Study on respiratory training nursing to improve lung function in the aged patients with COPD
呼吸训练护理改善老年慢阻肺肺功能的研究

摘要

目的 重点探讨呼吸训练护理在改善老年慢性肺阻塞性肺疾病（COPD）患者肺功能中的应用价值。方法 筛选2023年1月-2023年12月期间在本院86例老年COPD患者实施分组研究，分组方式为电脑随机抽签法，组别设置为对照组与研究组，每组各纳入43例。对照组仅给予常规护理，研究组以常规护理为基础增加呼吸训练，从肺功能指标、血分析指标、6 MWD三个方面分析呼吸训练护理的效果。结果 对比两组患者护理前肺功能指标、血气分析指标以及6 MWD无较大区别（P＞0.05）；护理后，与对照组相比，研究组FVC、FEV1、FEV1/FEV、PaO²、PaCO²、6MWD指标明显更具优势，经t 检验，组间差异显著（P＜0.05）。结论 在老年COPD患者肺功能改善治疗中实施呼吸训练护理效果显著，具有推广价值。

Abstract

Objective To explore the application value of respiratory training nursing in improving lung function in elderly patients with chronic pulmonary obstructive pulmonary disease (COPD).
Methods From January 2023 to December 2023, 86 elderly patients with COPD in our hospital were selected and divided into control group and study group by computer random drawing method. 43 cases were included in each group. The control group was only given routine nursing, and the study group was supplemented with respiratory training based on routine nursing. The effects of respiratory training and nursing were analyzed from three aspects: lung function index, blood analysis index and 6 MWD.
Results There was no significant difference in lung function index, blood gas analysis index and 6 MWD between the two groups before nursing (P > 0.05). After nursing, compared with the control group, FVC, FEV1, FEV1/FEV, PaO², PaCO² and 6MWD indexes in the study group were significantly more advantageous, and the difference between groups was significant by t test (P < 0.05).
Conclusion   The effect of respiratory training nursing is significant in the improvement of pulmonary function in elderly patients with COPD, and it has the value of popularization.