縮唇腹式呼吸結(jié)合立式呼吸體操對(duì)中重度慢性阻塞性肺疾病患者的影響
發(fā)布時(shí)間：2019-06-08 17:15
【摘要】：研究目的探討縮唇腹式呼吸結(jié)合立式呼吸體操對(duì)中重度慢性阻塞性肺疾病患者呼吸困難癥狀、肺功能、運(yùn)動(dòng)耐力、生活質(zhì)量的影響。研究方法一、在蘇州大學(xué)附屬第三醫(yī)院(常州市第一人民醫(yī)院)呼吸內(nèi)科病房收集住院的中重度慢性阻塞性肺疾病(COPD)患者90例為研究對(duì)象,按入院先后順序和隨機(jī)數(shù)字表法,隨機(jī)分為實(shí)驗(yàn)組和對(duì)照組,其中實(shí)驗(yàn)組45例,對(duì)照組45例。二、住院期間實(shí)驗(yàn)組和對(duì)照組均接受低流量吸氧、遵醫(yī)囑用藥、健康教育等治療護(hù)理措施,均教授縮唇腹式呼吸鍛煉方法,對(duì)照組患者自行鍛煉,實(shí)驗(yàn)組患者在醫(yī)護(hù)人員的指導(dǎo)下行縮唇腹式呼吸與立式呼吸體操相結(jié)合的呼吸鍛煉,并以民族音樂為背景配合訓(xùn)練,每天2次,分別于上午、下午進(jìn)行,每次15min。出院后囑患者持續(xù)呼吸鍛煉。研究人員每周電話隨訪一次,了解患者病情變化,呼吸鍛煉情況及感受,接受與呼吸鍛煉有關(guān)的指導(dǎo)和督促。持續(xù)3個(gè)月。對(duì)照組電話隨訪常規(guī)了解患者病情及用藥情況,不涉及與呼吸鍛煉有關(guān)的指導(dǎo)。三、干預(yù)前后分別評(píng)估兩組患者的呼吸困難癥狀、肺功能、運(yùn)動(dòng)耐力、生活質(zhì)量。研究結(jié)果一、兩組患者年齡、性別、文化程度、病情嚴(yán)重程度、病程、吸煙史、吸煙情況、用藥情況等基線資料均無顯著差異。干預(yù)期間實(shí)驗(yàn)組失訪1例,對(duì)照組失訪3例,最后完成實(shí)驗(yàn)者86例,即實(shí)驗(yàn)組44例,對(duì)照組42例。二、呼吸困難癥狀(m MRC呼吸困難評(píng)分)干預(yù)后,實(shí)驗(yàn)組呼吸困難癥狀較前明顯減輕,m MRC呼吸困難評(píng)分顯著降低(P0.01);對(duì)照組m MRC呼吸困難評(píng)分無顯著改變(P0.05)。干預(yù)后,實(shí)驗(yàn)組m MRC呼吸困難評(píng)分較對(duì)照組明顯降低(P0.05)。三、肺功能干預(yù)后,實(shí)驗(yàn)組肺功能指標(biāo)無統(tǒng)計(jì)學(xué)差異(P0.05);對(duì)照組干預(yù)后FEV1/FVC明顯降低(P0.05),其余指標(biāo)(FVC、FEV1、FEV1%、PEF)無統(tǒng)計(jì)學(xué)差異(P0.05)。干預(yù)后,組間比較無統(tǒng)計(jì)學(xué)差異(P0.05)。四、運(yùn)動(dòng)耐力干預(yù)后,實(shí)驗(yàn)組運(yùn)動(dòng)耐力顯著提高,六分鐘步行距離較鍛煉前顯著增加[(315.00±62.53)m vs(371.34±67.74)m,P0.01];對(duì)照組六分鐘步行距離較干預(yù)前顯著降低[(315.05±60.89)m vs(301.57±61.67)m,P0.01]。干預(yù)后,兩組間比較差異有統(tǒng)計(jì)學(xué)意義[(-56.34±7.90)m vs(13.48±5.91)m,P0.01]。五、生活質(zhì)量[圣·喬治COPD生活質(zhì)量調(diào)查問卷(SGRQ)評(píng)分]干預(yù)后,實(shí)驗(yàn)組患者SGRQ各部分(呼吸癥狀、活動(dòng)受限、疾病影響)評(píng)分及總分均顯著降低(P0.01);對(duì)照組患者SGRQ各部分(呼吸癥狀、活動(dòng)受限、疾病影響)評(píng)分及總分均無顯著改變(P0.05)。干預(yù)后,實(shí)驗(yàn)組患者SGRQ各部分(呼吸癥狀、活動(dòng)受限、疾病影響)評(píng)分及總分較對(duì)照組顯著降低[(呼吸癥狀評(píng)分5.20±2.80 vs 0.48±2.58,P0.05);(活動(dòng)受限評(píng)分,5.80±3.15 vs-0.98±4.50,P0.05);(疾病影響評(píng)分5.18±2.31 vs-0.02±2.90,P0.05);(總分5.32±1.41 vs-0.04±1.70,P0.05)]。研究結(jié)論縮唇腹式呼吸結(jié)合立式呼吸體操可以改善中重度COPD患者的呼吸困難癥狀,提高運(yùn)動(dòng)耐力和生活質(zhì)量。縮唇腹式呼吸結(jié)合立式呼吸體操是一種安全、有效的COPD患者康復(fù)治療方法。
[Abstract]:Objective To study the effects of the combined vertical breathing exercise on the symptoms of dyspnea, pulmonary function, exercise endurance and quality of life in patients with moderate to severe chronic obstructive pulmonary disease. Method 1.90 of the patients with moderate to severe chronic obstructive pulmonary disease (COPD) were collected in the hospital of the Third Hospital of Suzhou University (the first people's hospital in Changzhou City), and 90 cases of the patients with moderate to severe chronic obstructive pulmonary disease (COPD) were randomly divided into the experimental group and the control group according to the order of admission and the random number table method. 45 of the experimental group and 45 in the control group. 2. The experimental group and the control group received low-flow oxygen inhalation during the hospitalization, and the treatment and nursing measures such as the doctor's order medication, the health education, etc., all professors of the patient's lip-and-abdominal breathing exercise method, the control group's self-exercise, In the experimental group, the breathing exercise combined with the vertical breathing exercise is guided by the medical staff, and the training is carried out with the national music as the background,2 times a day, respectively in the morning and afternoon, and each time is 15 minutes. The patient was instructed to continue breathing exercise after discharge. The researchers followed up a weekly telephone to understand the changes in the patient's condition, the situation and feel of breathing exercises, and to receive guidance and supervision related to breathing exercises. Lasting for 3 months. The control group's telephone follow-up routine knowledge of the patient's condition and the condition of the medication, does not involve the guidance related to the breathing exercise. 