基于呼吸专科护士主导肺康复模式探讨中医适宜技术综合运用对慢性阻塞性肺疾病患者的影响  

Based on Respiratory Specialist Nurse-led Pulmonary Rehabilitation Model to Explore the Effect of Comprehensive Application of Traditional Chinese Medicine Appropriate Techniques on COPD patients

作　　者：方菊花[1] 白冬梅[1] 章贤玉 孟慧慧 王敏[2] FANG Juhua;BAI Dongmei;ZHANG Xianyu;MENG Huihui;WANG Min(The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230011,China;Anhui University of Chinese Medicine,Anhui Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031 [2]安徽中医药大学,安徽合肥230038

出　　处：《中医药临床杂志》2024年第9期1782-1786,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：2021年度安徽中医药大学临床科研项目(编号:2021yfylc47)。

摘　　要：目的:探讨呼吸专科护士主导肺康复模式下中医适宜技术综合运用对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的影响。方法:将符合纳入标准的100例COPD患者,按随机数字表分为对照组和观察组,对照组进行COPD基础药物治疗,责任护士配合健康教育和呼吸功能训练等非药物治疗;观察组在对照组基础上组建专科护士主导的中医肺康复治疗小组,辨证运用中医适宜技术灵龟八法穴位贴敷、火龙灸和六字诀。比较2组患者治疗前及治疗第3月、随访期第6月症状控制评估、FEV1%、6MWD、CAT、急性加重次数评分及2组患者综合疗效积分和满意度。结果:治疗第3月、随访期第6月,观察组病人的症状控制评估、FEV1%、6MWD、CAT、急性加重次数评分均低于对照组,2组患者治疗第3月满意度、随访第6月综合疗效评价比较,结果均明显高于对照组,P<0.05,差异具有统计学意义。结论:呼吸专科护士主导中医肺康复模式有助于改善COPD患者临床症状、肺功能及运动能力,减少急性发作次数,提高生活质量及患者满意度。Objective:To explore the effect of comprehensive application of appropriate TCM techniques in the pulmonary rehabilitation model led by respiratory specialist nurses on patients with chronic obstructive pulmonary disease(COPD).Methods:One hundred COPD patients who met the inclusion criteria were randomly divided into a control group and an observation group.The control group received basic COPD drug treatment,and the responsible nurses cooperated with non-drug treatments such as health education and respiratory function training.On the basis of the control group,a TCM pulmonary rehabilitation treatment team led by specialist nurses was formed in the observation group,and appropriate TCM techniques such as Linggui Bafa acupoint application,Huolong moxibustion and Liuzi Jue were used according to syndrome differentiation.The symptom control assessment,FEV1%,6MWD,CAT,acute exacerbation frequency scores,and comprehensive efficacy scores and satisfaction of the two groups were compared before treatment,at the third month of treatment,and at the sixth month of follow-up.Results:At the third month of treatment and the sixth month of follow-up,the symptom control evaluation,FEV1%,6MWD,CAT,and acute exacerbation scores of the observation group were lower than those of the control group.The satisfaction of the two groups at the third month of treatment and the comprehensive efficacy evaluation at the sixth month were significantly higher than those of the control group(P<0.05),and the difference was statistically significant.Conclusion:The TCM pulmonary rehabilitation model led by respiratory specialist nurses is helpful to improve the clinical symptoms,lung function and exercise capacity of COPD patients,reduce the number of acute attacks,and improve the quality of life and patient satisfaction.

关 键 词：呼吸专科护士 肺康复 中医适宜技术 COPD 

分 类 号：R563[医药卫生—呼吸系统]