| Objective Chronic obstructive pulmonary disease(COPD)is a chronic respiratory disease that is characterized by incompletely reversible respiratory airflow limitation.It is one of the leading causes of death worldwide and is seriously affecting the quality of life of older people,and brings heavy social burden.This study used telemedicine platform 317 nursing-assisted Chinese medicine breathing daoyin to enable COPD patients to perform lung rehabilitation training in the home environment in order to improve their lung function,exercise endurance and overall quality of life,delay disease progression,and improve patients' self-management capabilities.And promoting the promotion and application of traditional Chinese medicine breathing daoyin in pulmonary rehabilitation and home environment.Method From June 2018 to October 2019,we collected patients with stable COPD from a tertiary Class A hospital in Zhejiang province and a community health service center,and selected 60 patients who met the inclusion and exclusion criteria and applied them.IBM SPSS 20.0 generates random numbers for random grouping and is divided into a control group and a test group according to a 1:1 ratio.The experimental group adopted 317 nursing assisted TCM breathing daoyin for pulmonary rehabilitation intervention in COPD.The TCM breathing daoyin consisted of standing quietly,dantian breathing,conditioning the lungs and kidneys,turning the side fingers,moyun shentang,nourishing Qi and recuperating energy.After the group training,the patients undergo lung rehabilitation training of traditional Chinese medicine breathing daoyin in the home environment,frequency is 5 times a week,2 times a day,each time is 15-20 minutes.The members of the research group produced remote education content such as graphics,videos for 317,and submitted it to the project leader for review.After the review was passed,the researchers monitored and supervised the data.The control group was given the lip shrink-abdominal breathing instruction.All Patients with COPD have established disease management files,and performed routine treatment and health education.The total intervention time was 12W.At the end,relevant evaluation indicators were used for effect evaluation.Result After intervention,the five lung function indexes of FEV1,FEV1%,FVC,FVC%,and FEV1/FVC of the two groups were improved compared with those before the intervention,and the improvement of the experimental group was more obvious than that of the control group(P<0.05),especially It is two indexes of FEV1 and FVC;after intervention,the 6-minute walking test distance of the control group did not change significantly compared with before intervention(P>0.05),the test group had a very significant improvement(P<0.01),and the comparison between the two groups after intervention The improvement in the test group was better than that in the control group(P<0.01);after intervention,the improvement in the degree of dyspnea(mMRC)in the test group was better than that in the control group(P<0.01);after intervention,the BODE index in the control group did not change significantly compared to before intervention(P>0.05),the test group has a very significant improvement(P<0.01),and the comparison between the two groups after the intervention is better than the control group(P<0.01);after the intervention,the control group's St.George's Respiratory Questionnaire(SGRQ)The life impact was significantly changed compared with that before the intervention(P<0.05).The disease impact score in the St.George's Respiratory Questionnaire(SGRQ)in the experimental group was significantly improved compared with that before the intervention(P<0.05).Conclusion Traditional Chinese medicine breathing daoyin is suitable for home lung rehabilitation.Its low intensity and slow and gentle movements make the COPD patients mainly in the elderly group have a good acceptance,which is more conducive to long-term adherence,and has good promotion value.With the assistance of telemedicine such as 317-nursing,the management of pulmonary rehabilitation is formed into a closed loop,which can obtain the feedback of patients' needs and play a positive role in promoting intervention.If wearable devices and video monitoring are combined,it will be more conducive to traditional Chinese medicine breathing daoyin play a important role in the home environment. |
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