Application of comprehensive respiratory training under multi-disciplinary treatment mode in airway nursing of patients with spinal cord injury

  Objective  To explore the effect of comprehensive respiratory training under multi-disciplinary treatment (MDT) mode in airway nursing of patients with spinal cord injury.

  Methods  A total of 100 patients were selected as objects, and were randomly divided into experimental group (MDT mode) and control group (traditional rehabilitation mode) according to the admission order, with 50 cases in each group. The experimental group adopted the comprehensive respiratory training method under MDT mode, and the control group adopted the traditional airway nursing method. The pulmonary ventilation function indexes, numerical rating scale(NRS), Borg dyspnea and fatigue score and incidence of adverse events of the two groups before and 2 months after intervention were compared.

  Results  Compared with before intervention, forced vital capacity (FVC), forced expiratory volume in the first second (FEV₁), forced expiratory flow at 25% of FVC (FEF25%) and peak expiratory flow (PEF) in the two groups were all increased at 2 months of intervention, and the above indicators in the experimental group were higher than those in the control group (P < 0.05). Compared with before intervention, NRS and Borg scores in both groups were decreased two months after intervention, and NRS and Borg scores in the experimental group were lower than those in the control group (P < 0.05).

  Conclusion  Comprehensive breathing training under MDT mode can obtain better indexes of pulmonary ventilation function, improve the pain degree, dyspnea and fatigue of patients with spinal cord injury, and promote their recovery.