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目的：研究慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)患者呼吸功能锻炼护理临床路径的构建与应用评价。方法：将南通市第三人民医院收治的106例COPD患者用随机数字表法分为观察组和对照组，各53例。对照组进行常规护理干预，观察组进行呼吸功能锻炼结合临床护理路径干预。评估两组患者肺功能、呼吸困难状况、生活质量、护理满意度。结果：干预后，观察组患者第1秒用力呼气容积、第1秒用力呼气容积/用力肺活量比值及最大肺活量均高于对照组(均P<0.05)；观察组改良版英国医学研究委员会呼吸困难量表(modified Medical Research Council dyspnea scale, mMRC)及COPD评估测试(COPD assessment test, CAT)量表评分均高于对照组(均P<0.05)；观察组世界卫生组织生存质量测定量表简表(World Health Organization quality of life-BREF, WHO-QOL-BREF量表)评分及护理评价总满意度均高于对照组(均P<0.05)。结论：COPD患者应用呼吸功能锻炼护理临床路径效果良好，可以提高患者肺通气功能，改善患者呼吸功能、生活质量，提升患者护理评价。
Abstract：Objective: To study the construction and application evaluation of the clinical pathway for respiratory function exercise nursing in patients with chronic obstructive pulmonary disease(COPD). Methods: A total of 106 COPD patients admitted to Nantong Third People,s Hospital were divided into an observation group and a control group, with 53 cases in each group. The control group was provided with standard nursing care, whereas the observation group received respiratory function exercises combined with clinical nursing pathway intervention. Evaluate the pulmonary function, breathing difficulty conditions, quality of life and nursing satisfaction of the two groups of patients. Results: After intervention, the observation group demonstrated significantly better forced expiratory volume in 1 second, forced expiratory volume in 1 second/forced vital capacity and maximum vital capacity(all P<0.05), greater improvements in modified Medical Research Council dyspnea scale(mMRC)scores and COPD assessment test(CAT) scores(P<0.05), and higher World Health Organization quality of life-BREF(WHOQOL-BREF) scores(P<0.05) compared with the control group. Additionally, overall nursing satisfaction was notably greater in the observation group than in the control group(P<0.05). Conclusion: The clinical pathway integrating respiratory function training for COPD patients demonstrates significant effectiveness. It enhances pulmonary ventilation, improves respiratory function and quality of life, and advances patient care appraisal standards.
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基本信息:
DOI：10.16424/j.cnki.cn32-1807/r.2026.02.008
中图分类号:R473.5
引用信息:
[1]郁彤,邵建国,单君,等.慢性阻塞性肺疾病患者呼吸功能锻炼护理临床路径的构建与应用评价[J].南通大学学报(医学版),2026,46(02):140-144.DOI:10.16424/j.cnki.cn32-1807/r.2026.02.008.
基金信息:
南通市基础科学研究和社会民生科技计划项目(MS2023027); 南通市卫生健康委员会青年课题(QN2024040,QNZ2023019)
2026-03-15
2026-03-15