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作 者:杨兆钰 Yang Zhaoyu(Department of Infection,Tianjin Second People's Hospital,Tianjin 300300,China)
出 处:《首都食品与医药》2023年第13期144-147,共4页Capital Food Medicine
摘 要:目的探讨医教结合模式对布氏菌病患者精细运动与有氧运动的影响。方法选择2020年4月-2022年3月在天津市第二人民医院就诊的布氏菌病患者120例作为研究对象,根据1∶1随机数字表法把患者分为医教组60例与对照组60例。对照组给予常规护理,医教组在对照组护理的基础上给予医教结合模式护理,医教组与对照组护理观察时间均为3个月,判定患者的精细运动与有氧运动能力变化情况。结果护理后医教组的总有效率为98.3%,与对照组的88.3%相比有显著提高(P<0.05)。医教组与对照组护理后的用力肺活量与第1秒用力呼气容积都显著高于护理前(P<0.05),护理后医教组的用力肺活量与第1秒用力呼气容积也明显高于对照组(P<0.05)。医教组与对照组护理后的峰值功率与氧脉搏都高于护理前(P<0.05),护理后医教组的峰值功率、氧脉搏与对照组相比也明显增高(P<0.05)。医教组与对照组护理后的日常生活活动能力与神经运动功能评分都高于护理前(P<0.05),护理后医教组的日常生活活动能力、神经运动功能评分与对照组相比也显著增高(P<0.05)。结论医教结合模式在布氏菌病患者中的应用能改善患者的肺功能,提高患者的总体预后疗效,也能有效改善患者的精细运动与有氧运动能力。Objective To explore the effects of the combination of medicine and education on fine exercise and aerobic exercise in patients with brucellosis.Methods From April 2020 to March 2022,120 cases of patients with brucellosis diagnosed and treated in our hospital were selected as the study subjects,and the patients were divided into medical education group(60 cases)and control group(60 cases)accorded to 1∶1 random number table.The control group were given routine nursing care,and the medical education group were given medical education combined mode nursing care on the basis of the control group's nursing care.The nursing observation time of the two groups were 3 months to determine the changes of patients'fine exercise and aerobic exercise ability.Results The total effective rates of the medical education group after nursing were 98.3%,which were significantly higher than that of the control group(88.3%,P<0.05).The forced vital capacity and forced vital capacity in one second after nursing in both groups were significantly higher than those before nursing(P<0.05),and the forced vital capacity and forced expiratory volume in the first second in the medical education group after nursing were also significantly higher than those in the control group(P<0.05).The peak power and oxygen pulse of the two groups after nursing were higher than those before nursing(P<0.05),and the peak power and oxygen pulse of the medical education group after nursing were also significantly higher than those of the control group(P<0.05).The scores of activities of daily living and neuromotor function in the two groups after nursing were higher than those before nursing(P<0.05),and the scores of activities of daily living and neuromotor function in the medical education group after nursing were also significantly higher than those in the control group(P<0.05).Conclusion The application of combination of medicine and education in patients with brucellosis can improve the pulmonary function of patients,improve the overall prognosis of patient
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