以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (8): 46-50.doi: 10.16460/j.issn1008-9969.2019.08.046

Previous Articles     Next Articles

Effects of Comprehensive Respiratory Function Training on Respiratory Function and Exercise Tolerance in Patients with Pulmonary Hypertension

JIA Ruo-yaa, ZHENG Xue-meib, CHANG Yunc, ZHANG Qiana, YU Wan-dea, JI Ting-tinga, HAN Ronga   

  1. a. Dept. of Cardiology; b. General Office of Hexi Branch; c. Cardiology Office, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China
  • Received:2018-12-10 Online:2019-04-25 Published:2020-07-14

PDF (PC)

221

Like

Abstract: Objective To investigate the effect of comprehensive respiratory function training on patients with pulmonary hypertension. Methods Forty-nine patients with pulmonary hypertension were randomly divided into control group (n=26) and intervention group (n=23). The control group received routine care. The patients in the intervention group were given comprehensive respiratory function training in addition to routine nursing. Results After 3-month intervention, the lung function index, blood gas indexes and 6-minute walking distance data were collected. The intentional analysis showed that the peak of expiratory flow in the intervention group, the first second expiratory volume as a percentage of the expected amount, oxygen partial pressure, carbon dioxide partial pressure, and 6-minute walking distance increased, and the difference was statistically significant (P<0.05). Conclusion Comprehensive respiratory function training can improve patients' cardiopulmonary function and increase their exercise tolerance.

Key words: comprehensive functional training, pulmonary hypertension, nursing, effect

CLC Number: 

