摘要
目的探讨医护一体化肺康复护理模式在老年稳定期慢性阻塞性肺疾病(chronic obstructive pulmoriary disease,COPD)患者中的应用效果.方法选择2018年11月—2020年11月本院收治的老年稳定期COPD患者114例,按随机数字表法分为两组,每组57例.对照组采用常规护理,观察组采用医护一体化肺康复护理模式,两组均护理1个月.对比两组的肺功能、生活质量及运动耐力.结果护理后,观察组的用力肺活量(3.32±0.49)L、第1秒用力呼气容积(2.03±0.35)L、一秒率(70.72±11.43)%高于对照组,组间差异有统计学意义(P<0.05).两组护理前的COPD评估测试评分、6 min步行试验距离相比,组间差异无统计学意义(P>0.05);护理后,两组的上述指标均优于护理前,且观察组的COPD评估测试评分(14.40±2.20)分低于对照组,6 min步行试验距离(386.83±59.90)m长于对照组,组间差异有统计学意义(P<0.05).结论医护一体化肺康复护理模式能够改善老年稳定期COPD患者肺功能,提升其运动耐力,提高生活质量.
Objective To explore the application effect of the medical-nursing integrated pulmonary rehabilitation nursing model in elderly patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 114 elderly patients with stable COPD who were admitted to our hospital from November 2018 to November 2020 were selected and divided into two groups according to the random number table method,with 57 cases in each group.The control group was given routine nursing,and the observation group was given the integrated medical-nursing pulmonary rehabilitation nursing model.Both groups were given nursing for 1 month.The pulmonary function,quality of life and exercise tolerance of the two groups were compared.Results After nursing,the forced vital capacity(3.32±0.49)L,forced expiratory volume in one second(2.03±0.35)L,and ratio of forced expiratory volume in one second to forced vital capacity of the observation group(70.72±11.43)%,which were all higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).There were no significant differences between the two groups in COPD assessment test score and 6-min walking test distance before nursing(P>0.05);after nursing,the above indicators in the two groups were better than those before nursing,and the COPD assessment test score of the observation group was(14.40±2.20)points lower than that of the control group,and the 6-min walking test distance was(386.83±59.90)m longer than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The integrated medical and nursing pulmonary rehabilitation nursing model can improve the pulmonary function of elderly patients with stable COPD,enhance their exercise tolerance,and improve their quality of life.
作者
迟燕飞
苟淑萍
王荣荣
CHI Yanfei;GOU Shuping;WANG Rongrong(Department of Internal Medicine,Qingdao Chengyang District People's Hospital,Qingdao Shandong,266109,China)
出处
《反射疗法与康复医学》
2021年第9期167-170,共4页
Reflexology And Rehabilitation Medicine
关键词
老年稳定期慢性阻塞性肺疾病
医护一体化肺康复护理模式
肺功能
生活质量
运动耐力
Elderly stable chronic obstructive pulmonary disease
Integrated medical-nursing pulmonary rehabilitation nursing model
Pulmonary function
Quality of life
Exercise endurance
