老年慢性阻塞性肺疾病患者代谢当量运动护理的应用价值研究

doi:10.3760/cma.j.issn.1007-1245.2023.01.013

国际医药卫生导报 ›› 2023, Vol. 29 ›› Issue (1): 64-.DOI: 10.3760/cma.j.issn.1007-1245.2023.01.013

老年慢性阻塞性肺疾病患者代谢当量运动护理的应用价值研究

汪秋萍¹ 刘文文²

¹无锡市第二人民医院门诊，无锡　214000；²无锡市第二人民医院急诊抢救室，无锡　214000

出版日期:2023-01-01 发布日期:2023-01-27
通讯作者: 刘文文，Email：1014489818@qq.com
基金资助:
江苏省自然科学基金青年基金（BK20190129）

Application value of metabolic equivalent exercise nursing in elderly patients with chronic obstructive pulmonary disease

Wang Qiuping¹, Liu Wenwen²

¹Outpatient Department, Wuxi Second People's Hospital, Wuxi 214000, China; ²Emergency Room, Wuxi Second People's Hospital, Wuxi 214000, China

Online:2023-01-01 Published:2023-01-27
Contact: Liu Wenwen, Email: 1014489818@qq.com
Supported by:
Youth Foundation of Jiangsu Natural Science Foundation (BK20190129)

摘要/Abstract

摘要：

目的　研究老年慢性阻塞性肺疾病（慢阻肺）患者代谢当量运动护理方案建立及应用价值。方法　本研究为随机对照试验。选取2019年6月至2021年6月在无锡市第二人民医院接受治疗的90例慢阻肺患者作为研究对象，根据随机数字表法将其分为对照组和研究组，每组45例。对照组男20例、女25例，年龄（66.32±5.24）岁，行常规运动护理；研究组男22例、女23例，年龄（66.58±5.19）岁，行代谢当量运动护理。比较两组慢阻肺患者入院次日、干预2周时心功能、肺功能及生活质量。采用t检验、χ²检验。结果　入院次日，两组患者6 min步行距离、用力肺活量（FVC）、第1秒用力呼气量（FEV1）、第1秒用力呼气量占用力肺活量比值（FEV1/FVC）比较，差异均无统计学意义（均P>0.05）；干预2周时，研究组6 min步行距离［（402.36±32.56）m］、FVC［（2.84±0.32）L］、FEV1［（2.30±1.16）L］、FEV1/FVC［（64.73±2.39）%］均高于对照组［（385.62±32.13）m、（2.68±0.38）L、（1.79±1.18）L、（63.54±2.43）%］，差异均有统计学意义（均P<0.05）。入院次日，两组患者慢性阻塞性肺疾病生命质量测定量表（QLICD-COPD）各维度评分及总分比较，差异均无统计学意义（均P>0.05）；干预2周时，研究组躯体功能［（38.59±4.12）分］、心理功能［（40.36±4.32）分］、社会功能［（34.56±2.69）分］、特异模块评分［（49.02±4.06）分］及总分［（162.53±15.19）分］均高于对照组［（36.58±4.06）分、（38.49±4.19）分、（33.25±2.65）分、（46.52±5.02）分、（154.84±15.92）分］，差异均有统计学意义（均P<0.05）。结论　老年慢阻肺患者行代谢当量运动护理可有效改善患者6 min步行距离、FVC、FEV1等心肺功能，提升生活质量。

关键词:

慢性阻塞性肺部疾病, 中心率测定, 运动护理, 心功能, 肺功能

Abstract:

Objective　To study the establishment and application value of metabolic equivalent exercise nursing program in elderly patients with chronic obstructive pulmonary disease (COPD). Methods　It was a randomized controlled trial. A total of 90 cases of COPD treated in Wuxi Second People's Hospital from June 2019 to June 2021 were selected as the research objects, and were divided into a control group and a study group according to the random number table, with 45 cases in each group. In the control group, 20 males and 25 females, aged (66.32±5.24) years, received routine exercise nursing; in the study group, 22 males and 23 females, aged (66.58±5.19) years, received metabolic equivalent exercise nursing. The cardiac function, lung function, and qualities of life of COPD patients in the two groups were compared on the second day after admission and after 2 weeks of intervention. t test and χ² test were used. Results　On the second day after admission, there were no statistically significant differences in the 6 min walking distance, forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and ratio of forced expiratory volume in the first second to forced vital capacity (FEV1/FVC) between the two groups (all P>0.05). After 2 weeks of intervention, the 6 min walking distance [(402.36±32.56) m], FVC [(2.84±0.32) L], FEV1 [(2.30±1.16) L], and FEV1/FVC [(64.73±2.39) %] in the study group were higher than those in the control group [(385.62±32.13) m, (2.68±0.38) L, (1.79±1.18) L, and (63.54±2.43) %], with statistically significant differences (all P<0.05). On the second day after admission, there were no statistically significant differences in the total score and scores of each dimension of Quality of Life Instruments for Chronic Diseases - Chronic Obstructive Pulmonary Disease (QLICD-COPD) between the two groups (all P>0.05). After 2 weeks of intervention, the scores of physical function [(38.59±4.12) points], psychological function [(40.36±4.32) points], social function [(34.56±2.69) points], and specific module [(49.02±4.06) points] and total score [(162.53±15.19) points] of QLICD-COPD of the study group were higher than those of the control group [(36.58±4.06) points, (38.49±4.19) points, (33.25±2.65) points, (46.52±5.02) points, and (154.84±15.92) points], with statistically significant differences (all P<0.05). Conclusion　Metabolic equivalent exercise nursing for elderly patients with COPD can effectively improve the cardiopulmonary function, such as 6 min walking distance, FVC, and FEV1, and improve the quality of life.

Key words:

Chronic obstructive pulmonary disease, Central rate determination, Exercise nursing, Cardiac function, Lung function

汪秋萍刘文文.

老年慢性阻塞性肺疾病患者代谢当量运动护理的应用价值研究 [J]. 国际医药卫生导报, 2023, 29(1): 64-.

Wang Qiuping, Liu Wenwen.

Application value of metabolic equivalent exercise nursing in elderly patients with chronic obstructive pulmonary disease [J]. International Medicine and Health Guidance News, 2023, 29(1): 64-.

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老年慢性阻塞性肺疾病患者代谢当量运动护理的应用价值研究

Application value of metabolic equivalent exercise nursing in elderly patients with chronic obstructive pulmonary disease

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