Application of respiratory resistance training combined with active cycle of breathing techniques in nursing care for patients with lower cervical spinal cord injury
10.3760/cma.j.cn115682-20190926-03508
- VernacularTitle:呼吸抗阻训练联合主动循环呼吸技术在下颈髓损伤患者护理中的应用
- Author:
Wenru CHAI
1
;
Chunhua GUO
;
Yi CUI
;
Min LEI
;
Junqin DING
;
Xiuting LI
;
Chengxiang ZHANG
Author Information
1. 河北医科大学第三医院创伤急救中心，石家庄 050051
- Keywords:
Rehabilitation nursing;
Cervical spinal cord injury;
Respiratory resistance training;
Active cycle of breathing techniques;
Complications;
Respiratory func
- From:
Chinese Journal of Modern Nursing
2020;26(19):2574-2578
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of respiratory resistance training combined with active cycle of breathing techniques in nursing care for patients with lower cervical spinal cord injury.Methods:From April 2017 to March 2019, we selected 78 patients with lower cervical spinal cord injury in Trauma Emergency Center of the Third Affiliated Hospital of Hebei Medical University as subjects. All patients were divided into observation group and control group with the method of random number table, 39 cases in each group. Control group carried out the respiratory system nursing with the self-developed compound sequential technology on sputum exclusion. On the basis of that in control group, observation group implemented the resistance inspiratory training and expiratory training with the respiratory resistance training combined with active cycle of breathing techniques. We compared the volume of sputum excretion, pulmonary function[forced vital capacity (FVC) , forced expiratory volume in one second (FEV1) , peak expiratory flow (PEF) and maximal expiratory pressure (MEP) ] and incidences of pulmonary complications during hospitalization between two groups.Results:A total of four weeks after training, the volume of sputum excretion of observation group on the fifth day after surgery was lower than that of control group with a statistical difference ( P<0.05) . There were four pulmonary function indexes (FVC、FEV1、PEF、MEP) in observation group better than those in control group with statistical differences ( P<0.05) . The incidence of pulmonary complications of observation group was lower than that of control group with a statistical difference ( P<0.05) . Conclusions:Respiratory resistance training combined with active cycle of breathing techniques can promote the early excretion of sputum of patients with lower cervical spinal cord injury, improve the pulmonary function and reduce the incidence of pulmonary complications.
