肺功能检查视听教材对用力肺活量检测患者的影响

发布时间：2018-07-16 07:57

【摘要】：目的探讨肺功能检查视听教材对肺功能检查的作用,为进一步推广普及肺功能检查和调整我国肺功能临床应用策略提供依据。方法选择肺功能检查受试者525例,随机分为对照组320例和暴露组205例。对照组进行常规的肺功能操作教育,暴露组采用播放视听教材及常规肺功能操作教育,从而比较两组受试者用力肺活量检查完成的质量。结果两组受试者年龄、性别、肺功能严重程度无统计学意义(P0.05),具有可比性。对照组和暴露组在用力肺活量中第一次内就能完成达标的F-V曲线分别为21.9%和37.6%(=-4.195,P0.01);第一次内完成达标V-T曲线分别为23.0%和36.1%(=-4.195,P0.01);第一次内呼出达标外推容积分别为22.2%和31.2%(=-2.675,P0.01);检查总次数控制在5次以内的达标率分别为53.6%和68.3%(=-3.733,P0.01);测试时间控制在5分钟内完成的达标率分别为27.2%和43.4%(=-4.334,P0.01)。结论肺功能测试需要受试者良好的配合和指导人员的专业操作及指导,肺功能检查全国卫生试听教材有助于提高受试者在第一次内完成达标的用力肺活量测试,并减少了测试时间和总检测次数,有效提高了受试者配合程度及检查效率。
[Abstract]:Objective to explore the effect of audiovisual teaching materials on pulmonary function examination in order to provide basis for popularizing pulmonary function examination and adjusting clinical application strategy of lung function in China. Methods 525 subjects were randomly divided into control group (n = 320) and exposure group (n = 205). The control group was given routine lung function operation education, the exposed group was treated with audiovisual teaching material and conventional lung function operation education, and the quality of forced vital capacity examination was compared between the two groups. Results there was no significant difference in age, sex and severity of pulmonary function between the two groups (P0.05). The F-V curves of the control group and the exposed group were 21.9% and 37.6% in the first time (P 0.01), 23.0% and 36.1% in the first time (P 0.01), 22.2% and 31.2% in the first exhalation volume (P 0.01). The rate of reaching the standard within 5 times was 53.6% and 68.3% (-3.733g / P0.01), and that of the test time controlled within 5 minutes was 27.2% and 43.4% (-4.334g / P0.01), respectively. Conclusion the pulmonary function test needs the professional operation and instruction of the subjects, and the teaching material of the national health audition for pulmonary function examination is helpful to improve the test of forced vital capacity, which is up to the standard in the first time. The test time and the total number of tests are reduced, and the cooperation degree and efficiency of the subjects are improved effectively.
【作者单位】：广州医科大学附属第一医院广州呼吸疾病研究所(呼吸疾病国家重点实验室呼吸疾病国家临床研究中心);
【分类号】：R563

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