Respiratory care to improve respiratory function in elderly with chronic obstructive pulmonary disease
呼吸护理改善老年慢性阻塞性肺病呼吸功能的研究

摘要

目的 探讨呼吸护理在改善老年慢性阻塞性肺病呼吸功能方面的临床价值｡方法 选取2022年6月—2023年5月在我院接受住院治疗的90例慢阻肺患者为对象，应用平均数分法分为对照组与观察组，各45例｡对照组实施常规临床护理管理，观察组加用呼吸护理，比较不同护理模式下的两组患者肺功能指标（肺活量（VC）、第1秒用力呼气量（FEV1）、第1秒用力呼气量占用力肺活量比率（FEV1/FVC）及感染发生率｡结果 护理前，对照组、观察组患者FEV1、FEV1/FVC、VC等指标分别为1.32±0.37L、58.26±3.46%、2.39±0.45L和1.30±0.22L、58.92±3.77%、2.37±0.47L，差异无统计学意义（P>0.05）；护理后，两组患者各项指标均有所改善，分别为1.45±0.29L、59.89±3.93%、2.61±0.47L和1.59±0.33L、65.75±3.36%、2.83±0.51L，观察组优于对照组，差异有统计学意义（P<0.05）；观察组护理期间感染发生率为4.44%，显著低于对照组的17.78%，组间差异有统计学意义（P<0.05）｡结论 针对老年慢阻肺患者实施优质呼吸护理，可极大地改善患者肺功能水平，降低感染率，对提升治疗效果具有积极促进作用｡

Abstract

Objective To explore the clinical value of respiratory care in improving respiratory function of elderly chronic obstructive pulmonary disease.
Methods 90 cases of chronic obstructive pulmonary disease (COPD) patients who were hospitalised in our hospital from June 2022 to May 2023 were selected and divided into 45 cases each into the control group and the observation group by applying the mean score method. 45 cases each were in the control group and 45 cases each were in the observation group, and the control group implemented the routine clinical nursing management, while the observation group added respiratory care. Respiratory care was implemented in the control group and respiratory care was added in the observation group, comparing the pulmonary function indexes (lung capacity (VC), forced expiratory volume in the first second (FEV1), the ratio of the forced expiratory volume in the first second to the forced lung capacity (FEV1/FVC), and the rate of infection of the two groups of patients in different care modes.
Results Before care, the indexes of FEV1, FEV1/FVC, and VC of the patients in the control group and the observation group were respectively 1.32±0.37 L. The indexes were 1.32±0.37 L, 58.26±3.46L, and 58.26±3.46L, respectively, 58.26±3.46%, 2.39±0.45L and 1.30±0.22L, 58.92±3.77%, 2.37±0.47L, respectively, and the difference was not statistically significant (P>0.05); after the care, all the indexes of the patients in the two groups improved, respectively, 1.45±0.29L, 59.89±3.93%, 2.61±0.47L and 1.59±0.33L, 65.75±3.36%, 2.83±0.51L, the observation group is better than the control group, the difference is statistically significant (P<0.05); the incidence of infection during the nursing care in the observation group is 4.44%, significantly lower than the control group's 17.78%, and the difference between the groups is statistically significant (P<0.05).
Conclusion   Implementing quality respiratory nursing care for elderly patients with chronic obstructive pulmonary disease can greatly improve the level of patients' lung function, reduce the infection rate, and have a positive role in promoting the therapeutic effect.