远程医疗管理下呼吸康复指导对老年中重度慢性阻塞性肺疾病患者通气能力及肺功能的影响  

Impact of respiratory rehabilitation guidance under remote medical management on ventilation capacity and lung function in elderly patients with moderate to severe chronic obstructive pulmonary disease

作　　者：胡燕霞[1] HU Yanxia(Department of Respiratory,Jiujiang First People's Hospital,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市第一人民医院呼吸内科,江西九江332000

出　　处：《中国当代医药》2024年第34期158-161,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211771)。

摘　　要：目的探讨远程医疗管理下呼吸康复指导在老年中重度慢性阻塞性肺疾病(COPD)患者中的应用效果。方法选取2021年8月至2023年8月九江市第一人民医院收治的96例老年中重度COPD患者作为研究对象,采用随机数字表法将其分为对照组(48例)和观察组(48例)。对照组采取常规护理,观察组实施远程医疗管理下呼吸康复指导,两组均持续护理观察12周。比较两组患者自我管理能力、通气能力、肺功能以及生活质量。结果观察组护理后自我管理能力评分高于对照组,差异有统计学意义(P<0.05);观察组护理后最大分钟肺通气量(VE_(max))、呼吸储备(BR)以及最大潮气量(VT_(max))均高于对照组,差异有统计学意义(P<0.05)。观察组护理后第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、呼气峰流速(PEF)均高于对照组,差异有统计学意义(P<0.05);观察组护理后生活质量测定量表简表(QOL-BREF)评分均高于对照组,差异有统计学意义(P<0.05)。结论远程医疗管理下呼吸康复指导可提升老年中重度COPD患者自我管理能力,有效改善其通气能力,促进肺功能恢复,进而提升患者生活质量。Objective To explore the application effect of respiratory rehabilitation guidance under remote medical management in elderly patients with moderate to severe chronic obstructive pulmonary disease(COPD).Methods A total of 96 elderly patients with moderate and severe COPD admitted to Jiujiang First People's Hospital from August 2021 to August 2023 were selected as the study objects,and they were divided into control group(48 cases)and observation group(48 cases)according random number table method.The control group received routine nursing,while the observation group received respiratory rehabilitation guidance under remote medical management.Both groups received continuous nursing observation for 12 weeks.The self-management ability,ventilation capacity,lung function and quality of life were compared between the two groups.Results The self-management ability score of the observation group after nursing was higher than that of the control group,and the difference was statistically significant(P<0.05).The maximum minute lung ventilation volume(VE_(max)),breathing reserve(BR),and maximum tidal volume(VT_(max))in the observation group after nursing were higher than those in the control group,and the differences were statistically significant(P<0.05).The forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC),and peak expiratory flow(PEF)in the observation group after nursing were higher than those in the control group,and the differences were statistically significant(P<0.05).The QOL-BREF scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Respiratory rehabilitation guidance under remote medical management can enhance the self-management ability of elderly patients with moderate to severe COPD,effectively improve their ventilation ability,promote lung function recovery,and ultimately improve their quality of life.

关 键 词：慢性阻塞性肺疾病 远程医疗管理 呼吸康复指导 通气能力 肺功能 

分 类 号：R473[医药卫生—护理学]