Correlation between self-management ability and pulmonary rehabilitation of patients with chronic obstructive pulmonary disease treated with home non-invasive ventilator
HE Xiaorong WANG Jie LI Linwei LI Chunyu
Department of Respiratory Medicine, the First People’s Hospital of Guangyuan, Sichuan Province, Guangyuan 628017, China
Abstract Objective To analyze the correlation between self-management ability and pulmonary rehabilitation of patients with chronic obstructive pulmonary disease treated with non-invasive ventilator. Methods A retrospective analysis of the clinical data of 80 patients with chronic obstructive pulmonary disease who were treated with home non-invasive ventilator after diagnosis and treatment by the First People’s Hospital of Guangyuan, Sichuan Province from August 2017 to February 2019. The lung function (forced vital capacity [FEV1], the ratio of forced expiratory volume in the first second to all expiratory volume [FEV1/FVC]) levels and self-management ability were compared before and after three months of treatment. According to the evaluation results of patients’ self-management ability, they were divided into groups: high-level group (12 cases), middle-level group (54 cases), and low-level group (14 cases). The pulmonary rehabilitation of each group were compared and the correlation between self-management ability and pulmonary rehabilitation were analyzed. Results After three months of non-invasive ventilator treatment, the scores of the main dimensions of the patient’s self-management ability scale and total scores were higher than those before treatment, and the differences were statistically significant (P ＜ 0.05). After thre months of non-invasive ventilator treatment, the patients’ FEV1, FEV1/FVC were higher than those before treatment, and the differences were statistically significant (P ＜ 0.05). The FEV1 and FEV1/FVC of high-level self-management patients were higher than those of middle and low-level patients, and the FEV1 and FEV1/FVC of middle-level patients were higher than those of low-level patients, and the differences were statistically significant (P ＜ 0.05). All dimensions and overall scores of self-management ability of COPD patients treated with home non-invasive ventilator were positively correlated with FEV1 and FEV1/FVC (r ＞ 0, P ＜ 0.05). Conclusion Patients with chronic obstructive pulmonary disease can obtain better pulmonary rehabilitation effects through home non-invasive ventilator treatment, but the size of pulmonary rehabilitation benefits is related to the patient’s self-management ability. It is recommended that certain interventions be taken early to improve patients’ self-management ability. It is of great significance to improve the pulmonary rehabilitation effect of home non-invasive ventilator.
HE Xiaorong WANG Jie LI Linwei LI Chunyu. Correlation between self-management ability and pulmonary rehabilitation of patients with chronic obstructive pulmonary disease treated with home non-invasive ventilator[J]. 中国医药导报, 2021, 18(1): 107-110.
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