洪静 苏少蔚 叶盛

[摘要] 目的 分析肺康复强化护理干预对慢性阻塞性肺疾病（COPD）患者临床症状、功能状态及肺功能的影响。 方法 选取2018年7月至2019年11月温州医科大学附属第二医院医学康复科收治的COPD患者118例为研究对象，随机单双数法分为对照组59例进行常规护理，观察组59例进行肺康复强化护理，比较两种干预方式下患者临床症状和肺部功能。 结果 干預前两组患者症状评分比较，差异无统计学意义（P>0.05）;干预后观察组患者症状评分低于对照组，差异有统计学意义（P<0.001）;干预前两组患者5次坐立时间比较，差异无统计学意义（P>0.05）;观察组患者干预后5次坐立时间短于对照组，差异有统计学意义（P<0.05）;两组干预前、干预后3周6 min步行距离良好度比较，差异有统计学意义（P<0.05）;观察组干预后6 min步行距离良好度高于对照组，差异有统计学意义（P<0.001）;干预前患者肺部功能比较，差异无统计学意义（P>0.05）;观察组患者干预后肺部功能指标高于对照组，差异有统计学意义（P<0.001）;观察组患者生活质量评分高于对照组，差异有统计学意义（P<0.001）;同组治疗前后生活质量评分比较，差异有统计学意义（P<0.001）。 结论 为COPD患者予以肺康复强化护理时可有效提升患者生活质量，改善临床症状评分、肺部功能，有临床应用价值。

[关键词] 肺康复强化护理;肺功能;呼吸困难;生活质量;运动训练

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）32-0164-05

[Abstract] Objective To analyze the influence of intensive nursing intervention of lung rehabilitation on clinical symptoms， functional status and lung function of patients with chronic obstructive pulmonary disease （COPD）. Methods A total of 118 COPD patients admitted to the Department of Medical Rehabilitation of the Second Affiliated Hospital of Wenzhou Medical University from July 2018 to November 2019 were selected as the research objects， and they were randomly divided into the control group （59 cases） with routine nursing and the observation group （59 cases） with intensive nursing for lung rehabilitation. The clinical symptoms and pulmonary function of patients with two intervention methods were compared. Results There was no significant difference in symptom scores between the two groups before intervention （P>0.05）. After intervention， the symptom scores of patients in observation group were lower than those in the control group， the difference was statistically significant （P<0.001）. Before intervention， there was no significant difference in the time of sitting and standing for 5 times between the two groups（P>0.05）. After intervention， the time of sitting and standing for 5 times in the observation group was shorter than that in the control group， and the difference was statistically significant（P<0.05）. There is a great difference in the six-minute walking distance（6MWD） between the control group and the observation group before and after intervention for 3 weeks， the difference was statistically significant （P<0.05）. After intervention， the excellent rate of 6MWD of the observation group was higher than that of the control group，the difference was statistically significant （P<0.001）. There was no significant difference in pulmonary function before intervention（P>0.05）. After intervention， the indexes of pulmonary function in the observation group were higher than those in the control group， and the difference was statistically significant（P<0.001）. The quality of life score of patients in observation group was higher than that in the control group， the difference was statistically significant（P<0.001）. The quality of life scores of the same group were significantly different before and after treatment，the difference was statistically significant（P<0.001）. Conclusion Intensive nursing for COPD patients with lung rehabilitation can effectively improve their quality of life， clinical symptom score and lung function， which has clinical application value.

[Key words] Intensive nursing of lung rehabilitation; Lung function; Difficulty in breathing; Quality of life; Exercise training

慢性阻塞性肺疾病（Chronic obstructive pulmonary disease，COPD）是以不可逆性氣流受限为特征的疾病，常会累及肺实质、气道、肺血管，为慢性炎症反应疾病。……