摘要
目的:探讨"呬"字诀对稳定期慢性阻塞性肺疾病(COPD)患者肺功能及生活满意度等方面的效果,为完善COPD患者的非药物治疗方案提供依据。方法:选取稳定期COPD患者70例,采用随机数字表法分为观察组和对照组各35例,观察组在常规治疗和护理的基础上接受3个月的"呬"字诀呼吸操训练,对照组则按常规治疗和护理处理。2组均对干预前后的依从性、肺功能、Borg呼吸困难评分及生活满意度指数A(LSIA)等指标进行康复效果评定。结果:2组患者的依从性均为100%;与对照组比较,观察组FEV1有明显的改善(P=0.00),Borg评分降低(P<0.05);观察组LSIA评分较干预前明显升高(P=0.00)。结论:"呬"字诀呼吸能改善COPD稳定期患者的肺功能、呼吸困难症状,提高患者生活满意度,是值得采用的非药物治疗方法之一。
Objective：To explore effects of ＂Si＂ tactic of breathing exercises on pulmonary function and life satisfaction in stable chronic obstructive pulmonary disease（ COPD） patients. Methods ： Seventy patients were randomly divided into the observation group and the control group with thirty-five cases respectively. After excluding seven drop-out cases,the observation group remained thirty-one cases and the control group remained thirty-two cases. Two groups were given routine treatment and nursing care in department of respiration,besides the observation group accepted the words ＂Si＂ breathing exercises for three months, and the rehabilitation effects of the two groups were respectively assessed by compliance,pulmonary function,Borg Scale and life satisfaction scale. Results：After three months intervention,the compliance of the patients about breathing exercises was 100%. The lung function measured by FEV1 showed a significant improvement in the observation group（P=0.00）;the scores of Borg Scale were lower than the control group（P〈0.05）;the scores of life satisfaction were higher than the control group（P=0.00）. Conclusion： ＂Si＂ tactic of breathing exercises can improve pulmonary function,Borg Scale and life satisfaction for COPD patients in stable stage. The training project is relatively simple,and compliance of the patients is relatively high. ＂Si＂ tactic of breathing exercises can be recommended as part of the comprehensive pulmonary rehabilitation program in the future.
出处
《康复学报》
2016年第3期50-53,共4页
Rehabilitation Medicine
基金
福建省卫生厅中医药科研项目(WZZH201312)
关键词
慢性阻塞性肺疾病
稳定期
呼吸操
肺功能
生活满意度
chronic obstructive pulmonary disease
stable stage
breathing exercises
pulmonary function
life satisfaction
