防-护-康全生命周期管理模式的呼吸功能训练在COPD稳定期患者中的应用效果OA
The application effect of respiratory function training based on the prevention-care-rehabilitation whole life cycle management model in patients with stable COPD
目的 探究基于防-护-康(预防-护理-康复)全生命周期管理模式的呼吸功能训练对慢性阻塞性肺疾病(COPD)稳定期患者肺功能和生活质量的影响.方法 研究以 2022 年 10 月至 2023 年 10 月徐州医科大学附属第三医院收治的 80 例 COPD 稳定期患者为对象,采用随机数表法将其分为 2 组,即对照组(40 例)、观察组(40 例).对照组采用常规护理干预;观察组采用基于防-护-康全周期管理模式的呼吸功能训练,比较 2 组干预前、随访 6 个月后的肺功能指标[第 1 秒用力呼吸容积(FEV1)、用力呼出 50%肺活量时的平均呼气流速(MEF50%)、呼气流量峰值(PEF)]和 BODE 指数[体重指数(B)/气流阻塞程度(O)/呼吸困难(D)/运动能力(E)]、圣乔治呼吸问卷(SGRQ)评分、生活质量水平(GQOLI-74)及出院后 6 个月的再入院率.结果 随访 6 个月后,观察组 FEV1、MEF50%、PEF 水平均高于对照组(P 均<0.05);观察组 BODE、SGRQ 均低于对照组,GQOLI-74 高于对照组(P 均<0.05);观察组的再入院率低于对照组(P<0.05).结论 在 COPD 稳定期患者中施行基于防-护-康全生命周期管理模式的呼吸功能训练有积极意义,可能有助于改善 COPD 稳定期患者的肺功能和生活质量,并对降低再入院风险具有一定积极作用.
Objective To explore the impact of respiratory function training based on the prevention-care-rehabilitation whole life cycle management model on pulmonary function and quality of life in patients with stable chronic obstructive pulmonary disease(COPD).Methods A study was conducted on 80 patients with stable COPD admitted to the Third Affiliated Hospital of Xuzhou Medical University from October 2022 to October 2023.They were randomly divided into two groups using the random number table method,namely the control group(40 patients)and the observation group(40 patients).The control group received routine nursing care,while the observation group received respiratory function training based on the prevention-care-rehabilitation whole life cycle management model.The pulmonary function indicators(forced expiratory volume in one second[FEV1],maximal expiratory flow rate at forced expiratory volume of 50%[MEF50%],peak expiratory flow[PEF]),the BODE index(body mass index[B],degree of airflow obstruction[O],dyspnea[D],exercise capacity[E]),St.George's Respiratory Questionnaire(SGRQ),quality of life level(GQOLI-74)were compared between the two groups before intervention and after 6 months of follow-up,and the readmission rate within 6 months after discharge were also compared between two groups.Results After 6 months of follow-up,the FEV1,MEF50%,and PEF levels in the observation group were all higher than those in the control group(all P<0.05).The BODE and SGRQ scores of the observation group were lower than those of the control group,and the GQOLI-74 scores of the observation group was higher than that of the control group(all P<0.05).The readmission rate of the observation group was lower than that of the control group(P<0.05).Conclusion The implementation of respiratory function training based on the prevention-care-rehabilitation whole life cycle management model in patients with stable COPD has positive significance,which may help improve pulmonary function and quality of life of patients with stable COPD,and may have a positive effect on reducing the risk of readmission.
马颖;宋庆如;李宁
徐州医科大学附属第三医院,江苏 徐州,221000徐州医科大学附属第三医院,江苏 徐州,221000徐州医科大学附属第三医院,江苏 徐州,221000
医药卫生
防-护-康全生命周期管理模式呼吸功能训练慢性阻塞性肺疾病肺功能生活质量
prevention-care-rehabilitation whole life cycle management modelrespiratory function trainingchronic obstructive pulmonary diseasepulmonary functionquality of life
《中西医结合护理（中英文）》 2026 (3)
100-103,4
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