  • R473.56
[1] 陶新曹,贾春娥,翟振国,等.ESC/ERS《肺动脉高压诊断和治疗指南》解读之左心疾病相关性肺动脉高压[J].中华医学杂志,2017,97(8):626-628.DOI:10.3760/cma.j.issn.0376-2491.2017.08.014.
[2] 万钧,程安琪,王辰.ESC/ERS《肺动脉高压诊断和治疗指南》解读之流行病学及遗传学[J].中华医学杂志,2016,96(22):1784-1786. DOI:10.3760/cma.j.issn.0376-2491.2016.22.016.
[3] 郭航远. 欧美肺动脉高压诊疗指南解读[J].心电与循环,2014(6):467-471.
[4] 谢万木,黄可,张泽宇,等.ESC/ERS《肺动脉高压诊断和治疗指南》解读之定义与分类[J].中华医学杂志,2016,96(10):827-829. DOI:10.3760/cma.j.issn.0376-2491.2016.10.017.
[5] 杨媛华,马瑞晓,庞文翼,等.ESC/ERS《肺动脉高压诊断和治疗指南》解读之治疗策略[J].中华医学杂志,2016,96(22):1793-1795.DOI:10.3760/cma.j.issn.0376-2491.2016.32.019.
[6] 杨涛,何建国.对肺动脉高压患者的管理应有一套完整的策略-2009年欧洲肺动脉高压诊断和治疗指南解读[J].中国循环杂志,2012,27(z1):81-86.DOI:10.3969/j.issn.1000-3614.2012.z1.023.
[7] 中华医学会心血管病学分会肺血管病学组,中华心血管病杂志编辑委员会.中国肺高血压诊断和治疗指南2018[J].中华心血管病杂志,2018, 46(12):933-964. DOI:10.3760/cma.j.issn.0253-3758.2018.12.006.
[8] 高倩,陈丽莎,金艳坤,等.ESC/ERS《肺动脉高压诊断和治疗指南》解读之诊断思路与策略[J].中华医学杂志,2016,96(22):1787-1789.DOI:10.3760/cma.j.issn.0376-2491.2016.22.017.
[9] 中华医学会呼吸病学分会肺功能专业组. 肺功能检查指南-呼气峰值流量及其变异率检查[J].中华结核和呼吸杂志,2017,40(6):426-430.DOI:10.3760/cma.j.issn.1001-0939.2017.06.006.
[10] 贺胜男,倪静玉,钮美娥,等.COPD患者呼吸功能锻炼方法的研究进展[J].护士进修杂志,2015,30(17):1567-1570.
[11] 张艳,齐春桃,石慧.优质护理干预对慢性阻塞性肺疾病稳定期患者心肺功能的影响[J].浙江临床医学,2016,18(7):1371-1372.
[12] 贺胜男,钮美娥,倪静玉,等.缩唇腹式呼吸结合立式呼吸体操对中重度慢性阻塞性肺疾病患者的影响[J].中国实用护理杂志,2016,32(14):1049-1056.DOI:10.3760/cma.j.issn.1672-7088.2016.14.003.
[13] 唐朝,席明霞,卿利敏,等.动机性访谈促进慢性阻塞性肺疾病患者呼吸锻炼的效果分析[J].护理学报,2015,22(7):64-67. DOI:10.16460/j.issn1008-9969.2015.07.064.
[14] 赵十妹,杨媛华,邝土光,等.肺动脉高压患者运动锻炼方法的研究[J].国际呼吸杂志,2018,38(16):1250-1255.DOI:10.3760/cma.j.issn.1673-436X.2018.16.010.
[15] 王方岩. 病理生理学[M].杭州:浙江大学出版社,2015:56.
[16] 陈月香,孙国珍.肺动脉高压病人健康相关生活质量研究进展[J].护理研究, 2014,28(10B):3969-3973.DOI:10.3969/j.issn.10096493.2014.032.001.
[17] 史珣瑜,徐静娟,吴文君,等.快吸慢呼锻炼对提高慢性心力衰竭患者运动耐力的效果观察[J].中华护理杂志,2016,51(10):1161-1165.DOI:10.3761/j.issn.0254-1769.2016.10.002.
[18] 何建国,杨涛.2015年《ESC/ERS肺动脉高压诊断与治疗指南》解读[J].中国循环杂志,2015,30(Z2):29-34.DOI:10.3969/j.issn.1000-3614.2015.Z2.007.
[19] Roman A, Barbera J A, Castillo M J, et al.Health-related Quality of Life in a National Cohort of Patients with Pulmonary Arterial Hypertension or Chronic Thromboembolic Pulmonary Hypertension[J].Archivos De Bronconeumología, 2013, 49(5):181-188. DOI:10.1016/j.arbres.2012.12.007.
[20] Halank M, Einsle F, Lehman S, et al.Exercise Capacity Affects Quality of Life in Patients with Pulmonary Hypertension [J]. Lung,2013,191(4):337-343.DOI:10.1007/s00408-013-9472-6.
[21] Mereles D, Ehlken N, Kreuscher S, et al.Exercise and Respiratory Training Improve Exercise Capacity and Quality of Life in Patients with Severe Chronic Pulmonary Hypertension[J]. Circulation, 2006, 114(14):1482-1489.
[22] Grünig E, Ehlken N, Ghofrani A, et al.Effect of Exercise and Respiratory Training on Clinical Progression and Survival in Patients with Severe Chronic Pulmonary Hypertension[J]. Respiration, 2011, 81(5):394-401.DOI:10.1159/000322475.
[23] Gilbert C, Brown M C J, Cappelleri J C, et al. Estimating a Minimally Important Difference in Pulmonary Arterial Hypertension Following Treatment with Sildenafil[J]. Chest, 2009, 135(1):137-142. DOI:10.1378/chest.07-0275.
[1] MA Ying, YE Jun-rong, HUANG Zhao-jun, XIA Zhi-chun, XU Dan, DENG Ai-ping, LIU Ming-he, LUO Si-li, ZHANG Jian-long. Construction of Evidence-based Sensitive Indicators of Psychiatric Nursing Quality [J]. Journal of Nursing, 2020, 27(9): 27-32.
[2] CAI Guo-qi, WANG Hui, ZHANG Meng-xia, YIN Shi-yu, HU Kai-li, WANG Bing-hua, YANG Chun-zi. Correlation Analysis of Clinical Nurses' Evaluation of Head Nurse's Leadership Behavior and Working Environment Perception: A 2,291-case Study [J]. Journal of Nursing, 2020, 27(8): 30-33.
