Effects of hospital-family transition period exercise management on respiratory function and exercise tolerance in elderly patients with COPD based on project management

Abstract

Objective To discuss the effects of hospital-family transition period exercise management on respiratory function and exercise tolerance in elderly patients with chronic obstructive pulmonary disease (COPD) based on project management. Methods By convenient sampling method, a total of 89 elderly patients with COPD in stable stage were selected in Department of Respiration of Xinxiang Center Hospital from January 2017 to December 2018. According to the admission time, all subjects were divided into the intervention group (n=47) and control group (n=42) . Patients in control group received standardized treatment and routine discharge guidance for COPD, while based on the intervention for control group, patients in the observation group developed exercise management model based on project management. The related indicators of respiratory function and exercise tolerance in the two groups were collected and compared on the day of discharge and 3 months after discharge at the outpatient visit. Results After intervention for 3 months, the levels of vital capacity (VC) , forced vital capacity (FVC) , forced expiratory volume in the first second (FEV1) and mean maximum expiratory flow (MMEF) in the control group were all higher than those on the day of discharge (t=6.228, 7.836, 10.995, 4.180; P<0.05) , and the levels of VC, FVC, FEV1, peak expiratory flow (PEF) , FEV1/FVC and MMEF were higher in the intervention group than those on the day of discharge (t=12.189, 14.583, 30.723, 6.352, 6.166, 12.420; P<0.05) . After discharge for 3 months, the levels of VC, FVC, FEV1, PEF, FEV1/FVC and MMEF were higher in the intervention group than those in the control group (t=6.063, 7.234, 16.902, 5.596, 2.640, 7.295; P<0.05) . After discharge for 3 months, the 6-minute walking distance in two groups were both improved than those on the day of discharge (t=5.574, 10.389; P<0.01) , and the intervention group was better than control group (t=5.244, P<0.01) . Conclusions Hospital-family transition period exercise management based on project management can improve the respiratory function, and improve exercise tolerance in elderly patients with COPD, which helps patients recover early. Key words: Aged; Pulmonary disease, chronic obstructive; Hospital-family transition period; Exercise management; Respiratory function; Exercise tolerance