文章摘要

慢性阻塞性肺疾病稳定期患者院外延伸护理小组的建立及肺康复训练

作者: 1章生燕, 1汤晓凤
1 池州市人民医院呼吸内科,安徽 池州 247000
通讯: 章生燕 Email: 1061417341@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.05.021

摘要

目的:探讨院外延伸护理及肺康复训练对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期的生活质量及恢复的影响,为临床提供理论依据。方法:选取2017年10月至2019年10月池州市人民医院出院的80例COPD稳定期患者进行研究。采用随机数表法将患者均分为观察组与对照组。对照组患者实施常规护理干预,观察组患者实施延伸护理结合肺康复训练。观察两组患者出院当天及干预60 d的肺功能、生活质量、自我效能及日常生活活动能力变化,统计护理满意度。结果:出院当天,两组患者的肺功能、生活质量、自我效能及日常生活活动能力比较,差异无统计学意义(P>0.05);干预后,观察组患者的FEV1、FVC、FEV1/FVC水平[(0.89±0.09) L,(1.78±0.27) L,(63.75±6.17)%]均明显高于对照组[(0.83±0.08) L,(1.63±0.29) L,(54.21±6.15)%],差异有统计学意义(P<0.05)。观察组患者的生理职能、情感职能、精神健康、躯体疼痛评分(73.48±6.23、76.25±7.57、78.31±6.37、80.97±5.10)均明显高于对照组(65.79±6.22、65.38±7.52、70.92±6.34、74.55±5.09),差异有统计学意义(P<0.05)。观察组患者的自我效能及日常生活活动能力评分(33.43±2.16、72.31±6.11)均明显高于对照组(28.71±2.17、65.92±6.12),差异有统计学意义(P<0.05)。观察组护理满意度为97.50%,明显高于对照组的82.50%,差异有统计学意义(P<0.05)。结论:院外延伸护理及肺康复训练能有效改善COPD稳定期患者的生活质量,促进患者肺功能快速恢复,提高患者的自我效能和日常生活活动能力,增加患者满意度,值得临床推广使用。
关键词: 慢性阻塞性肺疾病稳定期;延伸护理;生活质量;肺功能;满意度

Establishment of out-of-hospital extended nursing team and pulmonary rehabilitation training for patients with chronic obstructive pulmonary disease in stable period

Authors: 1ZHANG Shengyan, 1TANG Xiaofeng
1 Department of Respiratory, The People’s Hospital of Chizhou, Chizhou Anhui 247000, China

CorrespondingAuthor: ZHANG Shengyan Email: 1061417341@qq.com

DOI: 10.3978/j.issn.2095-6959.2021.05.021

Abstract

Objective: To explore the influence of out-of-hospital extended nursing and pulmonary rehabilitation training on the life quality and recovery of chronic obstructive pulmonary disease (COPD) in stable period, and to provide theoretical basis for clinical practice. Methods: A total of 80 patients with COPD in stable period who were discharged from our hospital from October 2017 to October 2019 were selected for the study. The random number table method was used to divide the patients into an observation group and a control group, each with 40 cases. Patients in the control group received routine nursing intervention, and patients in the observation group received extended nursing combined with pulmonary rehabilitation training. The changes of lung function, quality of life, self-efficacy, and daily life activity of patients in the two groups on the day of discharge and 60 days after intervention were observed, and nursing satisfaction was counted. Results: On the day of discharge, the lung function, life quality, self-efficacy, and ability of daily living activities in two groups of patients were compared, without a statistically significant difference (P>0.05). After 60 days of intervention, the levels of FEV1, FVC, FEV1/FVC [(0.89±0.09) L, (1.78±0.27) L, (63.75±6.17)%] in the observation group were significantly higher than those in the control group [(0.83±0.08) L, (1.63±0.29) L, (54.21±6.15)%], and the difference was statistically significant (P<0.05). The scores of physical function, emotional function, mental health, and physical pain in the observation group [(73.48±6.23) points, (76.25±7.57) points, (78.31±6.37) points, (80.97±5.10) points] were significantly higher than those in the control group [(65.79±6.22) points, (65.38±7.52) points, (70.92±6.34) points, (74.55±5.09) points], and the difference was statistically significant (P<0.05). The self-efficacy and daily living activity scores of patients in the observation group [(33.43±2.16) points, (72.31±6.11) points] were significantly higher than those in the control group [(28.71±2.17) points, (65.92±6.12) points], and the difference was statistically significant (P<0.05). The nursing satisfaction of the observation group was 97.50%, which was significantly higher than that of the control group (82.50%), the difference was statistically significant (P<0.05). Conclusion: Out-of-hospital extended nursing and pulmonary rehabilitation training can effectively improve the life quality of patients with COPD in stable period, promote the rapid recovery of patients’ pulmonary function, improve patients’ self-efficacy and ability of daily life activities, and increase the degree of satisfaction, which are worthy of clinical promotion.
Keywords: chronic obstructive pulmonary disease in stable period; extended nursing; quality of life; lung function; satisfaction