Evaluation of the effect of graded exercise rehabilitation on patients with acute exacerbation of chronic obstructive pulmonary disease
10.3761/j.issn.0254-1769.2025.09.006
- VernacularTitle:分级运动康复对慢性阻塞性肺疾病急性加重期患者的效果评价
- Author:
Nana YANG
1
;
Chuanli CHENG
;
Hui ZENG
;
Dandan FU
;
Yan WANG
;
Yue CHEN
;
Hongmin RAN
;
Hongjing FAN
;
Xia LONG
Author Information
1. 563000 遵义市 遵义医科大学附属医院重症医学科
- Publication Type:Journal Article
- Keywords:
Acute Exacerbation;
Pulmonary Disease,Chronic Obstructive;
Graded Exercise Rehabilitation;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(9):1062-1068
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of graded exercise rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease,and to provide references for clinical nursing practice.Methods A total of 70 patients with acute exacerbation of chronic obstructive pulmonary disease who met the criteria in the Department of Respiratory Medicine of a tertiary hospital in Zunyi City from September to December 2023 were randomly divided into an experimental group and a control group(with 35 cases in each group).The experimental group implemented graded exercise rehabilitation based on the Global Chronic Obstructive Pulmonary Initiative guidelines,and the control group implemented routine exercise rehabilitation.After intervention,the lung function,blood gas analysis,oxygenation index,6 min walking test and the incidence of complications related to non-invasive mechanical ventilation were compared between the 2 groups.Results Finally,34 cases were included in the experimental group and 35 cases in the control group.After intervention,the forced expiratory volume in the first second of the experimental group was improved compared with the control group(P＜0.05).The 6-minute walking test of the experimental group was higher than that of the control group(P＜0.05).The total incidence of non-invasive mechanical ventilation-related complications in the experimental group was lower than that in the control group(P＜0.05).There was no significant difference in blood gas analysis and oxygenation index between the 2 groups(P＜0.05).Conclusion The implementation of graded exercise rehabilitation based on the Global Chronic Obstructive Pulmonary Initiative guidelines can help patients with acute exacerbation of chronic obstructive pulmonary disease improve their respiratory function,improve their exercise endurance,and reduce non-invasive mechanical ventilation-related complications.
