摘要
目的:探讨肺康复训练联合时效性激励护理在慢性阻塞性肺疾病急性加重期(AECOPD)伴呼吸衰竭患者中的应用效果。方法:选取2020年12月—2023年10月南京医科大学附属南京医院收治的AECOPD伴呼吸衰竭患者86例作为研究对象,根据随机数字表法分为对照组和观察组,各43例。对照组给予肺康复训练干预,观察组在对照组基础上联合时效性激励护理干预。比较两组训练依从性、肺功能指标及生活质量。结果:观察组训练总依从性高于对照组(P=0.024)。干预前,两组呼气流量峰值(PEF)、用力肺活量(FVC)比较,差异无统计学意义(P>0.05);干预后,两组PEF、FVC均高于干预前,且观察组比对照组高(P<0.001)。干预前,两组圣乔治呼吸问卷(SGRQ)评分比较,差异无统计学意义(P>0.05);干预后,两组SGRQ评分均低于干预前,且观察组比对照组低(P<0.001)。结论:肺康复训练联合时效性激励护理在AECOPD伴呼吸衰竭患者中的应用效果较好,能够改善患者肺功能,提高其训练依从性和生活质量。
Objective:To explore the application effect of lung rehabilitation training combined with timely incentive nursing in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)and respiratory failure.Methods:From December 2020 to October 2023,86 AECOPD patients with respiratory failure who were admitted to Nanjing First Hospital of Nanjing Medical University were selected as the study subjects.They were divided into a control group and an observation group using a random number table method,with 43 cases in each group.The control group received lung rehabilitation training intervention,and the observation group received timely incentive nursing intervention on the basis of control group.Training compliance,pulmonary function indexes and quality of life were compared between the two groups.Results:The total training compliance in the observation group was higher than that in the control group(P=0.024).Before intervention,there was no significant difference in peak expiratory flow(PEF)and forced vital capacity(FVC)between the two groups(P>0.05).After intervention,the PEF and FVC in the two groups were higher than those before intervention,and the PEF and FVC in the observation group were higher than those in the control group(P<0.001).Before intervention,there was no significant difference in St George's Respiratory Questionnaire(SGRQ)scores between the two groups(P>0.05).After intervention,the SGRQ scores in the two groups were lower than those before intervention,and the scores in the observation group were lower than those in the control group(P<0.001).Conclusion:Lung rehabilitation training combined with timely incentive nursing has a good effect in AECOPD patients with respiratory failure,and can ameliorate patients'lung function,improve their training compliance and quality of life.
作者
甘念
徐青
Gan Nian;Xu Qing(Infection Management Office,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,Jiangsu Province,China;Department of Respiratory and Critical Care Medicine,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,Jiangsu Province,China)
出处
《中国社区医师》
2024年第33期125-127,共3页
Chinese Community Doctors
关键词
慢性阻塞性肺疾病急性加重期
呼吸衰竭
肺康复训练
时效性激励
Acute exacerbation of chronic obstructive pulmonary disease
Respiratory failure
Lung rehabilitation training
Timely incentive nursing
