摘要
目的观察抗阻呼吸训练对COPD患者肺功能及生活质量的影响。方法采用等距随机抽样法选取2015年6月-2017年7月华中科技大学同济医学院附属协和医院收治的128例COPD患者为研究对象，按照入院时间顺序分为两组，2015年6月-2016年6月收治的64例患者为对照组，予以常规护理干预；2016年7月-2017年7月收治的64例患者为观察组，在对照组基础上实施抗阻呼吸训练，均持续6个月。分别于干预前及干预结束时行肺功能检测，测试用力肺活量（FYC）、用力肺活量占预计值的百分比（FVC％）、第1秒用力呼气容积（FEV1）、第1秒用力呼气容积占预计值的百分比（FEV1％）、FEV1／FVC的变化情况。采用COPD患者生活质量量表（COPD—QOL），比较两组干预前后生活质量评分。结果两组干预前肺功能指标比较差异无统计学意义（P〉0．05）；干预后两组FVC、FVC％、FEV1、FEV1％、FEV1/FVC上升，均高于干预前，且观察组干预后上述指标均高于对照组，差异均有统计学意义（P〈0．05）。两组干预前生活质量评分比较差异无统计学意义（P〉0．05）；干预后两组生活质量各维度评分及总分均低于干预前，且观察组干预后上述评分均低于对照组，差异均有统计学意义（P〈0．05）。结论抗阻呼吸训练较传统运动（腹式呼吸、缩唇呼吸）更符合COPD患者呼吸生理学特点，能有效促进患者肺康复，提高其生活质量。
Objective To observe the effects of resistance breathing training on the pulmonary rehabilitation and quality of life in patients with chronic obstructive pulmonary disease （COPD）. Methods Totally 128 COPD patients admitted in Union Hospital, Tongji Medical College, Huazhong University of Science ＆ Technology between June 2015 and July 2017 were selected by systematic random sampling and divided into two groups according to the admission time. The 64 patients admitted from June 2015 to June 2016 were divided into the control group, who received conventional nursing interventions for 6 months, while another 64 patients admitted between July 2016 and July 2017 were divided into the observation group, who received resistance breathing training for 6 months on the basis of conventional nursing interventions. The pulmonary function, including forced vital capacity （FVC）, percent FVC to the estimated value （FVC%）, forced expiratory volume for the first second （FEV,）, percent FEV1 to the estimated value （FEV1%） and changes of FEV1/FVC, were tested before and after interventions. The Chronic Obstructive Pulmonary Disease-Quality of Life scale （COPD-QOL） was used to compare the quality of life between the two groups before and after interventions. Results There were no statistical differences in terms of pulmonary indicators between the two groups before interventions （P 〉 0.05） ; however, FVC, FVC%, FEV1, FEV1% and FEV1/FVC rose after interventions, higher than those before interventions, and the observation group scored higher than the control group in terms of the indicators abovepost interventions （P 〈 0.05）. There were no statistical differences between the two groups in the quality of life before interventions （P 〉 0.05） ; however, the scores in the dimensions of the quality of life and the total score after interventions were lower than those before interventions, and the observation group scored lower than the control group in terms of the indicators mentioned above （P
作者
杨丹
张练
李嫚
张焕梅
Yang Dan;Zhang Lian;Li Man;Zhang Huanmei(Department of Respiratory Medicine,Union Hospital,Tongfi Medical College,Huazhong University of Science ＆ Technology,Wuhan 430022,Chin;Department of Pediatric Internal Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science ＆ Technology,Wuhan 430022,China)
出处
《中华现代护理杂志》
2018年第29期3552-3556,共5页
Chinese Journal of Modern Nursing
基金
协和医院院内科学科研基金项目（2015YJH0022）
关键词
肺疾病
慢性阻塞性
生活质量
抗阻呼吸训练
肺康复
Pulmonary disease
chronic obstructive
Quality of life
Resistance breathing training
Pulmonary rehabilitation
