摘要
目的:观察基于共享决策的肺康复训练在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用效果。方法:回顾性分析2023年1—12月该院收治的200例AECOPD患者的临床资料,按康复训练方法不同将其分为研究组(n=100)与对照组(n=100),对照组给予常规康复训练,研究组在对照组基础上采用基于共享决策的肺康复训练,比较两组训练前后运动耐力[6 min步行试验(6MWT)距离]水平、肺通气功能指标(中心呼吸道阻力、周边呼吸道阻力、呼吸道总阻力)水平、生命质量[圣乔治呼吸问卷(SGRQ)]评分和遵医行为依从性。结果:训练后,两组6MWT距离均长于训练前,且研究组长于对照组,差异有统计学意义(P<0.05);训练后,两组中心呼吸道阻力、周边呼吸道阻力、呼吸道总阻力均低于训练前,且研究组低于对照组,差异有统计学意义(P<0.05);训练后,两组活动能力、日常生活、症状等SGRQ评分均低于训练前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组遵医行为依从率为98.00%,高于对照组的90.00%,差异有统计学意义(P<0.05)。结论:在常规康复训练基础上采用基于共享决策的肺康复训练可提高AECOPD患者的运动耐力水平和遵医行为依从率,以及改善肺通气功能指标水平和生命质量评分的效果优于单纯常规康复训练。
Objective:To observe application effects of pulmonary rehabilitation training based on shared decision-making in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:The clinical data of 200 patients with AECOPD admitted to this hospital from January to December 2023 were retrospectively analyzed.According to different rehabilitation training methods,they were divided into study group(n=100)and control group(n=100).The control group was given the routine rehabilitation training,while the study group was given the pulmonary rehabilitation training based on shared decision-making on the basis of that of the control group.The exercise endurance[6 min walking test(6 MWT)distance]levels,the pulmonary ventilation function indexes(central respiratory resistance,peripheral respiratory resistance,total respiratory resistance)levels,the quality of life[St.George’s respiratory questionnaire(SGRQ)]score,and the compliance behavior were compared between the two groups before and after the training.Results:After the training,the 6MWT distance of the two groups was longer than that before the training,that in the study group was longer than that in the control group,and the differences were statistically significant(P<0.05).After the training,the central respiratory resistance,peripheral respiratory resistance and total respiratory resistance of the two groups were lower than those before the training,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the training,the SGRQ scores of activity ability,daily life and symptoms in the two groups were lower than those before the training,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the compliance rate of the study group was 98.00%,which was higher than that of the control group(90.00%),and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine rehabilitation training,the pulmonary rehabilitation training based on shared decision-making can improve the exercise endurance levels and the compliance rates of the AECOPD patients,as well as improve the levels of pulmonary ventilation function indexes and the quality of life scores.Moreover,it is superior to simple routine rehabilitation training.
作者
刘省超
LIU Shengchao(Department of General Practice of the Third People’s Hospital of Puyang,Puyang 457000 Henan,China)
出处
《中国民康医学》
2025年第12期91-93,97,共4页
Medical Journal of Chinese People’s Health
关键词
共享决策
肺康复训练
慢性阻塞性肺疾病
急性加重期
肺通气功能
遵医行为
生命质量
Shared decision-making
Pulmonary rehabilitation training
Chronic obstructive pulmonary disease
Acute exacerbation
Pulmonary ventilation function
Compliance behavior
Quality of life
