摘要
目的:观察中医肺康复训练结合情志护理对老年慢性阻塞性肺疾病(COPD)稳定期患者肺功能、诱导痰液中炎症因子及生活质量的影响。方法:选取98例老年COPD稳定期患者,按随机数字表法分为对照组和观察组,每组49例。对照组给予呼吸内科常规护理,观察组在对照组基础上实施中医肺康复训练及情志护理,2组护理时间均为3个月。比较2组护理前后肺功能指标、诱导痰液中炎症因子水平及西雅图阻塞性肺疾病问卷(SOLDQ)评分。结果:与护理前比较,护理后2组1秒率、通气储量百分比(VR)均改善(P<0.05),观察组1秒率、VR改善情况均优于对照组(P<0.05)。护理后,2组诱导痰液中超敏C-反应蛋白(hs-CRP)水平均较护理前降低(P<0.05),白细胞介素-10(IL-10)水平均较护理前升高(P<0.05);观察组诱导痰液中hs-CRP水平低于对照组(P<0.05),IL-10水平高于对照组(P<0.05)。与护理前比较,护理后观察组躯体功能、应对能力、情绪功能、照顾满意度评分及对照组躯体功能评分均升高(P<0.05),观察组以上4项SOLDQ细则评分均高于对照组(P<0.05)。结论:采用中医肺康复训练结合情志护理有助于改善老年COPD稳定期患者肺功能及生活质量,调节炎症因子水平。
Objective:To observe the effect of Chinese medicine intervention of pulmonary rehabilitation training combined with emotional nursing on lung function,inflammatory cytokines in induced sputum and quality of life in elderly patients with chronic obstructive pulmonary disease(COPD)at stable stage.Methods:A total of 98 elderly patients with COPD at stable stage were selected and divided into the control group and the observation group according to the random number table method,49 patients in each group.The control group was given routine nursing in the department of respiratory medicine,and the observation group was additionally given Chinese medicine intervention of pulmonary rehabilitation training and emotional nursing based on the treatment of the control group.The nursing time in both groups were three months.Before and after nursing,the lung function indexes,the levels of inflammatory cytokines in induced sputum and the scores of seattle obstructive lung disease questionnaire(SOLDQ)in the two groups were compared.Results:Compared with those before nursing,the one-second rate and ventilation reserve(VR)in both groups were improved after nursing(P<0.05),and the improvement of the above two indexes in the observation group was better than that in the control group(P<0.05).After nursing,the levels of hyper-sensitive C-reactive protein(hs-CRP)in induced sputum in both groups were lower than those before nursing(P<0.05),and the levels of interleukin-10(IL-10)were higher(P<0.05);the level of hs-CRP in induced sputum in the observation group was lower than that in the control group(P<0.05),and the level of IL-10 was higher than that in the control group(P<0.05).Compared with those before nursing,the scores of physical function,coping ability,emotional function and care satisfaction in SOLDQ in both groups were all increased after nursing(P<0.05),and the above four scores in the observation group were higher than those in the control group(P<0.05).Conclusion:For elderly patients with COPD at stable stage,the Chinese m
出处
《新中医》
CAS
2020年第16期160-163,共4页
New Chinese Medicine
关键词
慢性阻塞性肺疾病
稳定期
肺康复训练
情志护理
肺功能
炎症因子
生活质量
Chronic obstructive pulmonary disease
Stable stage
Pulmonary rehabilitation training
Emotional nursing
Lung function
Inflammatory cytokines
Quality of life
