基于5E康复模式的肺功能康复护理对COPD患者的影响  

Effects of Pulmonary Function Rehabilitation Nursing Based on 5E Rehabilitation Model on COPD Patients

作　　者：王雅丽 姜晓丽 王桂珍 张娟 Wang Yali;Jiang Xiaoli;Wang Guizhen(The Affiliated Hospital of Xuzhou Medical University,Xuzhou Jiangsu 221000,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《齐鲁护理杂志》2024年第5期18-22,共5页Journal of Qilu Nursing

摘　　要：目的:探讨基于5E康复模式的肺功能康复护理对慢性阻塞性肺疾病(COPD)患者肺功能、自我管理行为、生活质量的影响。方法:将2021年3月1日~9月30日收治的54例COPD患者作为对照组,采用常规肺功能康复护理;将2021年10月1日~2022年3月31日收治的54例COPD患者作为观察组,在对照组基础上采用基于5E康复模式的肺功能康复护理;比较两组不同时间肺功能[包括第一秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC%]、自我管理行为水平、运动能力[采用6分钟步行试验(6MWT)]、生活质量[采用圣乔治呼吸问卷(SGRQ)],康复依从性及再住院率。结果:出院后6个月,两组FEV_(1)、FVC、FEV_(1)/FVC%均高于出院时(P<0.05),且观察组高于对照组(P<0.01);两组自我管理行为水平、6MWT、SGRQ评分存在组间、时间、交互效应(P<0.05),且观察组出院后1、3、6个月指标均优于对照组(P<0.01);观察组康复依从性高于对照组(P<0.05),再住院率低于对照组(P<0.05)。结论:基于5E康复模式的肺功能康复护理可改善COPD患者的肺功能与运动能力,降低再住院率,提高患者自我管理行为和依从性,从而有效提高生活质量。Objective:To explore the effects of 5E rehabilitation nursing on pulmonary function,self-management behavior and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:Fifty-four patients with COPD treated from March 1 to September 30,2021 were selected as the control group,and routine pulmonary function rehabilitation nursing was adopted.Fifty-four patients with COPD treated from October 1,2021 to March 31,2022 were included in the observation group,and the pulmonary function rehabilitation nursing based on 5E rehabilitation model was adopted on the basis of the control group.The pulmonary function indexes by forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC),FEV_(1)/FVC%,self-management behavior level,exercise endurance by 6-minute walk test(6MWT),quality of life by St.George′s Respiratory Questionnaire(SGRQ),rehabilitation compliance and readmission rate were compared between the two groups at different times.Results:At 6 months after discharge,FEV_(1),FVC and FEV_(1)/FVC%in both groups were higher than those at discharge(P<0.05),and the observation group has higher scores than those of the control group(P<0.01).The level of self-management behavior,6MWT and SGRQ scores of the two groups had intergroup,time and interaction effects(P<0.05),and the indicators of 1,3 and 6 months after discharge of the observation group were better than those of the control group(P<0.01).The rehabilitation compliance of the observation group was higher than that of the control group(P<0.05),and the re-hospitalization rate was lower than that of the control group(P<0.05).Conclusion:Pulmonary function rehabilitation nursing based on 5E rehabilitation mode can further improve the pulmonary function and exercise ability of COPD patients,reduce the rate of re-hospitalization,improve patients′self-management behavior and compliance,and effectively improve the quality of life.

关 键 词：5E康复模式 COPD 肺功能 自我管理行为 生活质量 

分 类 号：R473.56[医药卫生—护理学]