Application of 5S supine early pulmonary rehabilitation model in patients with acute exacerbation of chronic obstructive pulmonary disease
5S卧位早期肺康复模式在慢性阻塞性肺疾病急性加重期患者的应用研究

摘要

目的 探讨本院收治慢性阻塞性肺疾病急性加重期病人，通过5S卧位早期肺康复模式干预后的效果。方法 选择遵义医科大学第二附属医院2024年2月～ 2024年10月的慢阻肺急性加重期病人，结合随机数字表法为依据，50例患者分为对照组常规肺康复训练，而观察组则基于此结合5S卧位早期肺康复模式干预。两组均25例。分析肺功能、6min步行试验、再住院率。结果 经治疗后，观察组肺功能、6min步行试验高于对照组，两组出院30d时的再住院率对比（P＞0.05），观察组出院6个月内的8.00%低于对照组40.00%，观察组生活质量评分低于对照组，差异有统计学意义（P<0.05）。结论 5S卧位早期肺康复模式干预后的有效性更好，改善肺功能指标和生活质量，提升运动耐量，减少出院30天、6个月内再住院率。

Abstract

Objective To explore the effect of 5S supine early pulmonary rehabilitation model intervention in patients with acute exacerbation of chronic obstructive pulmonary disease admitted to our hospital.
Methods Patients with acute exacerbation of chronic obstructive pulmonary disease in the Second Affiliated Hospital of Zunyi Medical University from February 2024 to October 2024 were selected. Based on the random number table method, 50 patients were divided into the control group for conventional pulmonary rehabilitation training, while the observation group was based on this combined with the 5S supine early pulmonary rehabilitation model intervention. Both groups had 25 cases. Pulmonary function, 6-min walking test, and re-hospitalization rate were analyzed.
Results After treatment, the lung function and 6-min walking test of the observation group were higher than those of the control group. The readmission rate of the two groups at 30 days after discharge was compared (P＞0.05). The 8.00% of the observation group within 6 months after discharge was lower than the 40.00% of the control group. The quality of life score of the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05).
Conclusion   The 5S supine early pulmonary rehabilitation model is more effective after intervention, improves lung function indicators and quality of life, improves exercise tolerance, and reduces the readmission rate within 30 days and 6 months after discharge.