摘要
目的探寻将呼吸功能训练、护理干预用于慢性阻塞性肺气肿老年患者中对生活质量及肺功能的影响。方法选取2020年6月至2022年9月期间在鹤壁煤业(集团)有限责任公司总医院收治的92例慢性阻塞性肺气肿老年患者纳进研究,按随机数字表法分成两组,各46例。对照组护理方法为常规法,观察组再额外增加呼吸功能训练和护理干预,对两组患者的肺功能[第一秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、第一秒钟用力呼气容积与用力肺活量的比值(FEV_(1)/FVC)、呼气峰流速(PEF)]和生活质量做对比。结果干预后,两组患者FEV_(1)、FVC、FEV_(1)/FVC、PEF值均有所提升,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者生活质量(社会功能、生理功能、生理职能、身体疼痛、精神健康、情感职能、活力、总体健康)评分均有所提升,且观察组高于对照组,差异有统计学意义(P<0.05)。结论将呼吸功能训练、护理干预用于慢性阻塞性肺气肿老年患者中能使其肺功能和生活质量进一步提升,值得临床应用。
Objective To discuss the clinical effects of respiratory function training and nursing interventions on the life quality and pulmonary function for elderly patients with chronic obstructive pulmonary emphysema.Methods A tolal of 92 elderly patients with chronic obstructive pulmonary emphysema treated from June 2020 to September 2022 in General Hospital of Hebi Coal Industry(Group)Co.,Ltd.were selected.According to random number table,patients were divided into two groups,with 46 cases in each group.The routine care was performed in the control group;the observation group added additional respiratory function training and nursing intervention,and compared the pulmonary function[forced expiratory volume in the first second(FEV_(1)),forced Vital capacity(FVC),The ratio of forced expiratory volume in the first second to forced Vital capacity(FEV_(1)/FVC),peak expiratory flow rate(PEF)]and quality of life of patients in the two groups.Results After intervention,the values of FEV_(1),FVC,FEV_(1)/FVC and PEF in 2 groups were increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After intervention,the scores of quality of life(social function,physiological function,physiological function,physical pain,mental health,emotional function,vitality and overall health)of patients in both groups were improved,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion The respiratory function training and nursing interventions can improve the pulmonary function and life quality for elderly patients with chronic obstructive pulmonary emphysema.It is worthy of clinical application.
作者
董建红
DONG Jianhong(Department of General Internal Medicine,Hebi Coal Industry(Group),Ltd.General Hospital,Hebi Henan 458000,China)
出处
《临床研究》
2024年第2期185-188,共4页
Clinical Research
关键词
老年
呼吸功能训练
慢性阻塞性肺气肿
护理干预
生活质量
肺功能
elderly
respiratory function training
chronic obstructive pulmonary emphysema
nursing interventions
life quality
pulmonary function