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个体化呼吸康复锻炼对老年慢性阻塞性肺疾病患者生活质量及呼吸锻炼依从性的影响

Effects of Individualized Respiratory Rehabilitation Exercise on Quality of Life and Compliance of Respiratory Exercise in Elderly Patients with Chronic Obstructive Pulmonary Disease
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摘要 目的探析老年慢性阻塞性肺疾病患者采用个体化呼吸康复锻炼的效果.方法选取2018年8月—2019年10月该院收治的46例老年慢性阻塞性肺疾病患者,按照简单随机分组法分为两组,每组23例.对照组采用常规康复锻炼,观察组采用个体化呼吸康复锻炼.比较两组干预前后的生活质量、肺功能及呼吸锻炼依从性.结果比较两组干预前的各项生活质量评分,组间差异无统计学意义(P>0.05);干预后,观察组的各项生活质量评分均高于对照组,组间差异有统计学意义(P<0.05).比较两组干预前的用力肺活量(forced vital capacity,FVC)、第一秒用力呼气容积(forced expiratory volume in one second,FEV1)水平,组间差异无统计学意义(P>0.05);干预后,观察组的FVC、FEV1水平均高于对照组,组间差异有统计学意义(P<0.05).观察组的呼吸锻炼依从率为95.65%,高于对照组的73.91%,差异有统计学意义(P<0.05).结论采用个体化呼吸康复锻炼可改善老年慢性阻塞性肺疾病患者的肺功能,增加患者呼吸锻炼依从性,并有效提高其生活质量,值得临床推广. Objective To analyze the effect of individualized respiratory rehabilitation exercise in elderly patients with chronic obstructive pulmonary disease.Methods 46 elderly patients with chronic obstructive pulmonary disease admitted to the hospital between August 2018 and October 2019 were selected.They were divided into two groups according to the simple random grouping method,with 23 cases in each group.The control group used conventional rehabilitation exercise,and the observation group used individualized respiratory rehabilitation exercise.The quality of life,lung function before and after the intervention and compliance of respiratory exercise were compared between the two groups.Results Comparing the quality of life scores of the two groups before the intervention,the differences between the groups were not statistically significant(P>0.05);after the intervention,the quality of life scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Comparing the levels of forced vital capacity(FVC)and forced classatory volume in one second(FEV1)of the two groups before the intervention,the differences between the groups were not statistically significant(P>0.05);after the intervention,the FVC and FEV1 levels of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The compliance rate of respiratory exercise in the observation group was 95.65%,which was higher than 73.91%of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of individual respiratory rehabilitation exercise can improve the lung function of elderly patients with chronic obstructive pulmonary disease,increase the patients'respiratory exercise compliance,and effectively improve their quality of life,which is worthy of clinical promotion.
作者 陈雪莲 CHEN Xuelian(Department of Internal Medicine,Red Cross Hospital,Kongdong District,Pingliang City,Gansu Province,Pingliang Gansu,744028,China)
出处 《反射疗法与康复医学》 2021年第4期111-114,共4页 Reflexology And Rehabilitation Medicine
关键词 老年 慢性阻塞性肺疾病 个体化 呼吸康复锻炼 生活质量 肺功能 依从性 The elderly Chronic obstructive pulmonary disease Individualized Respiratory rehabilitation exercise Quality of life Lung function Compliance
作者简介 陈雪莲(1977-),女,甘肃平凉人,本科,副主任医师,研究方向:临床内科。
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