心肺康复护理对稳定期慢性阻塞性肺疾病患者运动耐力及生活质量的影响
Effect of cardiopulmonary rehabilitation nursing on exercise endurance and quality of life of stable COPD patients.
作者信息
Ma Hongxia, Wang Jinkun, Sun Jie, Pan Keli, Wu Kanjin, Sun Chang, Liu Xiaoyan
机构信息
Nursing Department, Cangzhou Central Hospital Cangzhou, China.
Depaertment I of Respiratory and Critical Care Medicine, Cangzhou Central Hospital Cangzhou, China.
出版信息
Am J Transl Res. 2021 Jun 15;13(6):7356-7362. eCollection 2021.
OBJECTIVE
To investigate the effect of cardiopulmonary rehabilitation nursing on exercise endurance and quality of life (QOL) of patients with stable chronic obstructive pulmonary disease (COPD).
METHODS
This randomized trial was conducted on 84 subjects with stable COPD recruited in our hospital from March 2018 to December 2019 and they were divied into the observation group (n=42) and the control group (n=42) based on nursing methods. The control group adopted conventional nursing, and the observation group received cardiopulmonary rehabilitation nursing in addition to conventional method. The exercise endurance, cardiopulmonary function, psychological state, QOL and nursing satisfaction were compared at pre- and post-nursing care.
RESULTS
Before nursing, no notable difference was observed in 6 min walking distance (6MWD), deep inspiratory volume (IC), left ventricular ejection fraction (LVEF), forced vital capacity (FVC), Forced expiratory volume in one second (FEV1), FEV1/FVC, Self-Rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) score, QOL, scores of symptoms, activities and impact in these two groups (P>0.05). After nursing, 6MWD and IC of observation group were remarkably higher (P<0.05); LVEF, FVC, FEV1 and FEV1/FVC in the observation group were remarkably higher (P<0.05); SAS and SDS scores of two groups decreased, and the observation group was notably lower (P<0.05); the QOL scores of symptoms, activities and effects of two groups were notably reduced, and the observation group was remarkably lower (P<0.05). The nursing satisfaction of the observation group was considerably higher than the control group (95.23% vs 76.19%) (P<0.05).
CONCLUSION
Cardiopulmonary rehabilitation nursing has a remarkable effect on COPD patients in stable stage, which can enhance patients' exercise endurance and lung function, reduce adverse emotions, and improve patients' QOL and nursing satisfaction.
目的
探讨心肺康复护理对稳定期慢性阻塞性肺疾病（COPD）患者运动耐力及生活质量（QOL）的影响。
方法
本随机试验选取2018年3月至2019年12月在我院招募的84例稳定期COPD患者，根据护理方法将其分为观察组（n = 42）和对照组（n = 42）。对照组采用常规护理，观察组在常规护理基础上接受心肺康复护理。比较护理前后两组患者的运动耐力、心肺功能、心理状态、生活质量及护理满意度。
结果
护理前，两组患者的6分钟步行距离（6MWD）、深吸气量（IC）、左心室射血分数（LVEF）、用力肺活量（FVC）、第一秒用力呼气容积（FEV1）、FEV1/FVC、自评焦虑量表（SAS）、自评抑郁量表（SDS）评分、生活质量、症状、活动及影响评分比较，差异均无统计学意义（P > 0.05）。护理后，观察组的6MWD和IC显著升高（P < 0.05）；观察组的LVEF、FVC、FEV1及FEV1/FVC显著升高（P < 0.05）；两组的SAS和SDS评分均降低，且观察组显著更低（P < 0.05）；两组的生活质量症状、活动及影响评分均显著降低，且观察组显著更低（P < 0.05）。观察组的护理满意度显著高于对照组（95.23% vs 76.19%）（P < 0.05）。
结论
心肺康复护理对稳定期COPD患者有显著效果，可增强患者运动耐力和肺功能，减轻不良情绪，提高患者生活质量及护理满意度。
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