[3] LIU Mei-juan, ZHOU Li-hua, TANG Mei-yun, TAN Wen-xin, LIU Yu-ping, CHENG Feng-ping. Comparison of Two Postoperative Feeding Patterns in Patients after Endoscopic Submucosal Dissection [J]. Journal of Nursing, 2020, 27(8): 51-53.
[4] HUANG Yuan-Yuan, FU Qiao-Mei, LIU Guang-Xiang, BAI Ya-Xin, ZHANG Qing. Effect of “Internet plus”Extended Nursing on Patients with Renal Transplantation [J]. Journal of Nursing, 2020, 27(8): 69-72.
[5] QIU Chu-jin, ZHANG Feng-ying, FENG Xian-qiong. Application of Multi-view Recording and Broadcasting System in Oral Care Operation Teaching for Undergraduate Nursing Students [J]. Journal of Nursing, 2020, 27(7): 15-19.
[6] LV Yun-xia, FENG Shao-juan, LI Dan-feng, WU Xuan-lin, CHEN Yan-qiu, CHEN Liu-mei, LIU Jie, HUANG Jie-ying, LIU Zheng-wei. Best Evidence Summary for Post-tonsillectomy Pain Management in Children [J]. Journal of Nursing, 2020, 27(7): 38-43.
[7] CHEN Meng-yun, LIN Dan-zhu, XU Jin-wei, XIE Man. Triage and Epidemic Prevention of COVID-19 at Fever Clinic [J]. Journal of Nursing, 2020, 27(6): 39-43.
[8] BAO Yan-qiao, ZHANG Wen-li, BIAN Xiao-lu, LIU Fang-mei. Effect of Narrative Nursing on Mental Health of Nurses Fighting against COVID-19 [J]. Journal of Nursing, 2020, 27(6): 44-48.
[9] MING Yao-hui, MI Yuan-yuan, NIE Tao, XIANG Cheng-lin, HUANG Hai-yan, YUAN Shi-ying. Establishment of Management System for COVID-19 Prevention in Intensive Care Unit and Its Effect [J]. Journal of Nursing, 2020, 27(5): 55-59.
[10] ZHANG Pu, LI Jin, LI Zhao-yang, CHEN Chen, TIAN Chao, JIA Ben-tao. Nursing Experience of Most Critically Ill COVID-19 Patients with Extracorporeal Membrane Oxygenation: A 9-case Study [J]. Journal of Nursing, 2020, 27(5): 60-63.
[11] DING Hong, CHEN Xu-su, XU Li-qian, LIU Huan-yi, JIANG Yu-mei, CHEN Xin-zhi, WU Lan, TANG Na, HUANG Li, YE Li, YANG Jie, HE Min, WANG Xue-lian, CHEN Jing-zhi, MAO Xiao-yan, FENG Hui-dong, JIANG Li-ping, XIE Zhu-bin, LU Chun-li, ZHOU Shu, LIAO Chang-jian, WANG Jia, WEN Ji-jin, HE Jing, LI Xiao-yan. Expert Consensus on Prevention and Control Measures in Anesthesia Care for COVID-19 Patients [J]. Journal of Nursing, 2020, 27(5): 64-67.
[12] REN Wei-hong, SHEN Li-han, ZHAO Miao-ling, ZHOU Huan, CHEN Jun-hua. Nursing Challenge of Most Critically Ill COVID-19 Patients and Its Strategies: A 12-case Study [J]. Journal of Nursing, 2020, 27(5): 68-71.
[13] YIN Huan-huan, QIAN Zhi-gang. Features of Nursing Graduate Education in Johns Hopkins University and Its Inspiration [J]. Journal of Nursing, 2020, 27(4): 1-6.
[14] CHEN Hai-ting, YUE Li-qun, CHEN Ru-wen, XIAO Sheng-cui. Development of Specialist Service Team-dominated “Internet plus Nursing Service” Mode and Its Practice [J]. Journal of Nursing, 2020, 27(4): 7-10.
[15] GUO Ya-ping, GUO Shu-li, LI Min, HOU Hai-yan. Effect of Action Research on Nursing Skill of Intestinal Stoma in Surgical Nurses [J]. Journal of Nursing, 2020, 27(12): 6-9.
Viewed
Full text


Abstract

Cited
  Shared   
[1] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[2] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[3] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[4] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[5] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[6] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia[J]. Journal of Nursing, 2020, 27(11): 46 -51 .
[7] . [J]. Journal of Nursing, 2020, 27(11): 52 -56 .
[8] . [J]. Journal of Nursing, 2020, 27(11): 66 -70 .
[9] LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang. Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma[J]. Journal of Nursing, 2020, 27(11): 71 -74 .
[10] . [J]. Journal of Nursing, 2020, 27(11): 75 -78 .