三球式呼吸训练器结合中医特色护理在老年慢性阻塞性肺疾病患者中的应用  

Application of three-ball breathing trainer combined with traditional Chinese medicine characteristic nursing in elderly patients with chronic obstructive pulmonary disease

作　　者：龚邢洁 王雨婷 冯扣兰[1] GONG Xingjie;WANG Yuting;FENG Koulan(Nantong Third Peoples Hospital,Nantong,Jiangsu,226000,China)

机构地区：[1]南通市第三人民医院,江苏南通226000

出　　处：《中西医结合护理（中英文）》2023年第12期57-60,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 探究老年慢性阻塞性肺疾病(简称“慢阻肺”)患者接受三球式呼吸训练器结合中医特色护理所取得的效果。方法 选取2020年1月至2023年1月在南通市第三人民医院确诊为老年慢阻肺的90例患者进行研究,按随机数字表法分为对照组(45例)和观察组(45例)。对照组应用常规护理,观察组应用三球式呼吸训练器结合中医特色护理。比较2组的肺功能、生活质量和中医症候积分。结果 干预7 d和出院时,2组的用力肺活量(FVC)、第1秒用力呼气容积(FEV1)和最高呼气流量(PEF)均较干预前有所提高(P均<0.05),且观察组均高于同期对照组(P均<0.05)。出院时,2组的社会活动、躯体功能、日常生活和心理状态评分均较干预前有所提高(P均<0.05),且观察组的以上评分均较对照组更高(P均<0.05)。干预7 d和出院时,2组在咳痰、呼吸困难及咳嗽方面的中医症候积分均较干预前有所降低(P均<0.05),且观察组的以上评分均低于同期对照组(P均<0.05)。结论 老年慢阻肺患者应用三球式呼吸训练器结合中医特色护理,可确保肺功能尽早恢复,且在减少中医症候的同时有助于提高整体生活质量。Objective To explore the effect of three-ball breathing trainer combined with traditional Chinese medicine characteristic nursing on the elderly patients with chronic obstructive pulmonary disease.Methods Ninety elderly patients diagnosed with chronic obstructive pulmonary disease at Nantong Third Peoples Hospital from January 2020 to January 2023 were included and assigned into a control group(n=45)and an observation group(n=45)by the use of a random number table.The control group was treated with routine nursing,and the observation group was treated with three-ball breathing trainer combined with traditional Chinese medicine characteristic nursing.The pulmonary function,quality of life,and traditional Chinese medicine symptom scores were compared between the two groups.Results After 7 days of intervention and at discharge,the forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1),and peak expiratory flow(PEF)in both groups were increased compared with those before intervention(all P<0.05),and the observation group was higher than the control group at the same period(all P<0.05).At discharge,the scores of social activities,physical function,daily life,and psychological state in both groups were improved compared with those before intervention(all P<0.05),and the above scores in the observation group were higher than those in the control group(all P<0.05).After 7 days of intervention and at discharge,the scores of traditional Chinese medicine symptoms of expectoration,dyspnea,and cough in both groups were decreased compared with those before intervention(all P<0.05),and the above scores in the observation group were lower than those in the control group(all P<0.05).Conclusion The application of three-ball breathing trainer combined with traditional Chinese medicine characteristic nursing can ensure the early recovery of pulmonary function in elderly patients with chronic obstructive pulmonary disease,reduce the symptoms of traditional Chinese medicine,and help to improve the overall quality of life

关 键 词：慢性阻塞性肺疾病 老年 三球式呼吸训练器 中医特色护理 应用效果 

分 类 号：R248.1[医药卫生—中医临床基础]