连续护理对慢性阻塞性肺疾病病人BODE指数的影响  

Influence of continuous care on BODE index of patients with chronic obstructive pulmonary disease

作　　者：江月娥[1] 张向群[1] 陈少娟[1] 廖鉴能[1] 林志萍[1] 

机构地区：[1]广东省肇庆市第一人民医院

出　　处：《护理研究（中旬版）》2014年第3期923-926,共4页Chinese Nursing Researsh

摘　　要：[目的]探讨连续护理干预对慢性阻塞性肺疾病(COPD)病人多因素分级系统(BODE)指数的影响。[方法]采用便利取样法,将2011年10月1日—2012年10月30日住院的COPD急性发作期病人100例分为对照组和研究组各50例,对照组给予COPD常规护理,研究组采取连续护理干预,比较两组病人护理后BODE指数变化。[结果]干预后两组第1秒用力呼吸容积占预测值百分比(FEV1%)、6 min步行距离(6MWD)、呼吸困难量表(MMRC)评分、体重指数(BMI)和BODE指数评分比较差异均有统计学意义(P<0.05)。研究组BODE指数总积分均优于对照组,研究组出院前与出院后8周FEV1%比较差异无统计学意义。[结论]连续护理干预可有效降低COPD病人BODE指数,提高生活质量。Objective:To probe into influence of continuous care on multifactor classification system(BODE)index of patients with chronic obstructive pulmonary disease.Methods:The convenience sampling method was used and a total of 100cases of COPD patients in acute phase from October 1in 2011to October 30in 2012were divided into control group and research group,50cases in each,patients in control group received routine nursing care,patients in research group received continuous nursing intervention.Then to compare the BODE index changes of patients after nursing between both groups.Results:There was significantly statistical difference in 1second forcibly breathing volume percentage of predicted value(FEV1%),6 min walking distance(6MWDS),dyspnea scale(MMRC)score,body mass index(BMI)and the BODE index score between both groups(P<0.05).BODE index total score in research group was better than that of control group,there was no statistically significant difference in FEV1% in research group between before discharge and at 8weeks after discharge.Conclusion:Continuous nursing intervention can effectively reduce the BODE index of COPD patients and improve their quality of life.

关 键 词：慢性阻塞性肺疾病 连续护理 BODE指数 

分 类 号：R473.56[医药卫生—护理学]