关键词: 肺康复, 慢性阻塞性肺疾病, 生活质量, 依从性, 护理

Abstract:

Objective To construct an early simple pulmonary rehabilitation programme for patients with acute exacerbation of chronic obstructive pulmonary disease（AECOPD） and to evaluate its effects. Methods From May 2018 to December 2018,97 patients with AECOPD were selected and randomly allocated into an experimental group（49 cases） and a control group（48 cases） using random number table. In addition to the treatment in the control group,the experimental group received an intervention of early simple pulmonary rehabilitation programme,including breath training,abdomen resistance training,weight training for upper and lower limbs,squat training by the bed,walking training,and climbing stairs training. The control group received routine treatment,health education,and family pulmonary rehabilitation guidance. Dyspnea（modified Medical British Research Council,mMRC） score,6 minutes walk distance（6 MWD）,COPD Assessment Test（CAT） score,lung function index,anxiety（Self-rating Anxiety Scale,SAS） score,and family rehabilitation training compliance were compared between 2 groups before and after the intervention. Results After the intervention for 3 months,mMRC score,6 MWD,CAT score,SAS score in the experimental group were better than those in the control group（P<0.05）. The number of patients with good family rehabilitation training compliance（51.02%） in the experimental group was more than that（16.67%） in the control group（P<0.05）. Conclusion The early simple rehabilitation programme for patients with COPD is safe and effective,which can improve exercise endurance,quality of life,dyspnea and anxiety symptoms,as well as increase family rehabilitation training compliance.

Key words: Pulmonary Rehabilitation, Chronic Obstructive Pulmonary Disease, Quality of Life, Compliance, Nursing Care