摘要
目的探究进阶式呼吸管理联合多元化健康宣教在脑卒中肺康复中的应用效果。方法选择2021年6月至2022年8月九江市第一人民医院收治的60例脑卒中患者,按随机数字表法分为对照组和观察组,每组各30例。对照组予以常规康复训练联合常规健康宣教,观察组采取进阶式呼吸管理联合多元化健康宣教,均持续干预2个月。比较两组肺功能、呼吸肌功能、运动耐力、日常生活能力、功能锻炼依从性、患者满意度。结果两组干预前肺功能、呼吸肌功能、运动耐力、日常生活能力比较,差异无统计学意义(P>0.05);观察组干预2个月后第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC均高于对照组,最大吸气压(MIP)、最大呼气压(MEP)均高于对照组,6 min步行距离(6MWD)长于对照组,改良Barthel指数评定量表(MBI)评分高于对照组,差异有统计学意义(P<0.05);观察组功能锻炼依从性、患者满意度均高于对照组,差异有统计学意义(P<0.05)。结论进阶式呼吸管理联合多元化健康宣教能够有效改善脑卒中患者肺功能及呼吸肌功能,提升运动耐力、日常生活能力,提高功能锻炼依从性及患者满意度。
Objective To explore the application effect of advanced respiratory management combined with diversified health education in stroke lung rehabilitation.Methods A total of 60 stroke patients admitted to Jiujiang No.1 People's Hospital from June 2021 to August 2022 were selected and divided into two groups according to random number table method,with 30 cases in each group.The control group received routine rehabilitation training combined with routine health education,while the observation group received advanced respiratory management combined with diversified health education,with continuous intervention for 2 months.The pulmonary function,muscles of respiration function,exercise endurance,daily living ability,functional exercise compliance and patient satisfaction were compared between the two groups.Results There were no significant differences in lung function,muscles of respiration function,exercise endurance and activity of daily living between the two groups before intervention(P>0.05).After 2 months of intervention,the forced expiratory volume(FEV_(1)),forced vital capacity(FVC),FEV_(1)/FVC in the observation group were higher than those in the control group,the maximum inspiratory pressure(MIP),maximum expiratory pressure(MEP)were higher than those in the control group,the 6-minute walking distance(6MWD)was longer than that in the control group,and the modified Barthel index rating scale(MBI)score was higher than that in the control group,with statistically significant differences(P<0.05).The compliance with functional exercise and patient satisfaction in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Advanced respiratory management combined with diversified health education can effectively improve the pulmonary function and muscles of respiration function of stroke patients,enhance exercise endurance,daily living ability,and improve functional exercise compliance and patient satisfaction.
作者
祝微
邹静
王敏
张伟
ZHU Wei;ZOU Jing;WANG Min;ZHANG Wei(Department of Rehabilitation,Jiujiang No.1 People's Hospital,Jiangxi Province,Jiujiang332000,China)
出处
《中国当代医药》
CAS
2024年第16期168-172,共5页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202311482)。
关键词
脑卒中
进阶式呼吸管理
多元化健康宣教
肺功能
呼吸肌功能
运动耐力
日常生活能力
Stroke
Advanced respiratory management
Diversified health education
Lung function
Respiratory muscle function
Sports endurance
Daily living ability
