摘要
目的探讨三球式呼吸训练器结合排痰护理在老年慢性阻塞性肺疾病(COPD)患者中的应用效果.方法选取2019年6月—2021年8月我院收治的92例老年COPD患者作为研究对象,按随机数字表法分为两组,各46例.对照组采用排痰护理,试验组在对照组基础上采用三球式呼吸训练器进行呼吸训练.对比两组排痰效果、肺功能指标、疾病严重程度、生活质量.结果试验组干预期间日均排痰量大于对照组,差异有统计学意义(P<0.05).干预前,两组各项肺功能指标比较,组间差异无统计学意义(P>0.05);干预后,试验组用力肺活量(FVC)、第1秒用力呼气容积(FEV1)均大于对照组,FEV1/FVC高于对照组,组间差异有统计学意义(P<0.05).干预前,两组COPD评估测试量表(CAT)评分比较,差异无统计学意义(P>0.05);干预后,试验组CAT评分低于对照组,差异有统计学意义(P<0.05).干预前,两组圣乔治呼吸问卷(SGRQ)各方面评分对比,组间差异无统计学意义(P>0.05);干预后,试验组SGRQ中的疾病影响、活动能力、呼吸症状评分均低于对照组,组间差异有统计学意义(P<0.05).结论三球式呼吸训练器结合排痰护理能够促进老年COPD患者痰液排出,改善其肺功能,提高其生活质量.
Objective To explore the application effect of three ball breathing training apparatus combined with expectoration nursing in elderly patients with chronic obstructive pulmonary disease(COPD).Methods 92 elderly COPD patients admitted to the hospital from June 2019 to August 2021 were selected as the research subjects,and divided into two groups according to the random number table method,with 46 cases in each group.The control group was treated with expectoration nursing,and the experimental group used three ball breathing training apparatus for breathing training on the basis of the control group.The expectoration effect,pulmonary function index,disease severity and quality of life were compared between the two groups.Results During the intervention period,the average daily sputum volume of the experimental group was greater than that of the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the pulmonary function indexes between the two groups(P>0.05);after the intervention,the forced vital capacity(FVC)and forced expiratory volume in one second(FEV1)of the experimental group were all greater than those of the control group,FEV1/FVC was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no significant difference in COPD assessment test(CAT)scores between the two groups(P>0.05);after intervention,the CAT score of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the scores of all aspects of the St George's respiratory questionnaire(SGRQ)between the two groups(P>0.05);after the intervention,the disease impact,activity ability,and respiratory symptom scores in the SGRQ of the experimental group were all lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The three ball breathing training apparatus combined with expectoration nursing can promote the excretion of sputum in elderly COPD patients,improve their lung function and improve their quality of life.
作者
邱善晓
QIU Shanxiao(Pre-hospital First Aid,Lanling County People's Hospital of Linyi City,Linyi Shandong,277700,China)
出处
《反射疗法与康复医学》
2022年第10期159-162,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性阻塞性肺疾病
三球式呼吸训练器
排痰护理
排痰效果
肺功能
Chronic obstructive pulmonary disease
Three ball breathing training apparatus
Expectoration nursing
Expectoration effect
Pulmonary function
