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慢性阻塞性肺疾病患者“4S”肺康复运动护理指导的临床观察 被引量:2

Clinical Observation on"4S"Lung Rehabilitation Exercise Nursing Guidance for Patients with Chronic Obstructive Pulmonary Disease
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摘要 目的:探究“4S”肺康复运动护理指导训练在慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果。方法:通过回顾性分析并选取2019年10月—2021年10月160例于襄阳市襄州区人民医院呼吸与危重症医学科住院的COPD稳定期患者,并将其随机划分成观察组和对照组,各80例。观察组接受常规治疗和“4S”肺康复运动护理指导,对照组接受常规治疗和普通康复锻炼。比较两组第1秒用力呼气容积(FEV_(1))、第1秒用力呼气容积占用力肺活量的百分比(FEV_(1)/FVC%)、6 min步行距离(6MWD)、圣乔治呼吸问卷(SGRQ)、改良呼吸困难指数(mMRC)及慢性阻塞性肺疾病评估测试(CAT)评分。结果:干预后,两组肺部功能较干预前均提高,且观察组的FEV_(1)和FEV_(1)/FVC%均明显高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组6MWD、SGRQ评分均较干预前改善,较对照组均改善明显,差异均有统计学意义(P<0.05)。干预后,观察组mMRC、CAT评分均比对照组更优,差异均有统计学意义(P<0.05)。结论:“4S”肺康复运动护理指导可以显著改善患者的呼吸困难症状,提升肺功能,增强运动的适应力。总之,在规范治疗慢阻肺的基础上实施“4S”肺康复运动护理指导能明显提升稳定期慢阻肺患者的治疗效果。 Objective:To explore the application effect of"4S"lung rehabilitation exercise nursing guidance on patients with chronic obstructive pulmonary disease(COPD)in stable stage.Method:A retrospective analysis was conducted and 160 stable stage COPD patients admitted to the Respiratory and Critical Care Medicine Department of Xiangzhou District People's Hospital of Xiangyang City from October 2019 to October 2021 were selected,they were randomly divided into an observation group and a control group,80 cases in each group.The observation group received routine treatment and"4S"lung rehabilitation exercise nursing guidance,while the control group received routine treatment and regular rehabilitation exercise.The first second forced expiratory volume(FEV_(1)),percentage of first second forced expiratory volume to forced vital capacity(FEV_(1)/FVC%),6 min walking distance(6MWD),St George's respiratory questionnaire(SGRQ),modified medical research council(mMRC)and COPD assessment test(CAT)score between two groups were compared.Result:After intervention,the lung function of both groups were increased compared to those before intervention,and the FEV_(1) and FEV_(1)/FVC%of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).After intervention,the 6MWD and SGRQ score in the observation group improved significantly compared to those before intervention,and significantly improved compared with the control group,the differences were statistically significant(P<0.05).After intervention,the observation group had better mMRC and CAT scores than those in the control group,the differences were statistically significant(P<0.05).Conclusion:"4S"lung rehabilitation exercise nursing guidance can significantly improve dyspnea symptoms,improve pulmonary function and enhance exercise adaptability.In conclusion,on the basis of standardized treatment of COPD,the implementation of"4S"lung rehabilitation exercise nursing guidance can significantly improve the treat
作者 李俊 齐晶晶 郑则广 LI Jun;QI Jingjing;ZHENG Zeguang(Department of Orthopedics,Xiangzhou District People's Hospital of Xiangyang City,Xiangyang 441100,China;不详)
出处 《中国医学创新》 CAS 2024年第2期146-151,共6页 Medical Innovation of China
关键词 慢性阻塞性肺疾病 “4S”康复护理 6 min步行距离 圣乔治呼吸问卷 Chronic obstructive pulmonary disease "4S"lung rehabilitation exercise nursing guidance 6 min walk distance St George's respiratory questionnaire
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