呼吸肌训练联合延续性护理对COPD患者肺功能和生活质量的影响  

Effects of respiratory muscle training combined with continuous nursing on lung function and quality of life in patients with COPD

作　　者：叶慧琴[1] 程苗 武娟[1] 王蕾 张小艳[2] YE Huiqin;CHENG Miao;WU Juan;WANG Lei;ZHANG Xiaoyan(Gastroenterology Department,Shaanxi Second Provincial People's Hospital,Xi'an 710005,China;Respiratory and Critical Care Medicine Department,Shaanxi Second Provincial People's Hospital,Xi'an 710005,China)

机构地区：[1]陕西省第二人民医院消化内科,陕西西安710005 [2]陕西省第二人民医院呼吸与危重症医学科,陕西西安710005

出　　处：《临床医学研究与实践》2025年第9期135-138,共4页Clinical Research and Practice

摘　　要：目的探讨呼吸肌训练联合延续性护理对慢性阻塞性肺疾病(COPD)患者肺功能和生活质量的影响。方法将2021年1月至2023年2月我院收治的128例COPD患者随机分为对照组(64例,常规护理)和研究组(64例,常规护理+呼吸肌训练+延续性护理)。比较两组的护理效果。结果护理后,研究组的第1秒用力呼吸容积(FEV1)、用力肺活量(FVC)及呼气峰流速(PEF)高于对照组(P<0.05)。护理后,研究组的运动管理、生活管理、用药管理评分高于对照组(P<0.05)。护理后,研究组的匹兹堡睡眠质量指数(PSQI)、改良版英国医学研究委员会呼吸困难量表(mMRC)评分低于对照组(P<0.05)。护理后,研究组的6 min步行试验、慢性阻塞性肺疾病评估测试(CAT)评分优于对照组(P<0.05)。研究组的满意度高于对照组(P<0.05)。结论呼吸肌训练联合延续性护理可提高COPD患者的肺功能、自我管理能力及满意度,改善睡眠质量、呼吸困难程度、运动耐量及生活质量。Objective To explore the effects of respiratory muscle training combined with continuous nursing on lung function and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 128 patients with COPD admitted in our hospital from January 2021 to February 2023 were randomly divided into control group(64 cases,routine nursing)and study group(64 cases,routine nursing+respiratory muscle training+continuous nursing).The nursing effects of the two groups were compared.Results After nursing,the forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and peak expiratory flow(PEF)in the study group were higher than those in the control group(P<0.05).After nursing,the scores of exercise management,life management and medication management in the study group were higher than those in the control group(P<0.05).After nursing,the scores of Pittsburgh Sleep Quality Index(PSQI)and modified British Medical Research Council Dyspnea Scale(mMRC)in the study group were lower than those in the control group(P<0.05).After nursing,the 6 minute walking test and COPD Assessment Test(CAT)score in the study group were better than those in the control group(P<0.05).The satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion Respiratory muscle training combined with continuous nursing can improve the lung function,self-management ability and satisfaction of COPD patients,improve sleep quality,dyspnea degree,exercise tolerance and quality of life.

关 键 词：呼吸肌训练 延续性护理 慢性阻塞性肺疾病 

分 类 号：R473.5[医药卫生—护理学]