綜合康復教育措施對老年慢性阻塞性肺疾病患者肺功能及運動能力的影響

白植琴+費靜靜+華鋒

[摘要] 目的 探討綜合康復教育措施對老年慢性阻塞性肺疾病患者肺功能及運動能力的影響。方法 選擇120例老年慢性阻塞性肺疾病患者，隨機分為觀察組和對照組各60例。在常規治療基礎上觀察組給予綜合康復教育措施干預，對照組給予常規健康教育，對比兩組3個月后肺功能、6 min步行實驗并評價自我效能。 結果 觀察組干預后FEV1、FEV1/FVC、PEFR、MVV均明顯改善，FEV1、FEV1/FVC、MVV明顯優于對照組（P<0.05）。觀察組干預后6 min步行實驗距離明顯長于對照組（P<0.05），干預后觀察組改善明顯，Ⅰ級較對照組明顯減少，Ⅲ級、Ⅳ級較對照組明顯增加（P<0.05）。觀察組干預后呼吸癥狀管理、體力活動管理、情緒管理、環境管理、安全行為管理評分均明顯高于對照組（P<0.05）。 結論 綜合康復教育措施可有效提高慢性阻塞性肺疾病穩定期疾病管理效果，改善肺功能和運動能力。

[關鍵詞] 慢性阻塞性肺疾病；健康教育；康復訓練；運動能力；自我管理

[中圖分類號] R562 [文獻標識碼] B [文章編號] 1673-9701（2014）32-0097-03

Comprehensive rehabilitation measures affecting education and exercise capacity in lung function in elderly patients with chronic obstructive pulmonary disease

BAI Zhiqin1 FEI Jingjing2 HUA Feng1

1.Department of Respiratory Medicine， Central Hospital of Huzhou in Zhejiang Province， Huzhou 313000， China； 2.NO.16 Inpatient Area， Central Hospital of Huzhou in Zhejiang Province， Huzhou 313000， China

[Abstract] Objective To investigate the effects of comprehensive rehabilitation education measures on lung function and exercise capacity in patients with chronic obstructive pulmonary disease. Methods A total of 120 cases of elderly patients with chronic obstructive pulmonary disease were randomly divided into observation group and control group， 60 patients in the observation group educational measures received comprehensive rehabilitation intervention while control group received conventional health education in the conventional treatment， based on the comparison of two groups of three months after lung function， 6 min walk test and evaluate self-efficacy. Results The intervention group was observed FEV1， FEV1/FVC， PEFR， MVV， which were significantly improved compared with the control group （P<0.05）. After the observation group intervention 6 mins walk test distance was significantly longer than the control group （P<0.05）. After the treatment， intervention group improved significantly， and the patients of level Ⅰ significantly reduced compared with the control group， level Ⅲ，Ⅳ was significantly increased（P<0.05） than the control group. Respiratory symptoms were observed after the intervention group management， physical activity management， emotional management， environmental management， safety management behavior scores were significantly higher（P<0.05）. Conclusion Comprehensive rehabilitation educational measures can effectively improve the stability of the effect of chronic disease management obstructive pulmonary disease， and improve lung function and exercise capacity.endprint