调息养肺操联合五音疗法对慢性阻塞性肺疾病稳定期患者生存质量影响的研究

中华养生保健 ›› 2023, Vol. 41 ›› Issue (16): 22-25.

调息养肺操联合五音疗法对慢性阻塞性肺疾病稳定期患者生存质量影响的研究

万美玲^1,2, 陈旭珊^1,2, 黄佳盈^1,2, 黄桂玉^1,2, 周继红^1,2, 张立^1,2, 傅伟^1,2,*

1.深圳市宝安区中医院肺病科,广东深圳,518133;
2.广州中医药大学第七临床医学院,广东深圳,518133

出版日期:2023-08-16 发布日期:2023-08-08
通讯作者: ^*傅伟,E-mail：598356001@qq.com。
作者简介:万美玲（1981—）,女,汉族,籍贯：湖北省黄冈市,硕士研究生,副主任护师,研究方向：中医肺病护理研究。
基金资助:
2021年度深圳市宝安区科技创新课题项目（2021JD389）

Study on the Effect of Breath-regulating and Lung-nourishing Exercise on the Quality of Life of Patients with Chronic Obstructive Pulmonary Disease in Stable Stage

WAN Mei-ling^1,2, CHEN Xu-shan^1,2, HUANG Jia-ying^1,2, HUANG Gui-yu^1,2, ZHOU Ji-hong^1,2, ZHANG Li^1,2, Fu Wei^1,2,*

1. Respiratory of Shenzhen Bao'an District Hospital of Traditional Chinese Medicine, Shenzhen Guangdong, 518133, China;
2. The Seventh Clinical Medical College of Guangzhou University of Traditional Chinese Medicine, Shenzhen Guangdong, 518133, China

Online:2023-08-16 Published:2023-08-08

摘要/Abstract

摘要： 目的研究调息养肺操对慢性阻塞性肺疾病稳定期患者生存质量的影响。方法选取2022年3月—2022年10月深圳市宝安区中医院收治的80例慢性阻塞性肺疾病稳定期患者为研究对象,随机分为对照组和观察组,每组40例。对照组采用常规治疗护理,观察组给予常规治疗护理加调息养肺操干预。比较两组患者干预后8周、16周后生活质量评分及6 min步行距离。结果干预8周、16周后,观察组生活质量评分均降低,6 min步行距离均提高,差异均有统计学意义（P<0.05)。结论调息养肺操可提高慢性阻塞性肺疾病稳定期患者生存质量和运动耐力。

关键词: 慢性阻塞性肺疾病, 稳定期, 调息养肺操, 生存质量, 6 min步行试验

Abstract: Objective To study the effect of regulating breathing and nourishing lung exercises on the quality of life of patients with chronic obstructive pulmonary disease in stable period. Methods Using convenient sampling method, 80 patients with chronic obstructive pulmonary disease in stable stage who were admitted from March 2022 to October 2022 were selected as the study subjects which were randomly divided into control group and observation group with 40 cases each. The control group was given routine treatment and nursing, while the observation group was given routine treatment and nursing plus breathing and lung exercises intervention. The quality of life scores and six-minute walking test distance of the two groups were compared after 8 and 16 weeks of intervention. Results After 8 and 16 weeks of intervention, the quality of life scores of the observation group decreased, and the six-minute walking test distance increased. The difference was statistically significant between the two groups (P<0.05). Conclusion Breath-regulating and lung exercises can improve the quality of life and exercise endurance of patients with chronic obstructive pulmonary disease in stable stage.

Key words: chronic obstructive pulmonary disease, stablestage, breath-regulating and lung-nourishing exercise, quality of life, 6-minute walk test

中图分类号:

R473.5

万美玲, 陈旭珊, 黄佳盈, 黄桂玉, 周继红, 张立, 傅伟. 调息养肺操联合五音疗法对慢性阻塞性肺疾病稳定期患者生存质量影响的研究[J]. 中华养生保健, 2023, 41(16): 22-25.

WAN Mei-ling, CHEN Xu-shan, HUANG Jia-ying, HUANG Gui-yu, ZHOU Ji-hong, ZHANG Li, Fu Wei. Study on the Effect of Breath-regulating and Lung-nourishing Exercise on the Quality of Life of Patients with Chronic Obstructive Pulmonary Disease in Stable Stage[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(16): 22-25.

