关键词: 肺移植, 运动训练, 肺康复, 康复护理

Abstract:

Objective To construct a postoperative matching exercise training program for lung transplant patients and to evaluate the clinical application effect. Methods A non-concurrent controlled study was used. By convenience sampling method，patients undergoing lung transplantation in a tertiary A hospital in Hangzhou from December 2021 to March 2022 were included in a trial group with 35 cases，while the patients from April to November 2021 were recruited in a control group with 34 cases. Baseline data was consistent between the 2 groups. On the basis of the intervention program in the control group，the trial group received the matching exercise training program which was constructed based on the evidence and Delphi expert consultation method. It was divided into 4 stages according to the BODE index，including primary exercise，advanced exercise，intensive exercise and stable exercise，covering exercise mode，time，and intensity，etc. The control group received a routine pulmonary rehabilitation training program. The 6MWT distance standard time，deep inhalation volume standard time，hospitalization time，FEV1%，BMI，MBI and the incidence of adverse events during exercise training of 2 groups were compared. Results The standard time of the 6MWT distance and the deep inhalation volume in the trial group were lower than it in the control group（P<0.05）. The FEV1% and MBI at discharge in the trial group were lower than those in the control group（P<0.05）. There was no significant difference in length of stay，BMI and incidence of adverse events between the 2 groups（P>0.05）. Conclusion The matching exercise training program is accurate，safe and feasible，and it can promote the rapid postoperative rehabilitation of lung transplant patients.

Key words: Lung Transplantation, Exercise Training, Pulmonary Rehabilitation, Rehabilitation Nursing