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中国当代医药  2022, Vol. 29 Issue (5): 193-196    
  护理研究 本期目录 | 过刊浏览 | 高级检索 |
个体化运动训练结合气道护理在老年慢性阻塞性肺疾病急性加重期的应用效果
赵凯笛 丛朵
大连大学附属中山医院感染疾病科,辽宁大连 116001
Application effect of individualized exercise training combined with airway nursing on acute exacerbation of chronic obstructive pulmonary disease in the elderly
ZHAO Kaidi CONG Duo
Department of Infectious Diseases, Zhongshan Hospital Affiliated to Dalian University, Liaoning Province, Dalian 116001, China
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摘要 
目的 探讨个体化运动训练结合气道护理在老年慢性阻塞性肺疾病急性加重期的应用效果及对患者肺功能、运动耐量、生活质量的影响。方法 选取2019年2月至2021年1月大连大学附属中山医院呼吸科收治的80 例老年慢性阻塞性肺疾病急性加重期患者作为研究对象,采用随机数字表法将患者分为研究组(40 例)和对照组(40 例)。研究组实施个体化运动训练结合气道护理方案,对照组实施常规护理。 比较两组患者的肺功能、运动耐量、生活质量、并发症发生率。结果 研究组患者的活力、机体疼痛、躯体功能、生理职能、一般健康、社会功能、精神健康、情绪角色评分高于对照组,差异有统计学意义(P<0.05)。两组患者护理前的用力肺活量、呼气峰流速、第1 秒用力呼气容积、运动耐量比较,差异无统计学意义(P>0.05);两组患者护理后的用力肺活量、呼气峰流速、第1 秒用力呼气容积、运动耐量高于护理前,差异有统计学意义(P<0.05);研究组患者护理后的用力肺活量、呼气峰流速、第1秒用力呼气容积、运动耐量高于对照组,差异有统计学意义(P<0.05)。研究组患者的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 在老年慢性阻塞性肺疾病急性加重期应用个体化运动训练结合气道护理的效果良好,能有效促进肺功能、运动耐量、生活质量改善。
 
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Abstract
Objective To explore the application effect of individualized exercise training combined with airway nursing in elderly patients with acute exacerbation of chronic obstructive pulmonary disease and the influence of lung function exercise tolerance quality of life. Methods A total of 80 elderly patients with acute exacerbation of chronic obstructive pulmonary disease admitted to the Department of Respiratory Medicine, Zhongshan Hospital affiliated to Dalian University from February 2019 to January 2021 were selected as the study subjects. The patients were divided into study group (40 cases) and control group (40 cases) by random number table method. The study group carried out individualized exercise training combined with airway nursing program, and the control group carried out routine nursing. Lung function, exercise tolerance, quality of life and incidence of complications were compared between the two groups. Results The scores of vitality, body pain, physical function, physiological function, general health, social function, mental health and emotional role of patients in the study group were higher than those in the control group, and the differences were statistically significant (P<0.05). There were no significant differences in forced vital capacity, peak expiratory flow rate, forced expiratory volume in the first second and exercise tolerance between the two groups before nursing (P>0.05). After nursing, forced vital capacity, expiratory peak flow rate, forced expiratory volume in the first second and exercise tolerance in the two groups were higher than those before nursing, with statistically significant differences (P<0.05). The forced vital capacity, expiratory peak flow rate, forced expiratory volume in the first second and exercise tolerance of patients in the study group were higher than those in the control group after nursing, and the differences were statistically significant (P<0.05). The total incidence of complications in study group was lower than that in control group, and the difference was statistically significant (P<0.05). Conclusion Individualized exercise training combined with airway nursing can effectively improve lung function, exercise tolerance and quality of life in elderly patients with acute exacerbation of chronic obstructive pulmonary disease.
 
Key wordsIndividual sports training    Airway nursing    Elderly patients with acute exacerbation of chronic obstructive pulmonary disease    Lung function    Exercise tolerance    Quality of life
    
引用本文:   
赵凯笛;丛朵. 个体化运动训练结合气道护理在老年慢性阻塞性肺疾病急性加重期的应用效果[J]. 中国当代医药, 2022, 29(5): 193-196.
ZHAO Kaidi;CONG Duo. Application effect of individualized exercise training combined with airway nursing on acute exacerbation of chronic obstructive pulmonary disease in the elderly. 中国当代医药, 2022, 29(5): 193-196.
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