Observation on the nursing of patients with chronic obstructive pulmonary disease through vibration sputum drainage
振动排痰护理慢阻肺患者的观察

摘要

目的 观察分析对慢阻肺患者实施振动排痰护理的临床效果和应用价值。方法 采用回顾性研究方法，选择院内就诊的60例慢阻肺患者（样本纳入例数：60例；样本纳入时间：2023年1月至2024年1月），以随机摸球为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，振动排痰护理。收集分析护理效果。结果 与对照组（常规护理）相比，实验组（振动排痰护理）实验组护理后的症状消失时间（咳嗽消失时间/肺部啰音消失时间/咳痰消失时间/喘息消失时间）更短，生活质量评分（角色功能/情绪功能/认知功能/社会功能/躯体功能）更高，肺功能指标（FEV1/FEV1/FVC/FEV1比值）更高，6min内步行距离更远，差异具有统计学意义（P<0.05）。结论 振动排痰护理可以有效减少缩短慢阻肺患者症状缓解时间，促进肺功能改善，促进恢复，提高生活质量，有较高应用价值。

Abstract

Objective Observation and analysis of the clinical effect and application value of implementing vibration sputum drainage nursing for patients with chronic obstructive pulmonary disease.
Methods A retrospective study was conducted to select 60 patients with chronic obstructive pulmonary disease (COPD) who were admitted to the hospital (sample size: 60 cases; sample inclusion time: May 2022 to May 2023). They were randomly divided into two groups based on ball touching, control and experimental, with a consistent number of observed cases. Implement routine care and vibration sputum discharge care separately. Collect and analyze nursing outcomes.
Results Compared with the control group (conventional nursing), the experimental group (vibration sputum nursing) had a shorter time for symptom disappearance (cough disappearance time/lung rale disappearance time/sputum disappearance time/wheezing disappearance time), a higher quality of life score (role function/emotional function/cognitive function/social function/physical function), a higher lung function index (FEV1/FEV1/FVC/FEV1 ratio), and a longer walking distance within 6 minutes. The difference was statistically significant (P<0.05).
Conclusion   Vibration sputum drainage nursing can effectively reduce the time for symptom relief in patients with chronic obstructive pulmonary disease, promote lung function improvement, promote recovery, and improve quality of life, with high application value.