《中国康复理论与实践》

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (3): 337-344.doi: 10.3969/j.issn.1006-9771.2026.03.010

• 应用研究 • 上一篇    下一篇

远程监督指导下居家肺部音乐疗法对慢性阻塞性肺疾病的效果

张文静1,2, 李浩2, 袁佳佳2, 胡怀宁2()   

  1. 1 扬州大学护理学院公共卫生学院， 江苏扬州市 225009
    2 连云港市第二人民医院， 江苏连云港市 222000
  • 收稿日期:2025-07-30 修回日期:2026-01-26 出版日期:2026-03-25 发布日期:2026-04-01
  • 通讯作者: 胡怀宁(1976-)，女，汉族，江苏连云港市人，硕士，主任护师，主要研究方向：护理管理和慢病管理，E-mail：Huhuaining@126.com。
  • 作者简介:张文静(1985-)，女，汉族，安徽淮北市人，硕士研究生，主管护师，主要研究方向：护理管理和慢病管理
  • 基金资助:
    江苏省医院协会管理创新课题(JSYGY-3-2023-75)

Effect of tele-supervised home-based pulmonary music therapy on chronic obstructive pulmonary disease

ZHANG Wenjing1,2, LI Hao2, YUAN Jiajia2, HU Huaining2()   

  1. 1 School of Public Health, School of Nursing, Yangzhou University, Yangzhou, Jiangsu 225009, China
    2 The Second People's Hospital of Lianyungang, Lianyungang, Jiangsu 222000, China
  • Received:2025-07-30 Revised:2026-01-26 Published:2026-03-25 Online:2026-04-01
  • Contact: HU Huaining, E-mail: Huhuaining@126.com
  • Supported by:
    Management Innovation Project of Jiangsu Hospital Association(JSYGY-3-2023-75)

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摘要：

目的 探讨远程监督指导下居家肺部音乐疗法对慢性阻塞性肺疾病(COPD)患者呼吸功能、运动能力和临床症状的效果。

方法 选取2023年1月至2024年6月连云港市第二人民医院收治的96例COPD患者，按照区组随机结合随机数字表法分为对照组和观察组，各48例。对照组采用常规治疗和护理干预，观察组在对照组基础上采用远程监督指导下居家肺部音乐疗法干预，均6个月。分别于干预前、干预后1个月、3个月和6个月进行评估。

结果 对照组脱落3例，观察组脱落2例。观察组6个月时的第1秒用力呼气容积占预计值百分比(FEV1%)优于对照组(χ2 = 10.481, P = 0.033)，观察组最大吸气压在干预后3个月(Z = -2.045，P = 0.044)和6个月(Z = -3.643, P < 0.001)优于对照组，最大呼气压在干预后3个月(Z = 2.111, P = 0.036)和6个月(Z = 4.025, P < 0.001)优于对照组，运动能力在干预后1个月(t = 2.266, P = 0.028)、3个月(t = 3.943, P < 0.001)和6个月(t = 6.703, P < 0.001)优于对照组，疲劳情况在干预后3个月(Z = -4.352, P < 0.001)和6个月(Z = -5.718, P < 0.001)显著优于对照组，临床症状在干预后3个月(t = -2.698, P = 0.007)和6个月(t = -2.898, P = 0.003)优于对照组，临床控制水平在干预后3个月(t = -3.402, P < 0.001)和6个月(t = -5.036, P < 0.001)显著优于对照组。

结论 远程监督指导下居家肺部音乐疗法有利于改善COPD患者呼吸功能、运动能力、疲乏症状、临床症状和临床控制水平。

关键词: 慢性阻塞性肺疾病, 远程监督, 居家康复, 音乐疗法

Abstract:

Objective To explore the effect of tele-supervised home-based pulmonary music therapy on respiratory function, exercise capacity and clinical symptoms in patients with chronic obstructive pulmonary disease (COPD).

Methods A total of 96 COPD patients admitted to the Second People's Hospital of Lianyungang from January, 2023 to June, 2024 were selected. They were divided into control group and observation group (48 cases each) using block randomization combined with a random number table. The control group received routine treatment and nursing intervention, while the observation group added tele-supervised home-based pulmonary music therapy, for six months. Evaluations were conducted before intervention and one, three and six months after intervention.

Results Three cases in the control group and two in the observation group dropped out. Compared to the control group, the observation group was better in forced expiratory volume in one second percentage of predicted (FEV1%) level six months after intervention (χ2 = 10.481, P < 0.001), maximal inspiratory pressure three months (Z = -2.045, P = 0.044) and six months (Z = -3.643, P = 0.033) after intervention, maximal expiratory pressure three months (Z = 2.111, P = 0.036) and six months (Z = 4.025, P < 0.001) after intervention, exercise capacity one month (t = 2.266, P = 0.028), three months (t = 3.943, P = 0.028) and six months (t = 6.703, P< 0.001) after intervention, fatigue scores three months (Z = -4.352, P< 0.001) and six months (Z = -5.718, P< 0.001) after intervention, clinical symptoms three months (t = -2.698, P = 0.007) and six months (t = -2.898, P = 0.003) after intervention, and clinical control levels three months (t= -3.402, P < 0.001) and six months (t = -5.036, P < 0.001) after intervention.

Conclusion Tele-supervised home-based pulmonary music therapy is beneficial in improving respiratory function, exercise capacity, fatigue, clinical symptoms and clinical control levels in patients with COPD.

Key words: chronic obstructive pulmonary disease, tele-supervision, home-based rehabilitation, music therapy

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