Home care for chronic obstructive pulmonary disease (I)

  Chronic obstructive pulmonary disease has a high incidence, a prolonged course and a yearly decline in lung function, which has a great impact on the quality of life of the elderly. If wheezing, coughing, panic and other discomforts occur when exercising, you can walk several times, slowly. Whole-body exercise plus respiratory muscle exercise is more effective than respiratory muscle exercise alone. Can reduce, delay the whole body muscle atrophy, slow light lung function decline trend, and can increase appetite, improve body immunity.  Respiratory muscle exercises in the contracted lip breathing application more, patients can easily grasp, generally twice a day.  1.Lip shrinkage breathing: Inhale through the nose, shrink the lips when exhaling, whistle-like slow exhalation, and shrink the lips to be able to tolerate. General inhalation and exhalation time ratio of 1:2 or 1:3, can be taken to practice with blowing candles, distance from 500px, gradually extended to 2250px, so that the candle flame tilt does not go out, and gradually extend the time.  2, abdominal breathing: the patient to take the standing position, lying down or semi-recumbent position, the two hands are placed on the chest, the whole body muscles relaxed, inhale through the nose, try to hold the abdomen, the chest does not move. Exhale through the mouth, the abdominal muscles contract, the thorax to maintain the minimum degree of activity, slow breathing. Lip contraction breathing and abdominal breathing training twice a day, 10 to 20 minutes each time, 7 to 8 breaths per minute, can be applied alternately.  3, muscle relaxation training: relaxed position, sitting in a forward leaning position, head leaning forward, placed in front of the quilt or pillow cushion, hands placed in the quilt or under the pillow cushion to prevent breathing too fast and facilitate abdominal breathing; standing, hands can be placed behind the pull down to fix the scapular belt, and make the body slightly forward, which helps abdominal breathing.  4.Practice respiratory exercises: including deep breathing, chest expansion, bending, squatting and limb activities, divided into lying, sitting and standing gymnastics, the principle of starting from lying gymnastics, after mastering the order of transfer to sitting and standing gymnastics.  Reasonable diet for patients with chronic obstructive pulmonary disease includes the combination of diet, i.e. food type, diet amount, i.e. calorie intake, and also consider the digestive and absorption capacity and gastrointestinal load of patients.  1.Food type. Generally divided into protein, fat, carbohydrate, fish, shrimp, meat, soybean products are classified as protein, noodles, steamed bread, rice for carbohydrate. Carbohydrate class is the main, accounting for 50-60%, easy to digest and absorb, providing heat. Protein is slightly more than the average person, accounting for 30-40%, the principle is also to be light, less oil, steamed and boiled.  2, the amount of diet. With reference to the amount of food the patient has eaten in the past, provide at least 1500-2000 calories per day. Due to the patient’s wheezing, cough, less movement, oral medication gastrointestinal tract stimulation, coupled with the elderly digestive tract peristalsis reduced, digestive juice secretion reduced, patients will appear to eat gradually reduced, wasting, etc.. You can eat less and more meals, add fruits, yogurt, etc.  3, the patient’s digestive and absorption function decreases, increase physical activity, give auxiliary drugs to increase appetite if necessary, such as digestive enzymes, gastrointestinal motility drugs, gastric mucosa protectors, improve constipation, etc.  The rest of oxygen absorption, daily medication, ventilator therapy, etc., to be continued.