Clinical Effect Of Lung Rehabilitation Guidance In Patients With Chronic Obstructive Pulmonary Disease

Objective:By analyzing the relationship between the quality of life of patients with chronic obstructive pulmonary disease(COPD)and the related indexes of lung rehabilitation exercise,the effect of lung rehabilitation therapy based on exercise behavior change mode in the clinical intervention of COPD patients was discussed,pro’viding a reference for the non-drug treatment of COPD patients.Method:By convenience sampling method,154 COPD patients were randomly selected from the Department of Cardiopulmonary Rehabilitation,Wuxi Rehabilitation Hospital from January 1,2017 to December 31,2017.They were divided into control group(77 cases received routine lung rehabilitation program)and research group(77 cases received lung rehabilitation treatment based on exercise behavior change model)according to random number table.Treatment plan).The stepwise multivariate linear regression method was used to analyze the influencing factors of life quality of COPD patients before lung rehabilitation exercise intervention.Before and 3 months,6 months and 9 months after lung rehabilitation exercise,the exercise behavior of COPD patients was assessed by frequency change,dyspnea degree(including mMRC and TUBS),quality of life(St.George’s Respiratory Questionnaire SGRQ),and psychological status.(including SAS scale score,SAS scale score,exercise endurance test(6MWD test),lung function indicators(including FEV1/FVC and FEV1%pred)and other related assessment indicators were evaluated.Spearman method was used to analyze the correlation between the SGRQ score of COPD patients and the indexes related to lung rehabilitation exercise,and to compare the improvement of clinical indexes between the two lung rehabilitation clinical intervention schemes for COPD patients..Result:1.The influencing factors of the quality of life of COPD patients before lung rehabilitation exercise intervention mainly included the number of hospitalizations aggravated within one year,the knowledge of lung rehabilitation exercise,and whether or not to implement lung function exercise(P<0.05).2.The SGRQ score of COPD patients was positively correlated with TUBS scale score,MMRC scale score,SAS scale score and SAS scale score(all P<0.05);the SGRQ score of COPD patients was negatively correlated with 6MWD experimental data,FEV1/FVC test data,and FEV1%PRED test data(all P<0.05).3.The phase distribution of exercise behavior of lung rehabilitation gymnastics and the change span of backward advance of exercise behavior of lung rehabilitation gymnastics in the study group were better than those in the control group(P<0.05).The scores of MMRC,TUBS,SGRQ,SAS and SDS were significantly lower in the study group than those in the control group at 6 months and 9 months after intervention(P<0.05).At the same time,6 months after the intervention,9 months after the intervention,the implementation of lung rehabilitation exercise and general exercise(daily completion,each group,weekly frequency),6MWD,FEV1/FVC,FEV1%pred,the study group was significantly better than the control group(P<0.05).Conclusion:1.The quality of life of COPD patients before intervention is mainly related to the number of hospitalizations,knowledge of lung rehabilitation exercise and effective implementation of lung function exercise.2.Pulmonary rehabilitation therapy based on exercise behavior change mode can promote the lung rehabilitation exercise behavior of COPD patients to the exercise action stage and maintenance exercise stage,and also can improve the compliance of lung health exercise of COPD patients to a certain extent.3.Pulmonary rehabilitation therapy based on exercise behavior change pattern can effectively improve the clinical conditions of COPD patients,such as dyspnea,poor exercise endurance,poor pulmonary function,and can also effectively alleviate the psychological state of anxiety and depression of COPD patients,and has a significant effect in improving the quality of life of COPD patients..