肺功能康复训练联合整体护理对慢性阻塞性肺疾病患者肺功能及运动耐力的影响

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摘要目的探讨肺功能康复训练联合整体护理对慢性阻塞性肺疾病（COPD）患者肺功能及运动耐力的影响。方法选择2019年5月—2020年10月抚州市第一人民医院收治的100 例COPD 患者为研究对象，按照随机数字表法分为对照组与观察组，每组各50 例。对照组采用整体护理模式，观察组则采用的是肺功能康复训练联合整体护理模式。观察两组的第1 秒用力肺活量（FEV1）、第1 秒用力呼气量占用力肺活量的比值（FEV1/FVC）的情况，并评估改良呼吸困难指数（mMRC）、6 min 步行试验（6MWT）等运动耐力指标情况，运用圣乔治呼吸质量评分（SGRO）调查其生活质量的变化情况。结果两组干预前的FEV1、FEV1/FVC 比较，差异无统计学意义（P＞0.05）；干预后，两组的肺功能指标高于干预前，且观察组干预后的肺功能指标高于对照组，差异均有统计学意义（P<0.05）。两组干预前的mMRC、6MWT 长度和SGRO 评分比较，差异无统计学意义（P＞0.05）；干预后，两组的mMRC 评分高于干预前、6MWT 长于干预前，且观察组干预后的mMRC 评分低于对照组，6MWT 长于对照组，差异均有统计学意义（P<0.05）。结论应用肺功能康复训练联合整体护理，有助于改善COPD 患者的肺功能，增强其运动耐力，提升其生活质量，效果良好。

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	娄丽华

关键词 ：肺功能康复训练, 整体护理, 慢性阻塞性肺疾病, 肺功能, 运动耐力

Abstract：Objective To explore the influence of pulmonary function rehabilitation training combined with holistic nursing on pulmonary function and exercise endurance of patients with chronic obstructive pulmonary disease.(COPD)Methods From May 2019 to October 2020, 100 patients with COPD in the First People′s Hospital of Fuzhou City were selected as the research objects, and they were divided into the control group and the observation group according to the random number table method, 50 cases in each group. The control group was given holistic nursing mode, while the observation group was given pulmonary function rehabilitation training combined with holistic nursing mode. The changes of forced vital capacity in the first second (FEV1), the ratio of forced expiratory volume in the first second to forced vital capacity (FEV1/FVC), the modified dyspnea index (mMRC) and 6-minute walk test (6 MWT) were evaluated, and the changes of quality of life were investigated by St. George′s respiratory quality score (SGRO) were observed between the two groups. Results There were no significant differences in FEV1 and FEV1/FVC between the two groups before intervention (P＞0.05). After intervention, the lung function indexes of the two groups were higher than those before intervention, and the lung function indexes of the observation group after intervention were higher than those of the control group after intervention, the differences were statistically significant (P<0.05). There were no significant difference in mMRC, 6MWT length and SGRO score between the two groups before intervention (P＞0.05). After intervention, the mMRC scores of the two groups were higher than those before intervention, and the 6MWT length was longer than that before intervention, the mMRC score of the observation group after intervention was lower than that of the control group, and the 6MWT was longer than that of the control group after intervention, the differences were statistically significant (P<0.05). Conclusion The application of pulmonary function rehabilitation training combined with holistic nursing is helpful to improve the pulmonary function of patients with COPD, enhance their exercise endurance and improve their quality of life, and the effect is good.

Key words： Pulmonary function rehabilitation training Holistic nursing Chronic obstructive pulmonary disease Pulmonary function Exercise endurance

基金资助:江西省抚州市指导性科技计划项目（抚科计字[2020]10 号第52 项）

作者简介: 娄丽华（1984-），女，江西抚州人，研究方向：呼吸系统疾病护理

引用本文:

娄丽华. 肺功能康复训练联合整体护理对慢性阻塞性肺疾病患者肺功能及运动耐力的影响[J]. 中国当代医药, 2021, 28(21): 256-259.
LOU Li-hua. Influence of pulmonary function rehabilitation training combined with holistic nursing on pulmonary function and exercise endurance of patients with chronic obstructive pulmonary disease. 中国当代医药, 2021, 28(21): 256-259.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I21/256

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