摘要
目的观察个案管理下的健康干预结合心肺康复运动训练对肺间质纤维化肺功能的康复效果。方法本文为前瞻性研究,选择2021年5月至2022年5月郑州大学第一附属医院收治的158例肺间质纤维化患者为研究对象,应用抽签法将入组患者均分为对照组(79例)和干预组(79例),对照组予以常规健康宣教结合心肺康复运动训练,干预组予以个案管理下的健康干预结合心肺康复运动训练,比较2组患者的疾病认知情况、康复依从性及康复效果。结果护理前,2组患者的疾病认知水平差异无统计学意义(P>0.05);护理后,干预组的疾病认知总分(90±5)分高于对照组(87±5)分,康复依从优良率96.2%(76/79)高于对照组84.8%(67/79)(P<0.001);护理前,2组患者的肺功能指标差异无统计学意义(P>0.05);护理后,干预组的第1秒用力呼气容积百分比(71±5)%高于对照组(68±5)%、一氧化氮弥散量百分比(52±5)%高于对照组(48±5)%、6 min步行试验(382±20)m大于对照组(339±50)m,差异均有统计学意义(P<0.001)。结论采用个案管理下的健康干预结合心肺康复运动训练可有效提升患者对于疾病的认知水平及康复依从性,对促进患者肺功能改善、增强康复效果有重要意义。
Objective To observe the rehabilitation effect of health intervention under case management combined with cardiopulmonary rehabilitation exercise training on pulmonary function of pulmonary interstitial fibrosis.Methods Taking 158 patients with pulmonary interstitial fibrosis admitted to our hospital from May 2021 to May 2022 as the study object,the enrolled patients were divided into the control group(79 cases)and the intervention group(79 cases)by drawing lots.The control group was given routine health education combined with cardiopulmonary rehabilitation exercise training,and the intervention group was given health intervention combined with cardiopulmonary rehabilitation exercise training under case management.The disease cognition,rehabilitation compliance and rehabilitation effect of the two groups were compared.Results Before nursing,there were no statistical differences in the level of disease cognition between the two groups(P>0.05).After nursing,the total score of disease cognition in the intervention group(90±5)was higher than that in the control group(87±5),and the excellent and good rate of rehabilitation compliance was(96.2%,76/79)higher than that in the control group(84.8%,67/79)(P<0.05).Before nursing,there were no statistical differences in lung function indexes between the two groups(P>0.05).After nursing,forced expiratory volume in 1 second(FEV1)%[(71±5)%]in the intervention group was higher than that in the control group[(68±5)%],diffusing capacity of carbon monoxide(DLCO)[(52±5)%]was higher than that in the control group[(48±5)%],6 minutes′walk test(6MWT)[(382±20)m]was higher than that in the control group[(339±50)m](P<0.05).Conclusion Health intervention under case management combined with cardiopulmonary rehabilitation exercise training can effectively improve patients′cognitive level of disease and rehabilitation compliance and is of great significance to promote the improvement of patients′lung function and enhance the rehabilitation effect.
作者
韩培培
唐小丽
Han Peipei;Tang Xiaoli(Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《山西医药杂志》
2023年第16期1203-1206,共4页
Shanxi Medical Journal
基金
河南省医学教育研究项目(LHGJ20220115)。
关键词
肺纤维化
康复
个案管理
健康干预
心肺康复运动训练
Pulmonary fibrosis
Rehabilitation
Case management
Health intervention
Cardiopulmonary rehabilitation exercise training
