| 郝平,许雯倩,黄雪燕,施凌,刘晓洁,马丽,丁文静,赵咏梅.八段锦联合呼吸训练器在慢性阻塞性肺疾病稳定期患者信息化康复管理中应用研究[J].上海护理,2023,23(S1): |
| 八段锦联合呼吸训练器在慢性阻塞性肺疾病稳定期患者信息化康复管理中应用研究 |
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| DOI： |
| 中文关键词: 八段锦 呼吸训练器 慢性阻塞性肺疾病稳定期 信息化康复管理 |
| 英文关键词:Baduanjin breathing trainer chronic obstructive pulmonary disease stability Information rehabilitation management |
| 基金项目:2020年度上海中医药大学预算内科研项目－护理专项(2020HL174) |
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| 中文摘要: |
| 目的 慢性阻塞性肺疾病稳定期患者运用八段锦联合呼吸训练器借助慢病随访系统进行康复管理后对肺功能、呼吸困难、锻炼时间及6分钟步行距离的影响。方法 两组患者稳定期均给予常规气雾剂治疗,入组后统一扫码加入慢病随访系统,干预组给予八段锦操联合呼吸训练器训练；对照组给予缩唇式腹式呼吸联合散步或快走训练。分别在锻炼第1周、1个月、2个月、3个月、6个月进行线上随访。结果 干预3个月、6个月呼吸困难症状改善,干预组要优于对照组(P＜0.05)。干预6个月后,干预组FVC、FEV1、FEV1% (%)值优于对照组(P＜0.05),两组患者FEV1/ FVC值比较,差异均无统计学意义(P＞0.05)；干预1周和6个月比较,干预组FVC、FEV1、FEV1%差异有统计学意义(P＜0.01),呈强相关；对照组差异有统计学意义(P＜0.05),呈弱相关。干预组康复锻炼时间均优于对照组(P＜0.05),干预组患者依从性优于对照组。干预1周、6个月,干预组患者6MWT均优于对照组(P＜0.05)。干预组组间1周、6个月的6MWT比较,差异有统计学意义(P＜0.05),对照组组间1周、6个月的6MWT比较,差异无统计学意义(P＞0.05)。结论 八段锦联合呼吸器训练能改善呼吸困难,增加肺通气功能；能让患者依从性、锻炼时间、康复效果三者呈互为促进作用；慢病随访系统为呼吸康复开展提供可行性保障。 |
| 英文摘要: |
| Objective The effects of chronic obstructive pulmonary disease on lung function, dyspnea, exercise time and 6-minute walking distance after rehabilitation management with the chronic disease follow-up system. Methods The patients in both groups were given conventional aerosol therapy, and after entering the group, the unified scanning code was added to the chronic disease follow-up system. The intervention group was given eight-stage brocade exercise combined breathing trainer training; the control group was given lip contraction abdominal breathing combined walking or fast walking training. Online follow-up was conducted at 1 week, 1 month, 2 months, 3 months and 6 months of exercise.Result The intervention symptoms of dyspnea improved at 3 months and 6 months, and the intervention group was better than the control group(P＜0.05). After 6 months of intervention, the values of FVC, FEV1 and FEV1% (%) in the intervention group were better than those in the control group(P＜0.05), and the difference of FEV1/FVC values between the two groups was not significantly(P＞0.05); Comparing 1 week and 6 months of intervention, In the intervention group FVC,FEV1 and FEV1% were significantly(P＜0.01)with a strong correlation, and the control group was statistically significant (P <0.05).The rehabilitation exercise time in the intervention group was better than that in the control group(P＜0.05), and the patients in the intervention group had better compliance than that in the control group. After 1 week and 6 months of intervention, the 6 MWT in the intervention group was better than the control group(P＜0.05). Comparison of 6 MWT at 1 week and 6 months in the intervention groups, the difference was statistically significant(P＜0.05), comparison of 6 MWT at 1 week and 6 months between control groups, there was no statistically significant difference(P＞0.05). Conclusion Baduanjin combined with respirator training can improve dyspnea, increased lung ventilation function; it can make patient compliance, exercise time and rehabilitation effect three mutually reinforcing; the chronic disease follow-up system provides the feasibility guarantee for respiratory rehabilitation. |
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