Effect of pulmonary rehabilitation training based on GOLD classification in patients with acute exacerbation of chronic obstructive pulmonary disease
10.3760/cma.j.cn115682-20211230-05913
- VernacularTitle:基于GOLD分级的肺康复训练在慢性阻塞性肺疾病急性加重期患者中的应用研究
- Author:
Ronghui JIN
1
;
Wei FANG
;
Jianjun ZHAO
;
Yingmei QI
Author Information
1. 吉林大学中日联谊医院呼吸内科，长春 130033
- Keywords:
Pulmonary disease, chronic obstructive;
Acute exacerbation;
Pulmonary rehabilitation training;
Self-efficacy;
Rehabilitation effect
- From:
Chinese Journal of Modern Nursing
2022;28(35):4915-4920
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of pulmonary rehabilitation training based on Chronic Obstructive Pulmonary Disease (GOLD) classification on self-efficacy and rehabilitation effect in patients with acute exacerbation of chronic obstructive pulmonary disease.Methods:From May 2019 to April 2021, a total of 85 patients with acute exacerbation of chronic obstructive pulmonary disease who were admitted to China-Japan Union Hospital of Jilin University were selected and divided into the observation group (43 cases) and the control group (42 cases) using the random number table method. The control group received routine pulmonary rehabilitation training, and the observation group conducted pulmonary rehabilitation training based on GOLD classification. Two weeks after intervention, the self-efficacy, pulmonary function, 6-Minute Walking Test (6MWT), quality of life, and the condition of adverse reactions were compared between the two groups.Results:Two weeks after intervention, the scores of dyspnea management, emotion, physical activity, safety behavior, and total score of self-efficacy of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05). The forced exhalation volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC and 6MWT of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05). The scores of respiratory symptoms, activity limitation, disease impact on life and total score of St. George's Respiratory Questionnaire (SGRQ) of the observation group were lower than those of the control group, and the differences were statistically significant ( P<0.05). There were no serious adverse reactions in two groups. Conclusions:Pulmonary rehabilitation training based on GOLD classification can help patients' promote the recovery of lung function, improve their self-efficacy and the quality of life, which has good security.
