|
|
|
| Application of Dyspnea-Graded Rehabilitation Training in Patients with Chronic Obstructive Pulmonary Disease |
| CHEN Kajia, ZHANG Dan, MA Lan |
| Department of Respiratory Intensive Care Unit, Kaifeng Central Hospital, Kaifeng Henan 475000 |
|
|
|
|
Abstract 【Objective】To explore the application effect of dyspnea-graded rehabilitation (respiratory difficulty level rehabilitation) training in patients with chronic obstructive pulmonary disease (COPD). 【Methods】 A total of 113 COPD patients who were treated in our hospital from January 2022 to December 2024 were selected as the research subjects. They were divided into the control group (n=56, receiving routine care) and the observation group (n=57, receiving respiratory difficulty level rehabilitation care) according to the random number table method. The pulmonary function indicators [forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC], 6-minute walking test distance (6MWD), modified Medical Research Council respiratory difficulty grading (mMRC) score, negative emotions [Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD)], self-management behavior [Obstructive Sleep Apnea Syndrome Self-Management Behavior Questionnaire], and quality of life [Quality of Life Comprehensive Evaluation Questionnaire (GQOLI-74)] were compared between the two groups before and one month after nursing. 【Results】After nursing, the FVC, FEV1, and FEV1/FVC of the observation group were higher than those of the control group (P<0.05), and the 6MWD was longer than that of the control group (P<0.05). After nursing, the HAMA score, HAMD score, and mMRC score of the observation group were lower than those of the control group (P<0.05), while the scores of each dimension of the OSAS self-management behavior questionnaire and the scores of each dimension of quality of life were higher than those of the control group (P<0.05). 【Conclusion】Applying respiratory difficulty level rehabilitation care to COPD patients can effectively improve the pulmonary function indicators and respiratory conditions of patients, relieve negative emotions, thereby improving patients' self-management behavior and quality of life, and it is worthy of clinical promotion and application.
|
|
Received: 23 May 2025
|
|
|
|
|
|
[1] 魏东晖,李津娜,周宁,等. 不同水平血嗜酸性粒细胞的慢性阻塞性肺疾病急性加重期患者临床特征及预后比较[J].实用医学杂志,2022,38(16):2037-2041. [2] 俞金燕,卞涛,吴艳. 内皮祖细胞在慢性阻塞性肺疾病中的研究进展[J].中国病理生理杂志,2022,38(4):764-768. [3] 唐玲,郭爱敏,俞杰,等. 社区老年慢性阻塞性肺疾病患者对基于移动医疗的健康教育需求的质性研究[J].中国护理管理,2022,22(4):537-542. [4] 郭月,管癸芬,陈海燕,等. 慢性阻塞性肺疾病患者基于微信的三主体双轨道交互式护理[J].护理学杂志,2022,37(5):84-87. [5] 莫新霞,毛燕君,何龑. 慢性阻塞性肺疾病患者肺康复护理干预研究进展[J].上海护理,2022,22(12):60-64. [6] 杜幸蔚,李婷,刘佳. 基于呼吸困难评估量表的分层个性化干预在气道狭窄患儿纤维支气管镜下球囊扩张治疗后的应用[J].齐鲁护理杂志,2023,29(22):71-74. [7] 张莹. 相位角水平对老年慢性阻塞性肺疾病病人预后评估的作用研究[J].护理研究,2022,36(8):1410-1414. [8] 郑晓璐,童银红,徐佩红. 中医情志护理对慢性阻塞性肺疾病急性加重期患者生活质量的影响[J].新中医,2019,51(8):288-290. [9] 白金凤,张丽丽,卢江,等. 不同运动训练方式在慢性阻塞性肺疾病稳定期合并抑郁患者中的应用研究[J].临床肺科杂志,2022,27(10):1490-1494. [10] 孙兆清,王富珍,王颖. 基于保护动机理论的护理干预对COPD病人自我管理能力、生活质量、健康行为转变的影响[J].护理研究,2021,35(12):2096-2100. [11] 师永斌,牛同舟,赵玉苗,等. 负荷深呼吸训练联合负氧离子吸入治疗稳定期COPD患者的疗效观察[J].中华物理医学与康复杂志,2020,42(4):353-355. [12] 宋伟伟,常双喜,禹彩霞,等. 慢性阻塞性肺疾病合并肺部感染者Th17/Treg、IL-17水平与肺功能及CAT评分的关系[J].中国老年学杂志,2022,42(8):1843-1846. [13] 刘太容,罗碧如,于正,等. 穴位按摩联合六字诀呼吸操在慢性阻塞性肺疾病稳定期患者中的应用[J].护理学杂志,2018,33(5):41-44. [14] 王玲.跨理论模型健康教育干预对慢性阻塞性肺疾病患者自我管理能力、呼吸功能锻炼行为及生活质量的影响[J].国际护理学杂志,2021,40(9):1609-1612. [15] 刘晓红,李青茵,徐若琛. 评判性护理联合预警护理在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果[J].中华现代护理杂志,2022,28(31):4404-4408. |
|
|
|