Abstract:

Objective　To explore the effect of micro-customary pulmonary rehabilitation nursing on the rehabilitation compliance and therapeutic effect in patients with chronic obstructive pulmonary disease (COPD). Methods　This study was a randomized controlled trial. A total of 86 patients with COPD treated in the Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Guangzhou Medical University from March 2021 to July 2022 were selected and were divided into a control group and an experimental group according to the random number table method, with 43 cases in each group. In the control group, there were 16 males and 27 females, aged (62.02±11.80) years. There were 18 males and 25 females in the experimental group, aged (65.79±9.82) years. The control group adopted the pulmonary rehabilitation nursing mode, which was led by the pulmonary rehabilitation nurses, centered on airway clearance, assisted by breathing and exercise training, and accompanied by full health education. On this basis, the experimental group established and applied micro-customary pulmonary rehabilitation nursing. The compliance and effect of rehabilitation were compared between the two groups. χ² test and independent sample t test were used. Results　The compliance of the control group was (68.4±23.0)%, and that of the experimental group was (94.8±5.4)%, with a statistically significant difference between the two groups (t=7.195, P<0.005). After 3 months of intervention, the 6-min walking distance of the experimental group was (468.2±102.0) m, the peak expiratory flow accounted for (67.5±20.5)% of the predicted value, and the forced expiratory volume in the first second accounted for (66.6±15.0)% of the predicted value, which were higher than (414.9±107.2) m, (51.8±19.8)%, and (56.3±17.4)% of the control group, with statistically significant differences (t=2.860, P=0.007; t=4.758, P<0.001; t=3.871, P<0.001). Conclusion　Micro-customary pulmonary rehabilitation nursing can improve the compliance and effect of COPD patients, which is worthy of clinical recommendation.

Key words:

Chronic obstructive pulmonary disease, Compliance, Pulmonary rehabilitation, Micro-customary

摘要：

目的　探讨微习惯式肺康复护理对慢性阻塞性肺疾病（COPD）患者康复依从性及治疗效果的影响。方法　本研究为随机对照试验。选取2021年3月至2022年7月在广州医科大学附属第一医院呼吸与危重症医学部治疗的COPD患者86例，按照随机数字表法分为对照组和试验组，每组43例。对照组男性16例，女性27例，年龄（62.02±11.80）岁；试验组男性18例，女性25例，年龄（65.79±9.82）岁。对照组采用以肺康复专科护士为主导，以气道廓清为核心，呼吸和运动训练为辅助，全程健康教育的肺康复护理模式；试验组在此基础上应用微习惯式肺康复护理。比较两组患者康复依从性及治疗效果。采用χ²检验、独立样本t检验。结果　干预3个月后，试验组的康复依从性为（94.8±5.4）%、6 min步行试验为（468.2±102.0）m、呼气流量峰值占预计值百分比为（67.5±20.5）%、第1秒用力呼气量占预计值百分比为（66.6±15.0）%，均高于对照组的（68.4±23.0）%、（414.9±107.2）m、（51.8±19.8）%、（56.3±17.4）%，差异均有统计学意义（t=7.195，P<0.005；t=2.860，P=0.007；t=4.758，P<0.001；t=3.871，P<0.001）。结论　微习惯式肺康复护理可提高COPD患者的康复依从性及治疗效果，值得临床推荐应用。

关键词:

慢性阻塞性肺疾病, 依从性, 肺康复, 微习惯