摘要
目的探讨知信行模式结合主动呼吸循环技术在老年肺部感染患者康复中的应用价值。方法选取2021年9月—2022年9月上海交通大学医学院附属瑞金医院收治的80例老年肺部感染患者为研究对象,按照随机数字表法分为两组。对照组(n=40)给予患者主动呼吸循环技术干预,观察组(n=40)于对照组基础上给予患者知信行模式干预,两组均维持干预4周。观察两组患者的临床疗效、症状缓解时间,并对比干预前后肺功能指标。结果观察组的临床总有效率为92.50%,高于对照组的67.50%,差异有统计学意义(P<0.05);干预后,观察组的最大呼气中段流量、第1秒用力呼气容积、最大通气量和用力肺活量分别为(3.35±1.55)L/s、(2.70±1.02)L、(103.44±9.26)L、(4.18±0.71)L、均大于对照组的(2.38±0.73)L/s、(2.31±0.59)L、(90.55±8.49)L、(3.59±0.57)L;日常生活活动能力为(82.67±6.05)分,高于对照组的(72.33±5.12)分,组间差异有统计学意义(P<0.05);干预后,观察组的痰菌转阴时间(5.14±1.23)d、痰鸣音缓解时间(6.22±2.18)d、退烧时间(5.71±0.85)d、湿啰音缓解时间(5.58±1.17)d,均短于对照组的(8.52±2.11)d、(8.16±1.79)d、(7.63±1.03)d、(7.86±3.70)d,组间差异有统计学意义(P<0.05)。结论将知信行模式结合主动呼吸循环技术应用于老年肺部感染患者效果显著,能够有效缩短患者症状缓解时间,进一步提高患者肺功能,利于患者康复。
Objective To explore the application value of active breathing and circulation in rehabilitation of elderly patients with pulmonary infection.Methods 80 elderly patients with pulmonary infection admitted to Ruijin Hospital,Shanghai Jiao Tong University School of Medicine from September 2021 to September 2022 were selected as the study objects and divided into two groups according to random number table method.The control group(n=40)patients were given active respiratory and circulation technique intervention,and the observation group(n=40)received knowledge,belief,and behavior model intervention based on the control group,maintaining the intervention for 4 weeks.Observe the clinical treatment efficacy and symptom remission time of the two groups of patients,and compare the lung function indicators before and after the intervention.Results The total clinical effective rate in the observation group was 92.50%,higher than 67.50%in the control group,with a statistically significant difference(P<0.05);after the intervention,the maximum mid-expiratory flow,forced expiratory volume in the first second,maximum volume of air and forced vital capacity in the observation group were(3.35±1.55)L/s,(2.70±1.02)L,(103.44±9.26)L,(4.18±0.71)L,respectively,which were all higher than(2.38±0.73)L/s,(2.31±0.59)L,(90.55±8.49)L,(3.59±0.57)L in the control group;the activity of daily living score was(82.67±6.05),higher than that of the control group(72.33±5.12),the differences between groups were statistically significant(P<0.05).After the intervention,the sputum bacteria negative conversion time(5.14±1.23)days,sputum stridor remission time(6.22±2.18)days,fever reduction time(5.71±0.85)days,and wet rale improvement time(5.58±1.17)days in the observation group were shorter than(8.52±2.11)days,(8.16±79)days,(7.63±1.03)days,and(7.86±3.70)days in the control group,the differences between groups were statistically significant(P<0.05).Conclusion The application of knowledge,belief,and behavior model combined with active respi
作者
徐贇健
陈波
李婷
张旖
吴妍
XU Yunjian;CHEN Bo;LI Ting;ZHANG Yi;WU Yan(Department of Geriatrics,Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,200025,China;Department of Emergency,Shanghai Yangsi hospital 200126,China;Department of nursing,Shanghai Yangpu District City East Hospital,Shanghai,200433,China;Department of Medical,Shanghai and Yang Pengpu conservation hospital,Shanghai,200436,China)
出处
《反射疗法与康复医学》
2023年第9期155-158,共4页
Reflexology And Rehabilitation Medicine
关键词
肺部感染
知信行模式
主动呼吸循环技术
老年
肺功能
症状改善
临床疗效
Pulmonary infection
Knowledge
belief
and action mode
Active breathing and circulation technology
Old age
Lung function
Symptom improvement
Clinical efficacy
