摘要
目的 探讨基于交互分析的团体健康宣教联合排痰训练对老年慢性阻塞性肺疾病(COPD)呼吸衰竭患者的康复效果,旨在为治疗COPD提供方法。方法 选取2019年12月—2021年9月在四川大学华西医院诊治的老年COPD合并呼吸衰竭患者160例,按数字表法随机分为观察组和对照组,每组80例。对照组予常规健康宣传教育联合排痰训练,观察组则予基于交互分析的团体健康宣教联合排痰训练,为期6个月。观察并比较2组干预前后排痰训练依从性、肺功能、生活质量及心理状态变化。结果 干预6个月后,观察组排痰训练依从性明显高于对照组,差异有统计学意义(P<0.05)。观察组用力肺活量(FVC)、1秒用力呼气量(FEV1)和FEV1/FVC值均高于对照组,差异均有统计学意义(P<0.05)。观察组COPD生活质量评估测试(CAT)中的疾病症状、睡眠质量、精力情绪、运动耐力及日常运动评分均低于对照组,差异均有统计学意义(P<0.05)。观察组积极情感消极情感量表(PANAS)中坚定、平静情绪评分均高于对照组(P<0.05);苦恼、焦虑情绪评分均低于对照组,差异均有统计学意义(P<0.05)。结论 基于交互分析的团体健康宣教联合排痰训练有利于提高老年COPD合并呼吸衰竭患者康复训练依从性,可改善患者肺功能及生活质量,调节患者心理状态。
Objective To explore the rehabilitation effects of group health education combined with expectoration training based on interactive analysis on elderly patients with chronic obstructive pulmonary disease(COPD) complicated with respiratory failureand provide methods for the treatment of COPD.Methods 160 elderly patients with COPD complicated with respiratory failure who were treated in West China Hospital,Sichuan University between December 2019 and September 2021 were selected and divided into observation group and control groupaccording to the random number table method,with 80 cases in each group.The control group received routine health education combined with expectoration training,while the observation group received group health education based on interaction analysis combined with expectoration training.They were treated for 6 months.The compliance of expectoration training,pulmonary function,quality of life and mental status were observed and compared between the two groups before and after the intervention.Results After 6 months of intervention,the compliance of expectoration training of the observation group was higher than that of the control group(P<0.05).The forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1) and FEV1/FVC of the observation group were higher than those of the control group(P<0.05).The scores of disease symptoms,sleep quality,energy and mood,exercise tolerance anddaily exercise in the COPD Quality of Life Assessment Test(CAT)of the observation group were lower than those of the control group(P<0.05).The scores of firmness and calmness in the Positive and Negative Affect Schedule(PANAS) of the observation group were higher than those of the control group(P<0.05),while the scores of distress and anxiety of PANAS were lower than those of the control group(P<0.05).Conclusion Group health education based on interaction analysis combined with expectoration training can improve the compliance of rehabilitation training of elderly patients with COPD complicated respiratory f
作者
寇咏
刘凌卉
Kou Yong;Liu Linghui(Department of Respiratory and Critical Care Medicine,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan,610041,P.R.China)
出处
《老年医学与保健》
CAS
2022年第4期828-832,共5页
Geriatrics & Health Care
基金
国家重点研发计划项目(2017YFC1308504)。
关键词
老年
慢性阻塞性肺疾病
交互分析
团体健康宣教
排痰训练
elderly
chronic obstructive pulmonary disease
interaction analysis
group health education
expectoration training
