文章摘要

追踪式综合康复护理干预在改善农村COPD稳定期患者肺功能的效果研究

作者: 1赵旭英, 1雷慧, 1陈友明
1 武穴市第一人民医院重症医学科,湖北 武穴 435400
通讯: 陈友明 Email: chenyoumings@126.com
DOI: 10.3978/j.issn.2095-6959.2016.07.011

摘要

目的:探讨追踪式综合护理干预在改善农村慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定患者肺功能和生活质量的影响。方法:将70例农村稳定期COPD患者随机分为干预组和对照组各35例,干预组采用追踪式综合康复护理,即在常规治疗的同时进行呼吸功能训练,运动,营养和心理等方面的护理干预。对照组采用常规治疗和自行锻炼,比较干预前后两组患者肺功能,George呼吸问卷(St George’s Respiratory Questionnaire,SGRQ)评分,6分钟步行距离,急性加重发作例次数和住院例次数。结果:干预前,两组患者肺功能指标、SGRQ评分、6分钟步行距离,差异均无统计学意义(P>0.05);干预后6个月,两组患者肺功能指标以及SGRQ评分,差异均具有统计学意义(P<0.05)。结论:追踪式综合康复护理能够改善农村COPD稳定期患者肺功能和生活质量。
关键词: 追踪式综合康复护理 稳定期慢性阻塞性肺疾病 George呼吸问卷 农村

Effects of the tracking comprehensive rehabilitation care intervention in improving lung function in patients with stable COPD in rural

Authors: 1ZHAO Xuying, 1LEI Hui, 1CHEN Youming
1 ICU, Wuxue First People’s Hospital, Wuxue Hubei 435400

CorrespondingAuthor: CHEN Youming Email: chenyoumings@126.com

DOI: 10.3978/j.issn.2095-6959.2016.07.011

Abstract

Objective: To explore influence of the track type of comprehensive rehabilitation nursing intervention on improvement of lung function and quality of life of the rural patients with stable chronic obstructive pulmonary disease (COPD). Methods: 70 patients with stable COPD in rural areas were randomly divided into two groups, 35 in intervention group and 35 in control group. The intervention group received tracking comprehensive rehabilitation nursing, based on the routine treatment, plus training of respiratory function, exercise, nutrition and psychology, etc., while the control group was treated with conventional therapy and self-training. The lung function, 6-minute walk distance, George Respiratory Questionnaire (SGRQ) score, patients with acute exacerbation episodes and the number of cases of hospitalization times between the two groups were compared before and after the intervention. Results: Before intervention, there were no significant difference with the lung function, 6-minute walk distance and SGRQ scores of the two groups (P>0.05); but 6 months after the intervention, the differences of the lung function and SGRQ scores of the two groups were statistically significance (P<0.05). Conclusion: Track-type comprehensive rehabilitation care can improve lung function and quality of life of rural patients with stable COPD.

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