康复阶梯图护理干预与呼吸功能锻炼对慢性阻塞性肺疾病患者运动耐力、心肺功能的影响  

Effects of Rehabilitation Ladder Diagram Nursing Intervention Combined with Respiratory Function Training on Exercise Tolerance and Cardiopulmonary Function in Patients with Chronic Obstructive Pulmonary Disease

作　　者：马丹 MA Dan(Department of Respiratory and Critical Care Medicine,Henan Provincial Chest Hospital,Zhengzhou 450008,China)

机构地区：[1]河南省胸科医院呼吸与危重症科,河南郑州450008

出　　处：《河南医学研究》2025年第6期1108-1112,共5页Henan Medical Research

摘　　要：目的探讨康复阶梯图护理干预与呼吸功能锻炼对慢性阻塞性肺疾病(COPD)患者运动耐力、心肺功能的影响。方法纳入2022年1月至2023年12月在河南省胸科医院确诊为COPD的患者共80例。所有患者均符合COPD的诊断标准,一组接受康复阶梯图护理干预与呼吸功能锻炼(研究组),另一组仅接受常规护理(对照组),对比两组患者的护理效果。结果护理后,研究组患者的用力呼气量(FEV_(1))、用力肺活量(FVC)、用力呼气量与用力肺活量的比值(FEV_(1)/FVC)、左心室射血分数(LVEF)、左心室等容舒张时间(LIVRT)及左心室每搏输出量(LVSV)均高于对照组(P<0.05)。两组患者呼吸困难Borg评分、6分钟步行测试(6MWT)组间、时间、交互作用有统计学意义(P<0.05)。护理后1个月、3个月、6个月,研究组呼吸困难Borg评分低于对照组,6MWT高于对照组(P<0.05)。结论康复阶梯图护理干预联合呼吸功能锻炼的联合是改善COPD患者运动耐力和心肺功能的有效手段。Objective To investigate the effects of rehabilitation ladder diagram nursing intervention combined with respiratory function training on exercise tolerance and cardiopulmonary function in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 80 COPD patients diagnosed at Henan Provincial Chest Hospital from January 2022 to December 2023 were enrolled.All patients met the diagnostic criteria for COPD.The study group received rehabilitation ladder diagram nursing intervention and respiratory function training,while the control group received routine care only.The therapeutic outcomes were compared between the two groups.Results After intervention,the study group showed significantly higher values in forced expiratory volume the first second(FEV_(1)),forced vital capacity(FVC),FEV_(1)/FVC ratio,left ventricular ejection fraction(LVEF),left ventricular isovolumic relaxation time(LIVRT),and left ventricular stroke volume(LVSV)compared to the control group(P<0.05).Significant group,time,and interaction effects were observed in Borg dyspnea scores and 6 minutes walking test(6MWT)outcomes(P<0.05).At 1,3,and 6 months post-intervention,the study group exhibited lower Borg dyspnea scores and longer 6MWT distances than the control group(P<0.05).Conclusion The combination of rehabilitation ladder diagram nursing intervention and respiratory function training is an effective approach to improve exercise tolerance and cardiopulmonary function in COPD patients.

关 键 词：慢性阻塞性肺疾病 康复阶梯图护理干预 呼吸功能锻炼 运动耐力 心肺功能 

分 类 号：R473.5[医药卫生—护理学]