远程监督指导下居家肺部音乐疗法对慢性阻塞性肺疾病的效果OA

Objective To explore the effect of tele-supervised home-based pulmonary music therapy on respiratory function,exer-cise capacity and clinical symptoms in patients with chronic obstructive pulmonary disease(COPD). Methods A total of 96 COPD patients admitted to the Second People's Hospital of Lianyungang from January,2023 to June,2024 were selected.They were divided into control group and observation group(48 cases each)using block randomization combined with a random number table.The control group received routine treatment and nursing intervention,while the observation group added tele-supervised home-based pulmonary music therapy,for six months.Evaluations were conducted before intervention and one,three and six months after intervention. Results Three cases in the control group and two in the observation group dropped out.Compared to the control group,the observation group was better in forced expiratory volume in one second percentage of predicted(FEV1%)lev-el six months after intervention(χ2=10.481,P<0.001),maximal inspiratory pressure three months(Z=-2.045,P=0.044)and six months(Z=-3.643,P=0.033)after intervention,maximal expiratory pressure three months(Z=2.111,P=0.036)and six months(Z=4.025,P<0.001)after intervention,exercise capacity one month(t=2.266,P=0.028),three months(t=3.943,P=0.028)and six months(t=6.703,P<0.001)after intervention,fa-tigue scores three months(Z=-4.352,P<0.001)and six months(Z=-5.718,P<0.001)after intervention,clinical symptoms three months(t=-2.698,P=0.007)and six months(t=-2.898,P=0.003)after interven-tion,and clinical control levels three months(t=-3.402,P<0.001)and six months(t=-5.036,P<0.001)after intervention. Conclusion Tele-supervised home-based pulmonary music therapy is beneficial in improving respiratory function,exer-cise capacity,fatigue,clinical symptoms and clinical control levels in patients with COPD.