熊春燕

[关键词] 慢性阻塞性肺疾病;急性加重期;肺康复护理;肺功能;护理效果

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2021）19-0168-04

Application effect of pulmonary rehabilitation nursing in patients with acute exacerbation of chronic obstructive pulmonary disease

XIONG Chunyan

Department of Thoracic Surgery， Jiangxi Cancer Hospital， Nanchang   330000， China

[Abstract] Objective To explore the application effect of pulmonary rehabilitation nursing in patients with acute exacerbation of chronic obstructive pulmonary disease （COPD）. Methods Eighty-six patients with acute exacerbation of COPD who were admitted to our hospital from March 2017 to April 2019 were selected as the research objects and were given different nursing measures according to admission time. Patients admitted from March 2017 to March 2018 were given conventional care and were included in the basic group （43 cases）. Patients admitted from April 2018 to April 2019 were given conventional + pulmonary rehabilitation care and were included in the rehabilitation group （43 cases）. The pulmonary function indexes [forced vital capacity （FVC）， forced expiratory volume in 1 second （FEV1）]， 6-minute walking distance （6MWD）， dyspnea （CAT）， and quality of life scale （GQOL-74） of the two groups were analyzed. Results After nursing， the levels of FVC （2.83±1.02）L and FEV1 （1.97±0.62）L in the rehabilitation group were higher than those [（1.69±0.92） L and （1.20±0.50）L] in the basic group （t=2.152， P=0.028; t=2.404， P=0.015）; the 6MWD （342.77±24.99）m was longer than that [（280.19±22.44）m] of the basic group （t=4.822， P=0.001）; the CAT score （12.44±1.01）points was lower than that [（16.33±1.51）points] of the basic group （t=7.082， P=0.001）; the GQOL-74 score （82.33±3.76） points of the rehabilitation group was higher than that [（70.25±3.47） points] of the basic group（t=6.621， P=0.001）. Conclusion The application of pulmonary rehabilitation nursing intervention in patients with acute exacerbations of COPD can effectively improve their pulmonary function， increase 6MWD， reduce their dyspnea symptoms， and improve their quality of life.

[Key words] Chronic obstructive pulmonary disease; Acute exacerbation period; Pulmonary rehabilitation nursing; Pulmonary function; Nursing effect

慢性阻塞性肺疾病（Chronic obstructive pulmo-nary disease，COPD）為系统性、全身性疾病，以不完全可逆的气流受限为特点，其反复发作会造成患者肺功能下降，可分为稳定期、急性加重期两大类[1]。COPD患者病情处于急性加重期时，会出现焦虑、消瘦、疲乏等临床症状，而在目前的医疗手段中，临床通常选择通过代偿性的呼吸肌活动改善急性加重期患者病情，促进肺功能恢复。近年来，亦有研究表明[2-3]，在常规治疗基础上辅以肺康复护理能够有效改善COPD急性加重期患者的肺功能，减轻其呼吸困难症状，提高运动耐力，减少急性发作次数，有效延缓病情。鉴于此，笔者对我院收治的86例COPD急性加重期患者进行分组研究，以探讨肺康复护理的应用效果及其对患者肺功能的影响，现报道如下。