CAJ | 학술논문

目的：探讨呼吸功能训练对结缔组织病肺间质病变（ CTD-ILD）患者生活质量及呼吸功能的影响。方法将120例CTD-ILD住院患者按照随机数字表法分为对照组和观察组，每组各60例，对照组给予常规护理干预，观察组在常规护理干预的基础上给予呼吸功能训练，用健康调查简表（ SF-36）比较两组患者干预后生活质量，记录并比较两组患者的肺功能如肺活量（ VC）、肺总量（ TLC）及一氧化碳弥散量占预计值百分比（ DLCO/Pred）。结果经过呼吸功能训练后，观察组在生理功能、生理职能、总体健康、活力、情感职能维度的得分均大于对照组，差异有统计学意义（ t值分别为2．52，3．42，7．93，4．33，2.38；P＜0．05）。呼吸功能训练后观察组VC、TLC及DLCO/Pred分别为（2．8±0．04）L，（3．0±0．06）L，（5．5±0．94）％，明显高于对照组[（2．6±0．04）L，（2．8±0．03）L，（72．3±0．64）％]，差异有统计学意义（t值分别为2．28，2．51，2．85；P＜0．05）。结论充分做好呼吸道管理和呼吸肌功能训练的护理，有助于提高CTD-ILD患者生活质量及改善呼吸功能。
목적：탐토호흡공능훈련대결체조직병폐간질병변（ CTD-ILD）환자생활질량급호흡공능적영향。방법장120례CTD-ILD주원환자안조수궤수자표법분위대조조화관찰조，매조각60례，대조조급여상규호리간예，관찰조재상규호리간예적기출상급여호흡공능훈련，용건강조사간표（ SF-36）비교량조환자간예후생활질량，기록병비교량조환자적폐공능여폐활량（ VC）、폐총량（ TLC）급일양화탄미산량점예계치백분비（ DLCO/Pred）。결과경과호흡공능훈련후，관찰조재생리공능、생리직능、총체건강、활력、정감직능유도적득분균대우대조조，차이유통계학의의（ t치분별위2．52，3．42，7．93，4．33，2.38；P＜0．05）。호흡공능훈련후관찰조VC、TLC급DLCO/Pred분별위（2．8±0．04）L，（3．0±0．06）L，（5．5±0．94）％，명현고우대조조[（2．6±0．04）L，（2．8±0．03）L，（72．3±0．64）％]，차이유통계학의의（t치분별위2．28，2．51，2．85；P＜0．05）。결론충분주호호흡도관리화호흡기공능훈련적호리，유조우제고CTD-ILD환자생활질량급개선호흡공능。
Objective To observe the influence of respiratory muscle training on quality of life and pulmonary function of patients with connective tissue diseases associated interstitial lung disease (CTD-ILD). Methods A total of 120 patients with CTD-ILD from June 2011 to December 2012 were randomly classified into the control group and the observation group , with 60 cases in each group .The control group was treated with routine nursing care , while the observation group was treated with breathing exercises .The life quality between the two groups was compared using the 36-item short form health survey questionnaire ( SF-36 ) .The lung function, such as vital capacity (VC), total lung capacity (TLC) and diffusing capacity of CO (DLCO) before and after treatment, were recorded.Results After the respiratory muscle training , the scores of SF-36 in the observation group was significantly higher compared with those in the control group (t=2.52,3.42,7.93,4.33, 2.38, respectively;P<0.05).After the functional training of the respiratory muscles , VC, TL and DLCO/Pred in the observation group were (2.8 ±0.04)L, (3.0 ±0.06)L and (5.5 ±0.94)%, which were significantly better than (2.6 ±0.04)L, (2.8 ±0.03)L and (72.3 ±0.64)%in the control group (t=2.28,2.51,2.85, respectively;P<0.05).Conclusions Nursing intervention of airway management and functional training for the respiratory muscles can improve quality of life and pulmonary function of patients with CTD -ILD.