摘要
目的观察足反射疗法联合肺康复训练对慢性阻塞性肺疾病(COPD)伴失眠患者延续性管理中生活质量的影响.方法选取2020年1月—2021年12月本院收治的86例COPD伴失眠患者,采用随机数字表法分为观察组和对照组,每组43例.对照组采用出院后常规康复管理,观察组采用足底反射疗法和肺康复训练的延续性管理.观察两组患者的肺通气功能、睡眠质量及生活质量.结果干预后,观察组的第1秒用力呼气容积和1秒率评分分别为(55.29±0.28)分、(69.48±7.33)分,均高于对照组的(49.41±0.76)分、(63.34±5.95)分,组间差异有统计学意义(P<0.05).干预后,观察组的圣·乔治呼吸问卷评分及和匹兹堡睡眠质量指数评分分别为(35.68±4.28)分、(8.57±5.75)分,均低于对照组的(39.23±4.76)分、(11.24±3.28)分,组间差异有统计学意义(P<0.05).结论足反射疗法联合肺康复训练有助于改善稳定期COPD伴失眠患者的肺功能及睡眠质量,提高其生活质量,值得临床推广使用.
Objective To observe the effect of foot reflex cleaning combined with pulmonary rehabilitation training on quality of life in continuation management of COPD patients with insomnia.Methods A total of 86 COPD patients with insomnia admitted to our hospital from January 2020 to December 2021 were selected and divided into an observation group and a control group by random number table method,with 43 cases in each group.The control group received routine rehabilitation management after discharge,while the observation group received continuous management of foot reflexology and pulmonary rehabilitation training.The pulmonary ventilation function,sleep quality and life quality of the two groups were observed.Results After intervention,the scores of forced expiratory volume in one second(FEV1)and forced expiratory volume in one second/forced vital capacity(FEV1/FVC)in the observation group were(55.29±0.28)points and(69.48±7.33)points,which were higher than(49.41±0.76)points and(63.34±5.95)points in the control group,and the differences between the two groups were statistically significant(P<0.05).After intervention,the scores of St.George's respiratory questionnaire and Pittsburgh sleep quality index in the observation group were(35.68±4.28)points and(8.57±5.75)points,which were lower than(39.23±4.76)points and(11.24±3.28)points in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Foot reflexology combined with pulmonary rehabilitation training can improve the lung function and sleep quality of stable COPD patients with insomnia,and improve their quality of life,which is worthy of clinical application.
作者
李彩霞
LI Caixia(Department of Respiratory Medicine,Workers’Hospital of Tengzhou City,Shandong Province,Tengzhou Shandong,277500,China)
出处
《反射疗法与康复医学》
2022年第16期23-26,共4页
Reflexology And Rehabilitation Medicine
关键词
足反射疗法
肺康复训练
慢性阻塞性肺疾病
失眠
睡眠质量
生活质量
Foot reflexology
Pulmonary rehabilitation training
Chronic obstructive pulmonary disease
Insomnia
Sleep quality
Quality of life
