有氧运动计划记录单在老年慢性阻塞性肺疾病患者护理中的应用  

Application of Aerobic Exercise Plan Record Sheet in Nursing Care of Elderly Patients with Chronic Obstructive Pulmonary Disease

作　　者：朱仕芳[1] 高春英[1] 张怡[1] Zhu Shifang;Gao Chunying;Zhang Yi(Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020,China;不详)

机构地区：[1]首都医科大学附属北京朝阳医院,北京市100020

出　　处：《中国病案》2024年第3期16-18,22,共4页Chinese Medical Record

摘　　要：目的探讨有氧运动计划记录单在老年慢性阻塞性肺疾病患者护理中的应用效果。方法选取2020年6月1日-2022年5月31日某院老年慢性阻塞性肺疾病患者120例,采用信封法将所有患者分为2组,对照组和研究组各60例。对照组采用常规运动宣教,研究组采用有氧运动计划记录单进行运动训练。3个月后,比较2组肺功能指标、运动耐力及呼吸困难程度。结果干预后研究组第1秒用力呼气量(FEV1)(1.38±0.30)L、呼气峰值流速(PEF)(3.74±0.33)L/S及第1秒用力呼气量占用力肺活量比率(FEV1/FVC)(67.84±5.39)%与对照组FEV1(1.05±0.27)L、PEF(3.74±0.33)L/S及FEV1/FVC(52.07±4.63)%比较均有改善,具有统计学意义。干预后研究组无氧阀(AT)(14.38±2.82)ml/kg/min、最大摄氧量(VO_(2)max)(16.42±3.75)ml/kg/min及6分钟步行试验(6MWT)(434.69±24.82)m与对照组AT(10.17±2.75)ml/kg/min、VO_(2)max(12.31±3.82)ml/kg/min及6MWT(402.83±23.91)m比较均有改善,具有统计学意义。研究组呼吸困难程度0级占比(25.00%)、1级占比(43.33%)与对照组(5.00%、16.67%)比较明显升高,3级占比(6.67%)、4级占比(3.33%)与对照组(28.33%、23.33%)比较明显降低,具有统计学意义。结论有氧运动计划记录单的应用,使有氧运动计划得以有效实施和及时干预,老年COPD患者的肺功能、运动耐力及呼吸困难得以改善,有助于提高老年COPD患者的生活质量。Objectives This study aims to explore the application effect of the aerobic exercise plan record sheet in the nursing care of elderly patients with chronic obstructive pulmonary disease.Methods 120 elderly patients with chronic obstructive pulmonary disease in a hospital from June 1,2020 to May 31,2022 were selected.All patients were divided into 2 groups using the envelope method,with 60 cases in each group,the control group and the research group.The control group used routine exercise education,while the research group used the aerobic exercise plan record sheet for exercise training.After 3 months,the lung function index,exercise endurance,and dyspnea were compared between the two groups.Results After intervention,the FEV1(1.38±0.30)L,PEF(3.74±0.33)L/S and FEV1/FVC(67.84±5.39)%of the study group were improved compared with the FEV1(1.05±0.27)L,PEF(3.74±0.33)L/S and FEV1/FVC(52.07±4.63)%of the control group,which had statistical significance.After intervention,the AT(14.38±2.82)ml/kg/min,VO_(2)max(16.42±3.75)ml/kg/min and 6MWT(434.69±24.82)m of the study group were all improved compared with the AT(10.17±2.75)ml/kg/min,VO_(2)max(12.31±3.82)ml/kg/min and 6MWT(402.83±23.91)m of the control group,which had statistical significance.The proportion of dyspnea level 0(25.00%)and level 1(43.33%)in the study group was significantly higher than that in the control group(5.00%,16.67%),while the proportion of level 3(6.67%)and level 4(3.33%)was significantly lower than that in the control group(28.33%,23.33%),which had statistical significance.Conclusions The application of the aerobic exercise program record sheet enables effective implementation and timely intervention of aerobic exercise program,which improves lung function,exercise endurance,and dyspnea in elderly COPD patients.

关 键 词：有氧运动计划记录单 慢性阻塞性肺疾病 肺功能 运动耐力 呼吸困难程度 

分 类 号：R473.5[医药卫生—护理学]