摘要
目的研究连续性康复健康管理联合呼吸功能训练对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者预后效果的影响。方法选择2016年1月至2018年6月,北京市大兴区亦庄医院进行治疗的COPD患者120例,随机分为观察组和对照组,每组60例。两组患者均给予常规治疗,对照组给予单纯的呼吸功能训练,观察组在此基础上增加连续性康复健康管理。对两组患者的肺功能指标、6min步行距离实验、健康行为量表(health promotion lifestyle,HPL)评分、圣乔治呼吸问卷(SGRQ)评分、生活质量评分等指标进行评估对比。结果治疗后,观察组一秒用力呼气量(forced expiratory volume,FEV1);用力肺活量(forced vital capacity,FVC);最大呼气流速(peak expiratory flow rate,PEF)均高于对照组,差异有统计学意义(t=2.859、5.698、4.123,P=0.005、0.000、0.000)。观察组6min步行距离(t=9.145,P=0.000);HPL评分(t=3.815,P=0.000)均高于对照组,SGRQ评分(t=8.055,P=0.000)均低于对照组,差异有统计学意义。观察组患者生理功能(t=5.129,P=0.000);心理功能(t=3.658,P=0.000);日常活动(t=4.251,P=0.000);社交功能(t=4.423,P=0.000)评分均高于对照组,差异有统计学意义。结论连续性康复健康管理联合呼吸功能训练对COPD患者的干预效果良好,能够改善患者的肺功能、呼吸功能,提高患者的日常生活状态、心理功能、社交功能等预后指标。
Objective To discuss the effect of continuous rehabilitation health management in conjunction with respiratory function training on the prognosis of patients with chronic obstructive pulmonary disease(COPD).Methods 120 patients with COPD treated in our hospital from January 2016 to June 2018 were enrolled in the study and were evenly divided into observation group and control group using random number table method.Besides the routine treatment,patients in control group were given simple respiratory function training,while those in the observation group received continuous rehabilitation health management on top of lung function training.The pulmonary function parameters,results of 6-minute walking distance test,score of health promotion lifestyle scale(HPL),St.George’s respiratory questionnaire(SGRQ)score and quality of life score were assessed and compared between the two groups.Results After the treatment and intervention,the pulmonary function parameters of observation group as forced expiratory volume(FEV1),forced vital capacity(FVC),maximum expiratory flow(PEF)were all higher than those of controls,the differences were significant(t=2.859,5.698,4.123,P=0.005,0.000,0.000).The 6-minute walking distance and HPL score of the observation group were also higher while the SGRQ score was lower,the differences were also significant(t=9.145,3.815,8.055,P=0.000).The differences of scores of quality of life of patients in the observation group including physiological function,psychological function,daily activity and social function were also significant(t=5.129,3.658,4.251,4.423,P=0.000).Conclusions Continuous rehabilitation and health management in conjunction with respiratory function training can improve the pulmonary function and respiratory function,as well as the psychological function and social function of patients with COPD.
作者
王俊香
陈宝军
WANG Jun-xiang;CHEN Bao-jun(Beijing Daxing Yizhuang Hospital,Beijing 100176,China)
出处
《中国预防医学杂志》
CAS
CSCD
2019年第12期1215-1218,共4页
Chinese Preventive Medicine
基金
北京市大兴区慢性阻塞性肺病患者数据库建立与完善科研项目(KT2016000158).
关键词
慢性阻塞性肺疾病
呼吸功能训练
连续性康复健康管理
肺功能
预后
Chronic obstructive pulmonary disease
Respiratory function training
Continuous rehabilitation health management
Pulmonary function
Prognosis
