The effect of pulmonary rehabilitation guidance program based on 5A nursing model in patients with chronic obstructive pulmonary disease
5A护理模式的肺康复指导方案在慢性阻塞性肺疾病患者中的作用分析

摘要

目的 探究在慢性阻塞性肺疾病（COPD）患者中实施5A护理模式的肺康复指导方案的作用。方法 研究病例为COPD患者，纳入时间在2023年7月至2024年12月，共纳入90例。基于随机数字表法将所有病例分为两个组别，各组45例。对照组施以常规康复护理，观察组施以5A护理模式的肺康复指导方案。评估所有病例的自我管理能力、肺功能[每分钟最大通气量（MVV）、用力肺活量（FVC）、呼气峰流速（PEF）]、生活质量。结果 两组之间对比护理前的自我管理能力水平、肺功能及生活质量水平评估结果数据，均无统计学差异（P＞0.05）；而各项评估内容在护理后的组间比较中呈现出统计学差异（P＜0.05），其中观察组的自我管理能力水平、各项肺功能指标以及生活质量水平均更高。结论 在COPD患者中实施5A护理模式的肺康复指导方案，在提升患者自我管理能力、改善患者肺功能以及提升其生活质量水平方面均有积极作用。

Abstract

Objective To investigate the effect of pulmonary rehabilitation guidance program based on 5A nursing model in patients with chronic obstructive pulmonary disease (COPD).
Methods The study involved 90 patients with COPD enrolled between July 2023 and December 2024. Using a randomized number table method, all cases were divided into two groups of 45 each. The control group received standard rehabilitation care, while the observation group underwent pulmonary rehabilitation guided by the 5A nursing model. All participants' self-management capabilities, pulmonary function (including minute ventilation (MVV), forced vital capacity (FVC), and expiratory peak flow rate (PEF)), and quality of life were assessed.
Results There was no significant difference in the self-management ability, pulmonary function and quality of life between the two groups before nursing (P>0.05). However, there were statistically significant differences in the post-nursing assessments (P<0.05), with the observation group showing higher levels in self-management ability, pulmonary function and quality of life.
Conclusion   The implementation of 5A nursing model in COPD patients has positive effects on improving patients' self-management ability, pulmonary function and quality of life.