A nursing intervention to prevent pneumonia in the weak elderlys as a reserve bed-ridden group

卧床后备群体体弱老人预防肺炎的护理干预

• 批准号: 08672661
• 负责人: SATO Shinobu
• 金额: $ 1.54万
• 依托单位: Yamagata University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1996
• 资助国家: 日本
• 起止时间: 1996 至 1997
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08672661/
• 关键词: endurance of respiratory muscle; training of cough; peak expiratory flow in the elderly; fever in the elderly; reserve bed-ridden people; respiratory infection in the elderly; 虚弱老人の肺炎; 呼吸筋力増強訓練; 呼吸筋持久力増強訓練

The effect of respiratory training on the incidence of fever due to respiratory tract infection was studied. We assessed the degree of dementia of the residents in order of admission to a senior nursing home using the revised Hasegawa's Depression Scale (HDS-R). Residents whose HDS-R score was 22 or more were assigned at random either to training or control group. One set of training, including respiratory muscle training for power-up, respiratory muscle endurance training, and training of effective coughing, was loaded to the training group for 30 minutes per day, three days per week for 12 weeks. Body temperature was measured everyday. Peak expiratory flow rate (PEF) was measured every training period. Maximal inspiratory (PImax) and expiratory (PEmax) pressures were obtained every four weeks. Subjects assigned to the control group also were asked to receive the same respiratory function tests. We estimated the effect of the training based on comparison of these parameters. The basic data for the training (5 males, 20 females) and control (6 males, 24 females) group were, 80.0+/-7.2 and 79.7+/-7.3 years for age, 26.5+/-2.5 and 25.7+/-2.4 for HDS-R,36.3+/-0.4 and 36.4+/-0.4ﾟC for body temperature, respectively. Although PEF of the training group was significantly higher at the start than that of the control group (p<0.05), there was no between-groups difference in the PImax and PEmax. We judged that a subject had fever, when the body temperature became his mean plus two standarad deviation of all body temperature values or higher. Comarison of the numbers of Days of fever/total temperature records number between both groups showed no difference. We conclude that the respiratory trainig as performed in the present study failed to decrease the incidence of fever due to respiratory tract infection.

研究了呼吸训练对呼吸道感染引起的发烧发病率的影响。我们使用修订后的谷川抑郁量表（HDS-R），根据入学的高级护士回家评估了居民的痴呆程度。 HDS-R分数为22或更多的居民被随机分配给训练组或对照组。一组训练，包括呼吸道肌肉训练，用于加权，呼吸肌肉耐力训练以及对有效沙发的训练，每天为训练组加载30分钟，每周三天，持续12周。每天测量体温。每个训练期都测量峰值呼气流速（PEF）。每四周获得最大的灵感（PIMAX）和呼气（PEMAX）压力。分配给对照组的受试者还被要求接受相同的呼吸功能测试。我们基于这些参数的比较估算了训练的效果。训练的基本数据（男性，20名女性）和对照组（6名男性，24位女性）组为80.0 +/- 7.2和79.7 +/- 7.3岁，年龄为26.5 +/- 2.5 +/- 2.5和25.7 +/- 2.4 +/- 2.4，HDS-R，36.3 +/- 0.4和36.4 +/- 0.4和36.4 +/- 0.4 +/- 0.4 +/- 0.4+/0.4+/0.4+/0.4+/0.4+/0.4+c的体温相应。尽管训练组的PEF在开始时的PEF明显高于对照组的PEF（p <0.05），但PIMAX和PEMAX的组间差异没有差异。我们判断受试者发烧，当体温成为他的平均值加上所有体温值或更高的两个标准偏差时。两组之间的发烧天数/总温度记录数量的comarison均没有差异。我们包括在介绍研究中进行的呼吸道呼吸道TRAINIG未能减少由于呼吸道感染而引起的发烧。