The significance of supervised pulmonary rehabilitation training in the care of elderly patients with chronic obstructive pulmonary disease
督导式肺康复训练模式在老年慢阻肺患者护理中的意义

摘要

目的 分析督导式肺康复训练模式在老年慢阻肺患者护理中的意义。方法 该研究总共纳入94例研究对象，均是2023年6月至2025年6月到医院诊治的老年慢阻肺患者，以随机数字表法当作分组原则，划分为对照组（纳入该组的对象进行常规护理，n=47）、研究组（入选该组的对象开展督导式肺康复训练模式，n=47）。对比两组的肺功能指标、膈肌指标及康复效果。结果 在最大通气量、用力肺活量、膈肌移动度方面，研究组均高于对照组（P＜0.05）。在呼吸困难程度评分、临床症状评分及生活质量评分上，研究组低于对照组（P＜0.05）。结论 针对老年慢阻肺患者，实施督导式肺康复训练模式干预的效果确切，有助于改善肺功能，提高康复效果，临床可进一步推广应用。

Abstract

Objective To analyze the significance of supervised pulmonary rehabilitation training in the care of elderly patients with chronic obstructive pulmonary disease (COPD).
Methods A total of 94 elderly COPD patients treated at the hospital between June 2023 and June 2025 were enrolled. Participants were randomly assigned using a random number table to either the control group (receiving routine care, n=47) or the study group (receiving supervised pulmonary rehabilitation training, n=47). The pulmonary function indicators, diaphragm mobility, and rehabilitation outcomes of both groups were compared.
Results The study group demonstrated significantly higher values than the control group in maximum ventilation capacity, forced vital capacity, and diaphragm mobility (P < 0.05). Conversely, the study group exhibited lower scores in dyspnea severity, clinical symptom assessment, and quality of life compared to the control group (P < 0.05).
Conclusion   The supervised pulmonary rehabilitation training model demonstrates significant efficacy in elderly COPD patients, effectively improving pulmonary function and rehabilitation outcomes. This approach warrants further clinical implementation.