Department of Tuberculosis Intensive Care Unit, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, 208 Huancheng Road East, Hangzhou, 310003, Zhejiang Province, China.
J Cardiothorac Surg. 2024 Sep 9;19(1):520. doi: 10.1186/s13019-024-03042-w.
Some pulmonary tuberculosis patients may require lung resection surgery. Postoperative pulmonary rehabilitation is essential to restore the lung function and maintain quality of life. We aimed to study the pulmonary rehabilitation outcomes and complications of step-by-step Baduanjin exercise under a doctor-nurse-patient integration mode in patients after lobectomy due to pulmonary tuberculosis.
We performed a randomized controlled clinical trial in patients undergoing lobectomy due to pulmonary tuberculosis between September 2017 and August 2021. Eligible patients were randomly assigned into the control group or interventional group. The control group received routine postoperative care. The interventional group received step-by-step Baduanjin exercise based on the doctor-nurse-patient integration mode in addition to the routine care. The primary outcomes were the pulmonary functions, including forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and FEV1/FVC. The secondary outcomes were the maximum walking distance in a 6-min walk test and postoperative pulmonary complications, including atelectasis, pneumonia, and respiratory failure.
A total of 100 patients were enrolled into the study, with 50 patients in the control and interventional groups. There were 60 female patients (60%). The mean patient age was 37.9 (± 2.8) years old. At the one- and two-month postoperative follow-ups, pulmonary function tests showed statistically significantly better performances in FEV1/prediction, FVC/prediction, and FEV1/FVC in the interventional group than the control group. The 6-min walk test also revealed longer walking distances in the interventional group than the control group. There were no statistically significant differences in postoperative complications between the two groups.
A step-by-step Baduanjin exercise regimen under the doctor-nurse-patient integration mode could safely improve pulmonary rehabilitation in patients after lobectomy due to pulmonary tuberculosis.
一些肺结核患者可能需要进行肺切除术。术后肺康复对于恢复肺功能和维持生活质量至关重要。我们旨在研究基于医生-护士-患者一体化模式的分步八段锦锻炼对肺结核肺叶切除术后患者的肺康复效果和并发症。
我们在 2017 年 9 月至 2021 年 8 月期间对因肺结核而行肺叶切除术的患者进行了一项随机对照临床试验。符合条件的患者被随机分配到对照组或干预组。对照组接受常规术后护理。干预组在常规护理的基础上，采用基于医生-护士-患者一体化模式的分步八段锦锻炼。主要结局是肺功能，包括 1 秒用力呼气量（FEV1）、用力肺活量（FVC）和 FEV1/FVC。次要结局是 6 分钟步行试验中的最大步行距离和术后肺部并发症，包括肺不张、肺炎和呼吸衰竭。
共有 100 例患者入组研究，其中对照组和干预组各 50 例。60 例患者为女性（60%）。患者平均年龄为 37.9（±2.8）岁。在术后 1 个月和 2 个月的随访中，干预组的 FEV1/预测值、FVC/预测值和 FEV1/FVC 等肺功能测试结果明显优于对照组。6 分钟步行试验也显示干预组的步行距离长于对照组。两组术后并发症无统计学差异。
基于医生-护士-患者一体化模式的分步八段锦锻炼方案可安全地改善肺结核肺叶切除术后患者的肺康复。
