首页|期刊导航|现代医药卫生|早期肺康复锻炼结合床旁护理对老年肺炎旁胸腔积液患者肺功能改善的临床分析

早期肺康复锻炼结合床旁护理对老年肺炎旁胸腔积液患者肺功能改善的临床分析OA

Clinical analysis of early pulmonary rehabilitation exercise integrated into bedside care for improving lung function in older patients with parapneumonia pleural effusion

中文摘要英文摘要

目的 探讨早期肺功能锻炼与床旁护理相结合对老年肺炎旁胸腔积液患者肺功能改善的临床分析.方法 选取2022年1月至2024年12月该院收治的168例老年肺炎旁胸腔积液患者作为研究对象,将其分为对照组和观察组,每组84例.对照组予以常规护理方式,观察组在对照组基础上予以早期肺康复锻炼.比较2组总有效率,干预前后炎症指标变化、肺功能改善、生活质量、症状消失时间和住院时间.结果 护理干预后,观察组治疗总有效率高于对照组,炎症指标吸收早于对照组,肺功能改善情况明显优于对照组,差异均有统计学意义(P<0.05).观察组生活质量综合评定4个维度得分明显高于对照组,且症状消失时间及住院时间明显短于对照组,差异均有统计学意义(P<0.05).结论 早期肺康复锻炼与床旁护理相结合,能够显著改善老年肺炎旁胸腔积液患者的肺功能,缩短住院时间,提高治疗有效率及生活质量.

Objective To explore the clinical analysis of the combination of early pulmonary rehabilita-tion exercise and bedside care in improving lung function in older patients with parapneumonia pleural effu-sion.Methods A total of 168 older patients with parapneumonia pleural effusion treated in the hospital from January 2022 to December 2024 were selected as the research subjects.The patients were divided into a control group and an observation group,with 84 cases in each group.The control group was treated with routine nurs-ing methods,and the observation group was with early pulmonary rehabilitation exercise on the basis of the control group.The total effective rate,changes in inflammatory indicators before and after intervention,im-provement of lung function,quality of life,disappearance time of symptoms and length of stay were compared between the two groups.Results After nursing intervention,the effective rate in observation group was high-er than that in control group,the inflammatory indicators of the observation group were better than those of control group,the improvement of lung function was significantly better than that of the control group,the differences were all statistically significant(P<0.05).The comprehensive assessment scores of the four di-mensions of quality of life in observation group were significantly higher than those in control group,and the disappearance time of symptoms and the length of stay in observation group were significantly shorter than those in control group,the differences were statistically significant(P<0.05).Conclusion The combination of early pulmonary rehabilitation exercise and bedside care can significantly improve lung function in older pa-tients with parapneumonia pleural effusion,shorten the length of hospital stay,increase the effective rate and the quality of life.

张立群;沈春;蔡海英;徐杰;田海兵

上海市奉贤区古华医院:护理部,上海 201400上海市奉贤区古华医院:护理部,上海 201400上海市奉贤区古华医院:康复科,上海 201400上海市奉贤区古华医院:康复科,上海 201400上海市奉贤区古华医院:康复科,上海 201400

医药卫生

肺炎旁胸腔积液肺康复锻炼床旁护理肺功能老年人

Parapneumonia pleural effusionPulmonary rehabilitation exerciseBedside carePulmonary functionOlder adults

《现代医药卫生》 2026 (4)

901-904,908,5

上海市奉贤区区级学科建设经费资助项目(沪奉卫[2024]36号).

10.3969/j.issn.1009-5519.2026.04.034

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