摘要
目的探讨老年慢性阻塞性肺疾病(简称"慢阻肺")稳定期患者经基于物联网云平台的肺康复护理效果。方法本研究采用回顾性分析,收集2018年3月—12月四川大学华西医院接受常规肺康复护理且完成随访的69例老年慢阻肺稳定期患者的临床资料,作为常规组;收集2019年2月—11月于四川大学华西医院接受基于物联网云平台的肺康复护理且完成随访的72例老年慢阻肺稳定期患者的临床资料,作为研究组。分别于干预前、干预6个月后,检测两组肺功能;使用英国医学研究委员会改良的呼吸困难量表(mMRC)评估两组呼吸困难变化情况,使用慢阻肺生活质量评分表(CAT评分)评估患者日常生活影响情况,使用自制调查问卷调查两组对肺康复训练相关知识的掌握情况。结果干预6个月后,两组第一秒用力呼气容积、用力肺活量、第一秒用力呼气量占所有呼气量的比例及最大呼气流速均高于干预前,且研究组均高于常规组(P<0.05);两组mMRC评分及CAT评分均低于干预前,且研究组均低于常规组(P<0.05);研究组相关知识掌握评分高于常规组(P<0.05)。结论老年慢阻肺稳定期患者经基于物联网云平台的肺康复护理效果确切,有利于提高患者对肺康复相关知识的掌握度,患者肺功能改善、呼吸困难症状减轻,疾病对患者日常生活的影响减少,值得临床推广应用。
Objective To investigate the effect of lung rehabilitation nursing on elderly patients with chronic obstructive pulmonary disease(COPD for short)in stable phase based on internet of things cloud platform.Methods Retrospectively analyzsis was carried out in this study,clinical data of 69 elderly patients with COPD who had received routine pulmonary rehabilitation care and completed follow-up in West China Hospital of Sichuan University from March 2018 to December 2018 was collected and as routine group;the clinical data of 72 elderly patients with COPD who received lung rehabilitation nursing based on the internet of things cloud platform and completed follow-up in West China Hospital of Sichuan University from February 2019 to November 2019 was collected and as the research group.Before and after six months of intervention,examined the lung function of the two groups;the british medical research council modified dyspnea scale(mMRC)was used to assess the changes in dyspnea in the two groups.The COPD quality of life scale(CAT score)was used to assess the impact of patients’daily life,a self-made questionnaire was used to investigate the two groups’mastery of lung rehabilitation training.Results After six months of intervention,the forced expiratory volume in one second,forced vital capacity,and forced expiratory volume in the first second accounted for the proportion of all expiratory volumes and the maximum expiratory flow rate of the two groups were higher than those before the intervention.while those in the study group were higher than those in the conventional group(P<0.05);mMRC score and CAT score in both groups were lower than those before the intervention,and those in the study group were lower than those in the conventional group(P<0.05);the relevant knowledge mastery score of the study group was higher than that of the conventional group(P<0.05).Conclusion Elderly patients with chronic obstructive pulmonary disease in stable stage have a definite effect of lung rehabilitation nursing based on the inte
作者
朱俞彤
刘祚燕
ZHU Yutong;LIU Zuoyan(Rehabilitation Medical Center of West China Nursing College,West China Hospital of Sichuan University,Sichuan Province,Chengdu 610041,China;Key Laboratory of Rehabilitation Medicine in Sichuan Province,Sichuan Province,Chengdu 610041,China)
出处
《中国医药导报》
CAS
2021年第1期184-188,共5页
China Medical Herald
关键词
慢阻肺
稳定期
物联网云平台
肺康复护理
肺功能
呼吸困难
生活质量
Chronic obstructive pulmonary disease
Stable period
Cloud platform of internet of things
Lung rehabilitation nursing
Lung function
Dyspnea
Quality of life
