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

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.