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| 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 |
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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.
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