“五段式”培训对稳定期慢性阻塞性肺疾病患者家庭通气治疗的作用

目的探讨“五段式”培训对稳定期慢性阻塞性肺疾病(COPD)患者家庭通气治疗的作用。方法选择2017年6月至2019年1月我院收治的COPD患者128例为研究对象,采用数字表法随机等分为对照组和观察组,对照组予以常规护理措施,观察组在常规护理基础上给予“五段式”培训进行干预,观察比较两组干预前后肺功能指标(FEV 1%预计值、FEV 1/FVC)、血气分析指标(SaO2、PaO2、PaCO2)、生活质量评分、慢性阻塞性肺疾病评估测试(CAT)评分、不良反应。结果干预前,两组肺功能指标、血气分析指标、生活质量评分、CAT评分比较差异无统计学意义(P>0.05);干预后,两组FEV 1%预计值、FEV 1/FVC值较本组干预前明显下降,两组间比较差异无统计学意义(P>0.05),两组PaO2,SaO2较本组干预前明显提高,PaCO2值明显下降(P<0.05),观察组PaO2,SaO2值明显高于对照组,PaCO2值明显低于对照组(P<0.05),两组生活质量评分、CAT评分较本组干预前明显下降,观察组评分低于对照组(P<0.05);观察组不良反应发生率低于对照组(P<0.05)。结论“五段式”培训对稳定期COPD患者家庭通气治疗的作用显著,能有效改善其血气指标,促进病情恢复,提高生活质量,降低不良反应发生率。

The therapeutic effect of applying "five-segment" training for family ventilation therapy of patients with chronic obstructive pulmonary diseases during stable period

Objective To investigate the therapeutic effect of applying"five-segment"training for family ventilation therapy of patients with chronic obstructive pulmonary diseases(COPD)during stable period.Methods To select 128 cases of patients with COPD admitted to our hospital from June 2017 to January 2019 as the study objects.They were randomly divided into a control group and an observation group by using the digital table method.The control group was given routine nursing measures,and the observation group was given"five-segment"training for intervention based on routine nursing.The lung function indexes(FEV 1%predicted value,FEV 1/FVC),blood gas analysis indexes(SaO2,PaO2,PaCO2),quality of life score,COPD assessment test(CAT)scores and adverse reactions were observed and compared between the two groups before and after intervention.Results Before the intervention,there was no significant difference in lung function indexes,blood gas analysis indexes,quality of life scores and CAT scores between the two groups(P>0.05).After the intervention,the FEV 1%predicted value and FEV 1/FVC value of the two groups were significantly lower than those of this group before intervention,and the difference between the two groups was no statistically significant(P>0.05).The PaO2 and SaO2 of the two groups were significantly higher than those before this intervention,and the PaCO2 value was obviously decline(P<0.05).The values of PaO2 and SaO2 in the observation group were obviously higher than that in the control group,and the PaCO2 value was significantly lower than that in the control group(P<0.05).The quality of life score and CAT score of the two groups were obviously decline than those before this intervention,and the scores in the observation group was lower than that in the control group(P<0.05).The incidence of adverse reaction in the observation group was lower than that in the control group(P<0.05).Conclusion The application of"five-segment"training had a significant effect on family ventilation therapy for patients with COPD during stable period,which could effectively improve their blood gas indexes,promote the recovery of the disease,improve the quality of life,and reduce the incidence of adverse reactions.