Application of 4S respiratory rehabilitation nursing combined with continuous nursing in COPD patients
4S呼吸康复护理联合延续性护理在慢阻肺患者中应用

摘要

目的 分析4S呼吸康复护理联合延续性护理在慢阻肺患者中的应用效果。方法 选取2023年4月至2024年2月我院收治的72例慢阻肺患者，将其随机分为两组（各组n=36），其中对照组采用常规护理，研究组采用4S呼吸康复护理联合延续性护理。比较两组患者的肺功能指标、自我护理能力（ESCA）评分、圣乔治呼吸问卷（SGRQ）评分、3个月随访急性加重再入院率。结果 研究组出院后3个月复查的第1s用力呼气容积（FEV1）、FEV1与用力肺活量（FCV）比值（FEV1/FVC）均高于对照组，SGRQ评分低于对照组，ESCA评分高于对照组，3个月随访急性加重再入院率低于对照组，各指标的差异均存在统计学意义（P＜0.05）。结论 4S呼吸康复护理联合延续性护理用于慢阻肺患者有助于改善其肺功能，减轻呼吸困难症状对生活质量的影响程度，并提升患者的自我护理能力，降低急性加重再入院率。

Abstract

Objective To analyze the application effect of 4S respiratory rehabilitation nursing combined with continuous nursing in COPD patients.
Methods 72 patients with COPD admitted to our hospital from April 2023 to February 2024 were randomly divided into two groups (each group n=36). The control group received conventional nursing and the study group received 4S respiratory rehabilitation nursing combined with continuous nursing. Pulmonary function index, self-care ability (ESCA) score, St. George's Respiratory Questionnaire (SGRQ) score, and acute exacerbation readmission rate were compared between the two groups.
Results The 1s forced expiratory volume (FEV1), ratio of FEV1 to forced vital capacity (FCV) (FEV1/FVC) of the study group were higher than those of the control group, the SGRQ score was lower than that of the control group, the ESCA score was higher than that of the control group, and the acute exacerbation readmission rate was lower than that of the control group at 3 months follow-up. There was statistical significance in each index (P < 0.05).
Conclusion   4S respiratory rehabilitation nursing combined with continuous nursing for COPD patients can help improve their lung function, reduce the impact of dyspnea symptoms on quality of life, improve patients' self-care ability, and reduce the readmission rate of acute exacerbations.