积极心理护理联合心肺康复训练干预对慢性阻塞性肺疾病稳定期患者肺功能及睡眠质量的影响  

Effects of Active Psychological Nursing Combined with Cardiopulmonary Rehabilitation Training Intervention on Lung Function and Sleep Quality in Patients with Stable Chronic Obstructive Pulmonary Disease

作　　者：仲崇媛 吕长敏 ZHONG Chongyuan;LYU Changmin(Department of Nursing,Zoucheng People's Hospital,Zoucheng 273500,Chian;Department Zoucheng People's Hospital,Zoucheng 273500,China)

机构地区：[1]邹城市人民医院护理部,山东邹城273500 [2]邹城市人民医院呼吸与危重症医学科,山东邹城273500

出　　处：《反射疗法与康复医学》2025年第7期86-89,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨积极心理护理联合心肺康复训练干预对慢性阻塞性肺疾病(COPD)稳定期患者肺功能及睡眠质量的影响。方法选择邹城人民医院2022年1月—2023年11月收治的400例COPD稳定期患者为研究对象,按随机数字表法将其分为对照组与观察组,各200例。对照组采用常规护理,观察组采用积极心理护理联合心肺康复训练,两组均持续干预8周。比较两组患者的康复依从性、肺功能及睡眠质量。结果观察组康复总依从率为97.50%,高于对照组的92.50%,差异有统计学意义(P<0.05)。干预后,观察组第1秒用力呼气容积、用力肺活量均大于对照组,最大呼气流量高于对照组,组间差异有统计学意义(P<0.05);观察组匹兹堡睡眠质量指教量表各个维度评分均低于对照组,组间差异有统计学意义(P<0.05)。结论COPD稳定期患者采用积极心理护理联合心肺康复训练,可增强患者康复依从性,提高睡眠质量,改善其肺功能,具有较高安全性。Objective To explore the effect of positive psychological nursing combined with cardiopulmonary rehabilitation training intervention on lung function and sleep quality in patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 400 patients with stable COPD treated in the hospital from January 2022 to November 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 200 cases in each group.The control group received routine nursing,the observation group received positive psychological nursing combined with cardiopulmonary rehabilitation training,and both groups continued to intervene for 8 weeks.The rehabilitation compliance,lung function and sleep quality of the two groups were compared.Results The rehabilitation total compliance rate in the observation group was 97.50%,which was higher than 92.50%in the control group,and the difference was statistically significant(P<0.05).After intervention,the forced expiratory volume for 1 second,forced vital capacity in the observation group were greater than thouse in the control group,and peak expiratory flow was higher than that in the control group,and the differences between groups were statistical significance(P<0.05);the Pittsburgh Sleep Quality Index score on all dimensions of the observation group were lower than that of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The intervention of positive psychological nursing combined with cardiopulmonary rehabilitation training in stable COPD patients can enhance their rehabilitation compliance,improve their quality,improve their lung function,and have high safety.

关 键 词：慢性阻塞性肺疾病 稳定期 积极心理护理 心肺康复训练 肺功能 睡眠质量 

分 类 号：R473.5[医药卫生—护理学]