摘要
目的：探讨呼吸功能训练对结缔组织病肺间质病变（ CTD-ILD）患者生活质量及呼吸功能的影响。方法将120例CTD-ILD住院患者按照随机数字表法分为对照组和观察组，每组各60例，对照组给予常规护理干预，观察组在常规护理干预的基础上给予呼吸功能训练，用健康调查简表（ SF-36）比较两组患者干预后生活质量，记录并比较两组患者的肺功能如肺活量（ VC）、肺总量（ TLC）及一氧化碳弥散量占预计值百分比（ DLCO/Pred）。结果经过呼吸功能训练后，观察组在生理功能、生理职能、总体健康、活力、情感职能维度的得分均大于对照组，差异有统计学意义（ t值分别为2．52，3．42，7．93，4．33，2.38；P＜0．05）。呼吸功能训练后观察组VC、TLC及DLCO/Pred分别为（2．8±0．04）L，（3．0±0．06）L，（5．5±0．94）％，明显高于对照组[（2．6±0．04）L，（2．8±0．03）L，（72．3±0．64）％]，差异有统计学意义（t值分别为2．28，2．51，2．85；P＜0．05）。结论充分做好呼吸道管理和呼吸肌功能训练的护理，有助于提高CTD-ILD患者生活质量及改善呼吸功能。
Objective To observe the influence of respiratory muscle training on quality of life and pulmonary function of patients with connective tissue diseases associated interstitial lung disease （CTD-ILD）. Methods A total of 120 patients with CTD-ILD from June 2011 to December 2012 were randomly classified into the control group and the observation group , with 60 cases in each group .The control group was treated with routine nursing care , while the observation group was treated with breathing exercises .The life quality between the two groups was compared using the 36-item short form health survey questionnaire （ SF-36 ） .The lung function, such as vital capacity （VC）, total lung capacity （TLC） and diffusing capacity of CO （DLCO） before and after treatment, were recorded.Results After the respiratory muscle training , the scores of SF-36 in the observation group was significantly higher compared with those in the control group （t=2.52,3.42,7.93,4.33, 2.38, respectively;P〈0.05）.After the functional training of the respiratory muscles , VC, TL and DLCO/Pred in the observation group were （2.8 ±0.04）L, （3.0 ±0.06）L and （5.5 ±0.94）%, which were significantly better than （2.6 ±0.04）L, （2.8 ±0.03）L and （72.3 ±0.64）%in the control group （t=2.28,2.51,2.85, respectively;P〈0.05）.Conclusions Nursing intervention of airway management and functional training for the respiratory muscles can improve quality of life and pulmonary function of patients with CTD -ILD.
出处
《中华现代护理杂志》
2014年第24期3058-3060,共3页
Chinese Journal of Modern Nursing
基金
常州市卫生局指导性项目
关键词
生活质量
结缔组织病
肺间质病变
呼吸肌功能锻炼
Quality of life
Connective tissue diseases
Lung disease
Respiratory muscle training
作者简介
通信作者：华静，Email：huajing63@126．com
