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    宋彩玲, 黄敏, 孙伟, 王莹莹, 张祝娟, 赵梦黎. 5S健康教育联合渐进抗阻呼吸训练在呼吸衰竭行机械通气病人中的应用研究[J]. 蚌埠医科大学学报, 2024, 49(3): 405-410. DOI: 10.13898/j.cnki.issn.1000-2200.2024.03.027
    引用本文: 宋彩玲, 黄敏, 孙伟, 王莹莹, 张祝娟, 赵梦黎. 5S健康教育联合渐进抗阻呼吸训练在呼吸衰竭行机械通气病人中的应用研究[J]. 蚌埠医科大学学报, 2024, 49(3): 405-410. DOI: 10.13898/j.cnki.issn.1000-2200.2024.03.027
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    SONG Cailing, HUANG Min, SUN Wei, WANG Yingying, ZHANG Zhujuan, ZHAO Mengli. Application value of 5S health education combined with progressive anti-resistance breathing training in patients with respiratory failure treatment with mechanical ventilation[J]. Journal of Bengbu Medical University, 2024, 49(3): 405-410. DOI: 10.13898/j.cnki.issn.1000-2200.2024.03.027
    Citation: SONG Cailing, HUANG Min, SUN Wei, WANG Yingying, ZHANG Zhujuan, ZHAO Mengli. Application value of 5S health education combined with progressive anti-resistance breathing training in patients with respiratory failure treatment with mechanical ventilation[J]. Journal of Bengbu Medical University, 2024, 49(3): 405-410. DOI: 10.13898/j.cnki.issn.1000-2200.2024.03.027
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    5S健康教育联合渐进抗阻呼吸训练在呼吸衰竭行机械通气病人中的应用研究

    Application value of 5S health education combined with progressive anti-resistance breathing training in patients with respiratory failure treatment with mechanical ventilation

      摘要
    • 摘要:
      目的 探讨5S健康教育联合渐进抗阻呼吸训练在呼吸衰竭行机械通气病人中的效果。
      方法 按入院顺序抽取行有创机械通气治疗的88例呼吸衰竭病人为研究对象，按照随机数字表法分为观察组和对照组, 各44例。对照组采用常规护理方法，观察组采用5S健康教育联合渐进抗阻呼吸训练，采集并比较2组病人在护理前后肺功能指标、临床指标、自我效能和呼吸相关生活质量的差异。
      结果 护理后观察组病人在一次撤机成功率、呼吸机相关性肺炎发生率和机械通气总时间上均少于对照组(P < 0.05)。护理3周后，观察组最大自主通气量(MVV)得分高于对照组，护理6周后，观察组1秒用力呼气量占预计百分比(FEV1%)、1秒用力呼气量和用力肺活量比值(FEV1/FVC)、MVV得分均高于对照组(P < 0.05~P < 0.01)。2组病人护理后FEV1%、MVV和FEV1/FVC%得分均较护理前有所增加，观察组增加幅度更高(P < 0.05~P < 0.01)。护理6周后，观察组自我效能总分和各维度分均高于对照组和护理前, 生活质量总分及各维度分均低于对照组和护理前, 对照组只有活动受限维度和生活质量总分低于护理前(P < 0.05~P < 0.01)。
      结论 5S健康教育联合渐进抗阻呼吸训练在呼吸衰竭行机械通气病人中能够提升肺功能指标, 降低临床撤机失败率和呼吸机相关性肺炎发生率，减少机械通气时间和ICU住院时间，有利于病人的生活质量。

       

      Abstract:
      Objective To explore the effects of 5S health education combined with progressive anti-resistance breathing training in patients with respiratory failure treatment with mechanical ventilation.
      Methods According to the order of admission, 88 respiratory failure patients treatment with invasive mechanical ventilation were selected as study subjects, and divided into the observation group and control group according to random number table method(44 cases in each group).The control group was treated with the routine nursing, and the observation group was treated with the 5S health education combined with progressive anti-resistance breathing training.The pulmonary function indexes, clinical indexes, self-efficacy and breathing-related quality of life between two groups were compared before and after nursing.
      Results After nursing, the success rate of one withdrawal, incidence of ventilator associated pneumonia and total length of mechanical ventilation in the observation group were lower than those in control group(P < 0.05).After 3 weeks of nursing, the MVV score in the observation group was higher than that in control group(P < 0.05).After 6 weeks of nursing, the FEV1%, FEV1/FVC and MVV scores in the observation group were higher than those in control group(P < 0.05 to P < 0.01).After nursing, the scores of FEV1%, MVV and FEV1/FVC% in two groups increased compared with those before nursing, and the increase rate in the observation group was higher than that in control group(P < 0.05 to P < 0.01).After 6 weeks of nursing, the total score of self-efficacy and scores of all dimensions in the observation group were higher than those in control group and before nursing, and the total score of quality of life and scores of all dimensions were lower than those in control group and before nursing, and only the activity restriction dimension and total score of quality of life in the control group were lower than those before nursing(P < 0.05 to P < 0.01).
      Conclusions 5S health education combined with progressive anti-resistance breathing training can improve the pulmonary function index, reduce the clinical withdrawal failure rate and incidence of ventilator associated pneumonia, reduce the time of mechanical ventilation and ICU stay, which is beneficial to the quality of life of patients.

       

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