分,比较两组出院后6个月内的再次住院率及急性加重发生情况、满意度情况。结果:干预前,两组的各项肺功能指标比较,差异无统计学意义(P>0.05);干预1个月后,两组的肺功能指标均较干预前改善显著,且观察组各指标数据均优于对照组,差异有统计学意义(P<0.05)。干预前,两组的各项生活质量评分比较,差异无统计学意义(P>0.05);干预1个月后,两组的生活质量各维度评分均较干预前改善显著,且观察组均高于对照组,差异有统计学意义(P<0.05)。出院后6个月,观察组的再次住院率及急性加重发生率均显著低于对照组,差异有统计学意义(P<0.05)。观察组总满意度为96.00%,高于对照组的82.00%,差异有统计学意义(P<0.05)。结论:对老年慢性阻塞性肺疾病患者实施呼吸综合训练联合康复护理的效果较好,可有效改善患者的肺功能指标及生活质量,降低患者的急性加重发生率及再次住院率,明显提升患者的满意度。Objective:To analyze the application value of respiratory comprehensive training combined with rehabilitation nursing in elderly patients with chronic obstructive pulmonary disease.Method:A total of 200 elderly patients with chronic obstructive pulmonary disease admitted to the Aerospace Center Hospital from January 2021 to January 2022 were selected.According to the random number table method,they were evenly divided into control group and observation group,with 100 cases in each group.The control group received rehabilitation care,while the observation group received respiratory comprehensive training combined with rehabilitation care for chronic obstructive pulmonary disease.The lung function indicators and quality of life scores before and after 1 month of intervention between the two groups were compared,and compared the readmission rate,acute exacerbation,and satisfaction within 6 months after discharge between the two groups.Result:Before intervention,there were no statistically significant differences in various lung function indicators between the two groups(P>0.05).After 1 month of intervention,the lung function indicators of both groups improved significantly compared to before intervention,and the data of each indicator in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the quality of life scores between the two groups(P>0.05).After one month of intervention,the scores of various dimensions of quality of life in both groups improved significantly compared to before intervention,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Six months after discharge,the readmission rate and acute exacerbation rate in the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05).The total satisfaction rate of the observation group

关 键 词：呼吸综合训练 康复护理 老年慢性阻塞性肺疾病患者 肺功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]