摘要
目的:探讨慢性阻塞性肺疾病急性加重期患者的治疗护理过程中采用督导式肺康复训练的临床应用效果。方法:选取2019年1月至2021年12月南京市中医院收治的慢性阻塞性肺疾病急性加重期患者59例,采用随机数表法将其进行为对照组(采用常规护理干预模式,29例)和观察组(采用督导式肺康复训练,30例),比较两组患者护理前后的相关血气指标含量水平(PaO_(2)、PaCO_(2)、SaO_(2))、中医症候积分(咳痰、咳嗽、胸闷、气促)以及护理后3 d、7 d、14 d的生活质量与呼吸困难指数评分。结果:护理前两组患者的相关血气指标含量水平与中医症状积分差异无统计学意义。护理后观察组患者的PaCO_(2)低于对照组,PaO_(2)、SaO_(2)高于对照组,各项中医症候指标计分均低于对照组,差异有统计学意义(P<0.05);生活质量与呼吸困难指数评分重复测量方差分析显示,存在交互、组间、时间效应(P<0.05)。结论:督导式肺康复训练的应用,能够明显改善慢性阻塞性肺疾病急性加重期患者的相关血气指标含量水平与临床疾病症状,大幅度提高其生活质量,有效降低呼吸困难指数,效果显著。
Objective To investigate the clinical application effect of using supervised pulmonary rehabilitation training in the therapeutic nursing process of patients with acute exacerbation of chronic obstructive pulmonary disease.Methods Fifty-nine patients with acute exacerbation of chronic obstructive pulmonary disease admitted to this hospital from January 2019 to December 2021 were selected and divided into the control group(using conventional nursing intervention mode,29 cases)and the observation group(using supervised pulmonary rehabilitation training,30 cases)by using the random number table method,and the content levels of the relevant blood gas indexes(PaO_(2),PaCO_(2) and SaO_(2)),Chinese medicine symptomatic scores(coughing up sputum,coughing up cough,chest tightness,and shortness of breath),and scores of the quality of life and breathlessness indexes of the patients of the two groups before and after the nursing care were compared.Results There was no statistically significant difference between the content levels of relevant blood gas indexes and TCM symptom scores of patients in the two groups before nursing.After care,the PaCO_(2) of patients in the observation group was lower than that of the control group,PaO_(2) and SaO_(2) were higher than that of the control group,and the scores of all TCM symptom index scores were lower than that of the control group,and the difference was statistically significant(P<O.05);repeated-measures ANOVA for quality of life and dyspnea index scores showed interaction,between-group,and time effects(P<0.05).Conclusions The application of supervised pulmonary rehabilitation training can significantly improve the level of relevant blood gas indexes and clinical symptoms of patients with acute exacerbation of chronic obstructive pulmonary disease,substantially improve their quality of life,and effectively reduce the index of dyspnea,with remarkable effects.
作者
陈宁
刘石萍
Chen Ning;Liu Shiping(Department of Respiratory Medicine,Nanjing Hospital of Traditional Chinese Medicine,210022,China)
出处
《国际护理学杂志》
2023年第15期2770-2773,共4页
international journal of nursing
关键词
慢性阻塞性肺疾病
急性加重期
督导式
肺康复
Chronic obstructiveepulmonary disease
Acute exacerbation
Supervised
Pulmonary rehabilitation