参考文献

[1] 葛均波,徐永健,王辰.内科学[M].北京:人民卫生出版社,2018:47.
[2] ZHANG L M.The effect of breathing exercises on improving the quality of life of patients with copd[J].World Latest Medicne Information (Electronic Version),2017,17(65):66.
[3] 余艳,韩金辉,蒋春,等.改良呼吸操训练对慢性阻塞性肺疾病稳定期病人肺康复及生活质量的影响[J].护理研究:2015,29(10A):3508-3511.
[4] 刘惠梅,吴蔚,王彬,等.五音呼吸操康复训练对慢性阻塞性肺疾病稳定期患者肺功能及生活质量的影响[J].中医杂志,2020,61(3):222-225.
[5] 李亚,薛翠,吴亚波,等.缩唇腹式呼吸联合呼吸操对慢阻肺患者运动耐力及呼吸困难症状的影响[J].护理实践与研究,2020,17(12):63-64.
[6] 陈麒,田君,蒋骏,等.改良中医呼吸导引康复技术治疗慢性阻塞性肺疾病稳定期患者的临床观察[J].上海中医药大学学报,2017,31(3):33-39.
[7] 徐春霞,龙文英.中药穴位贴敷联合六字诀呼吸操在老年COPD稳定期患者中的应用效果[J].国际护理学杂志,2021,40(23):4323-4327.
[8] 武秀霞. 穴位按摩联合六字诀呼吸操在慢阻肺稳定期中的应用[J].中国社区医师,2021,37(18):95-96.
[9] 王梁敏,单晨曦,马建岭,等.五音疗法联合穴位按摩在COPD患者情志护理中的应用效果[J].北京中医药,2018,37(11):1086-1088.
[10] Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease2019 report[EB/OL].(2018-12-02)[2021-12-04].https://goldCOPD.org/goldreports/.
[11] 国家中医药管理局医政司.52个病种中医护理方案[M].北京:中医药出版社,2015:41-42.
[12] 陈凤翔. 六字诀对慢性阻塞性肺疾病稳定期患者血清炎症因子的影响[D].福州:福建中医药大学,2019.
[13] 陈妙芳,陈晓庆,黄捷晖.缩唇腹式呼吸辅以阻力呼吸训练器对COPD稳定期老年病人肺功能和生存质量的影响[J].护理研究,2019,33(20):3509-3512.
[14] 蔡映云,李倬哲,方宗君,等.慢性阻塞性肺疾病患者生存质量评估[J].中华全科医师杂志,2004,3(4):225-227.
[15] ZUGCK C, DURR S, DURR S.Is the 6-minute walk test a reliable substitute for peak oxygen uptake in patients with dilated cardiomyopathy[J]. Eur Heart J,2000,21(7):540.
[16] 王勉华. 中医内科学[M].北京:中国中医药出版社,2012:99.
[17] 席明霞,唐朝,卿利敏,等.慢性阻塞性肺疾病应用三位一体化护理模式对肺康复的效果研究[J].护士进修杂志,2015,30(3):199-201.
[18] 贺胜男,钮美娥,倪静玉,等.缩唇腹式呼吸结合立式呼吸体操对中重度慢性阻塞性肺疾病患者的影响[J]中国实用护理杂志,2016,32(14):1049-1056.
[19] 董景珍,王树伟,王海荣,等.音乐疗法在机械通气患者中的应用及效果[J].中华护理教育,2014,11(11):863-865.
[20] 李梦醒,王培席,陈先辉,等.音乐疗法在临床护理中的应用现状[J].中西医结合护理(中英文)2018,4(6):205-206.
[21] 张伟. 五音调节经脉的理论及临床应用的硏巧[D].北京:北京中医药大学,2010.
[22] 刘惠梅,吴蔚,王彬,等.五音呼吸操康复训练对慢性阻塞性肺疾病稳定期患者肺功能及生活质量的影响[J].中医杂志,2020,61(3):222-225.
[23] 张萃. 呼吸操联合穴位按摩对心外手术患者的影响[D].石家庄:河北医科大学,2015.