摘要
目的 分析呼吸训练联合有氧抗阻训练在慢阻肺患者肺康复护理中的研究。方法 选取2024年1月-2024年12月内收治的接受肺康复训练的慢阻肺患者60例，将其按随机数字表分组方法分为对照组（30例，采取常规护理方法）和观察组（30例，采取呼吸训练联合有氧抗阻训练），对两组的护理效果，如两组患者的呼吸困难评估量表（mMRC）评分、血气分析指标、6分钟步行距离、生活质量评分以及护理满意度进行对比和评估。结果 两组在护理后均取得一定效果，但观察组的患者生活质量评分与护理满意度均高于对照组（P＜0.05）。观察组患者的mMRC评分低于对照组患者（P＜0.05）。观察组患者的各项血气分析指标均优于对照组（P＜0.05）。观察组患者的6分钟步行距离远于对照组（P＜0.05）。结论 在慢阻肺患者肺康复护理中实施呼吸训练联合有氧抗阻训练可取得明显的效果，可显著提高患者的生活质量水平与护理满意度，改善患者呼吸困难和血气分析指标，加强6分钟步行距离，有较高应用价值。
关键词： 慢阻肺；缩唇腹式呼吸；有氧抗阻运动训练；肺康复护理
Abstract
Objective To analyze the efficacy of respiratory training combined with aerobic resistance training in pulmonary rehabilitation care for COPD patients. Methods A total of 60 COPD patients undergoing pulmonary rehabilitation training were enrolled between January and December 2024. The patients were randomly assigned to a control group (30 cases receiving conventional nursing care) and an observation group (30 cases receiving respiratory training combined with aerobic resistance training). The nursing outcomes were evaluated through comparison of the two groups 'mMRC scores, blood gas analysis indicators, 6-minute walk distance, quality of life scores, and nursing satisfaction. Results Both groups showed significant improvements post-nursing care, but the observation group demonstrated higher quality of life scores and nursing satisfaction (P<0.05). The observation group also exhibited lower mMRC scores (P<0.05) and superior blood gas analysis indicators (P<0.05). Additionally, the observation group achieved a longer 6-minute walk distance compared to the control group (P<0.05). Conclusion Implementing respiratory training combined with aerobic resistance training in pulmonary rehabilitation care for COPD patients yields significant benefits. This approach effectively improves patients' quality of life and nursing satisfaction, enhances respiratory distress and blood gas analysis indicators, and increases 6-minute walk distance, demonstrating high clinical value.
Key words： Chronic obstructive pulmonary disease; Lip-sucking abdominal breathing; Aerobic resistance exercise training; Pulmonary rehabilitation nursing
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