3. Before and after the intervention, the symptoms of dyspnea, lung function, exercise endurance and quality of life of the two groups were evaluated. The results showed that there was no significant difference between the age, sex, the degree of culture, the severity of the disease, the course of the disease, the history of smoking, the smoking and the condition of the medication. In the experimental group,1 case was lost to follow-up,3 cases were lost to the control group, and 86 cases of the experimental group were completed, namely,44 cases in the experimental group and 42 in the control group. 2. After the intervention of the dyspnea symptom (m MRC dyspnea score), the dyspnea symptom of the experimental group was significantly reduced, and the score of the m MRC dyspnea was significantly lower (P0.01); and the score of the m MRC dyspnea in the control group was not significantly changed (P0.05). After the intervention, the scores of m-MRC-dyspnea in the experimental group were significantly lower than that in the control group (P0.05). After the intervention of pulmonary function, there was no statistical difference between the lung function in the experimental group (P0.05); after the intervention of the control group, the FEV1/ FVC was significantly lower (P0.05), and the other indexes (FVC, FEV1, FEV1%, PEF) had no statistical difference (P0.05). After the intervention, there was no statistical difference between the groups (P0.05). 4. After the exercise-endurance intervention, the exercise endurance of the experimental group was significantly improved, and the walking distance in the six-minute group was significantly increased before the exercise[(315.00-62.53) m vs (371.34-67.74) m, P 0.01]; the six-minute walking distance of the control group was significantly reduced before the intervention[(315.05-60.89) m vs (301.57-61.67) m, P0.01]. After the intervention, the difference between the two groups was statistically significant[(-56.34-7.90) m vs (13.48-5.91) m, P0.01]. 5. The scores of SGRQ total score and total score of SGRQ in the experimental group were significantly lower after the intervention of the quality of life[St. George's Quality of Life Questionnaire (SGRQ) score] (P0.01), and the SGRQ of the control group (respiratory symptoms, activity limited, There was no significant change in the score and total score of the disease (P0.05). After the intervention, the scores of SGRQ and the total score of SGRQ were significantly lower in the experimental group than in the control group[(the score of respiratory symptoms was 5.20, 2.80 vs. 0.48, 2.58, P0.05); (the activity limited score, 5.80, 3.15 vs. 0.98, 4.50, P0.05); (disease impact score 5.18-2.31 vs-0.02-2.90, P0.05); (total score 5.32-1.41 vs-0.04-1.70, P0.05)]. Conclusion The combined vertical breathing exercise with reduced-lip and abdominal breathing can improve the symptoms of dyspnea and improve the endurance and quality of life in patients with moderate to severe COPD. Reduced-lip abdominal breathing combined with vertical breathing exercise is a safe and effective method for the rehabilitation of COPD patients.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.5
本文編號(hào)：2495451
[Abstract]:Objective To study the effects of the combined vertical breathing exercise on the symptoms of dyspnea, pulmonary function, exercise endurance and quality of life in patients with moderate to severe chronic obstructive pulmonary disease. Method 1.90 of the patients with moderate to severe chronic obstructive pulmonary disease (COPD) were collected in the hospital of the Third Hospital of Suzhou University (the first people's hospital in Changzhou City), and 90 cases of the patients with moderate to severe chronic obstructive pulmonary disease (COPD) were randomly divided into the experimental group and the control group according to the order of admission and the random number table method. 45 of the experimental group and 45 in the control group. 