摘要
目的：探讨多学科肺康复综合护理干预对慢性阻塞性肺疾病（COPD）患者肺功能、生活质量及急性加重次数的影响。方法：选取2014年2月-2015年2月在我院呼吸内科收治的COPD患者122例,将其随机分为干预组62例和对照组60例。干预组采用多学科肺康复综合护理,对照组采用常规护理。1年后,比较两组患者6 min步行试验距离（6MWT）、急性加重次数、临床COPD问卷中症状评分、功能评分、精神状态评分。结果：观察1年后,两组患者CCQ症状评分、功能评分、精神状态评分差异无统计学意义（P〉0.05）。干预组6MWT优于对照组（P〈0.05）,急性加重次数少于对照组（P〈0.05）。结论：多学科肺康复综合护理干预可以使COPD患者急性加重次数显著减少、肺功能改善明显,但两组的症状评分、功能评分、精神状态评分差异无统计学意义。需要更多和样本量更大的同类研究,以评估多学科综合护理对COPD患者肺功能和生活质量的改善情况。
Objective： To investigate the effects of multidisciplinary pulmonary rehabilitation nursing intervention on lung function,quality of life and acute exacerbation of patients with chronic obstructive pulmonary disease（ COPD）. Methods： Divided 122 patients with COPD admitted to our hospital from February 2014 to February 2015 randomly into intervention group with 62 cases and control group with 60 cases. In the intervention group,multidisciplinary pulmonary rehabilitation comprehensive nursing was adopted,while the control group received routine nursing. After 1 year,the 6- min walk test distance（ 6MWT）,the number of acute exacerbations,the symptom scores,functional scores and mental status scores were compared between the two groups. Results： After 1 year,there was no significant difference in CCQ symptom scores,functional scores and mental status scores between the two groups（ P〉0.05）. The 6MWT in the intervention group was better than that in the control group（ P〈0.05）. The number of acute exacerbations in the intervention group was lower than that in the control group（ P〈0.05）. Conclusion： Multidisciplinary pulmonary rehabilitation comprehensive nursing intervention can significantly reduce the number of acute exacerbations and improve pulmonary function in patients with COPD,but there is no significant difference in symptom scores,functional scores and mental status scores between the two groups. More cohort studies are needed to assess the improvement of lung function and quality of life in COPD patients with multidisciplinary care.
出处
《护理实践与研究》
2016年第22期25-27,共3页
Nursing Practice and Research
关键词
慢性阻塞性肺疾病
肺康复
急性加重
肺功能
生活质量
护理干预
Chronic obstructive pulmonary disease
Pulmonary rehabilitation
Acute exacerbation
Lung function
Quality of life
Nursing intervention
