The influence of negative oxygen ion combined with rehabilitation exercise on the lung function after lobectomy in the elderly patients / 中国实用护理杂志

ABSTRACT

Objective:To explore the effect of negative oxygen ion combined with rehabilitation exercise intervention on lung function and quality of life of elderly patients undergoing thoracoscopic lobectomy.Methods:Totally 196 elderly patients treated with thoracoscopic lobectomy in Shanghai Pulmonary Hospital from February 2018 to July 2020 were prospectively selected as study subjects. The 196 patients were divided into 2 groups by random number table method: control group ( n=98) and observation group ( n=98). The control group was given rehabilitation exercise intervention, and the observation group was given negative oxygen ion intervention on the basis of the control group. After 3 months of intervention, the lung function and quality of life were compared between the two groups. Results:There was no significant difference in the lung function and quality of life before intervention between the two groups ( P>0.05). After intervention, the vital capacity (VC), forced expiratory volume in the first second (FEV 1), forced vital capacity (FVC) and FEV 1/FVC of the observation group were (3.82 ± 0.83) L, (2.53 ± 0.34) L, (3.71 ± 1.22) L, (68.79 ± 10.48)%, which were higher than (3.15 ± 0.68) L, (1.61 ± 0.28) L, (3.07 ± 1.12) L, (55.56 ± 10.08)% of the control group, and the differences were statistically significant ( t values were 3.826-20.678, P<0.01). After intervention, the physiological function, physiological function, physical pain, energy, social function, general health status, emotional function, mental health and total score of the observation group were (70.34 ± 4.45) points, (86.53 ± 6.51) points,(83.64 ± 7.35) points, (84.38 ± 5.50) points, (82.87 ± 6.14) points, (79.51 ± 6.22) points, (81.38 ± 6.75) points, (75.41 ± 5.62) points, (80.51 ± 15.26) points, which were higher than (61.32 ± 4.06) points, (76.92 ± 6.41) points, (74.30 ± 5.80) points, (74.15 ± 6.07) points, (75.34 ± 5.12) points, (70.30 ± 5.48) points, (73.50 ± 5.26) points, (61.32 ± 4.18) points, (70.89 ± 12.34) points of the control group, and the differences were statistically significant ( t values were 4.853-19.915, P<0.01). Conclusion:The negative oxygen ion combined with rehabilitation exercise intervention has a significant effect and can effectively improve the lung function and quality of life of elderly patients undergoing thoracoscopic lobectomy.