2. The experimental group and the control group received low-flow oxygen inhalation during the hospitalization, and the treatment and nursing measures such as the doctor's order medication, the health education, etc., all professors of the patient's lip-and-abdominal breathing exercise method, the control group's self-exercise, In the experimental group, the breathing exercise combined with the vertical breathing exercise is guided by the medical staff, and the training is carried out with the national music as the background,2 times a day, respectively in the morning and afternoon, and each time is 15 minutes. The patient was instructed to continue breathing exercise after discharge. The researchers followed up a weekly telephone to understand the changes in the patient's condition, the situation and feel of breathing exercises, and to receive guidance and supervision related to breathing exercises. Lasting for 3 months. The control group's telephone follow-up routine knowledge of the patient's condition and the condition of the medication, does not involve the guidance related to the breathing exercise. 3. Before and after the intervention, the symptoms of dyspnea, lung function, exercise endurance and quality of life of the two groups were evaluated. The results showed that there was no significant difference between the age, sex, the degree of culture, the severity of the disease, the course of the disease, the history of smoking, the smoking and the condition of the medication. In the experimental group,1 case was lost to follow-up,3 cases were lost to the control group, and 86 cases of the experimental group were completed, namely,44 cases in the experimental group and 42 in the control group. 2. After the intervention of the dyspnea symptom (m MRC dyspnea score), the dyspnea symptom of the experimental group was significantly reduced, and the score of the m MRC dyspnea was significantly lower (P0.01); and the score of the m MRC dyspnea in the control group was not significantly changed (P0.05). After the intervention, the scores of m-MRC-dyspnea in the experimental group were significantly lower than that in the control group (P0.05). After the intervention of pulmonary function, there was no statistical difference between the lung function in the experimental group (P0.05); after the intervention of the control group, the FEV1/ FVC was significantly lower (P0.05), and the other indexes (FVC, FEV1, FEV1%, PEF) had no statistical difference (P0.05). After the intervention, there was no statistical difference between the groups (P0.05). 4. After the exercise-endurance intervention, the exercise endurance of the experimental group was significantly improved, and the walking distance in the six-minute group was significantly increased before the exercise[(315.00-62.53) m vs (371.34-67.74) m, P 0.01]; the six-minute walking distance of the control group was significantly reduced before the intervention[(315.05-60.89) m vs (301.57-61.67) m, P0.01]. After the intervention, the difference between the two groups was statistically significant[(-56.34-7.90) m vs (13.48-5.91) m, P0.01]. 5. The scores of SGRQ total score and total score of SGRQ in the experimental group were significantly lower after the intervention of the quality of life[St. George's Quality of Life Questionnaire (SGRQ) score] (P0.01), and the SGRQ of the control group (respiratory symptoms, activity limited, There was no significant change in the score and total score of the disease (P0.05). After the intervention, the scores of SGRQ and the total score of SGRQ were significantly lower in the experimental group than in the control group[(the score of respiratory symptoms was 5.20, 2.80 vs. 0.48, 2.58, P0.05); (the activity limited score, 5.80, 3.15 vs. 0.98, 4.50, P0.05); (disease impact score 5.18-2.31 vs-0.02-2.90, P0.05); (total score 5.32-1.41 vs-0.04-1.70, P0.05)]. Conclusion The combined vertical breathing exercise with reduced-lip and abdominal breathing can improve the symptoms of dyspnea and improve the endurance and quality of life in patients with moderate to severe COPD. Reduced-lip abdominal breathing combined with vertical breathing exercise is a safe and effective method for the rehabilitation of COPD patients.
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.5
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相關(guān)期刊論文 前3條
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