集束化肺康复干预策略对慢性阻塞性肺疾病患者 BODE指数的影响  

Effect of cluster pulmonary rehabilitation intervention strategy on BODE index of the patients with chronic obstructive pulmonary disease

作　　者：潘建芬[1] 史卫林[1] 俞翔[1] 叶洁[1] 蒋淑文 

机构地区：[1]江苏省溧阳市人民医院,213300

出　　处：《国际护理学杂志》2016年第15期2032-2035,共4页international journal of nursing

基　　金：江苏省常州市科技西进指导性计划项目（CY20130028）

摘　　要：目的探讨集束化肺康复干预策略对慢性阻塞性肺疾病患者BODE指数的影响。方法选择2011-2013年在本院呼吸内科出院的稳定期COPD患者29例，采用自身实验前后对照设计，人组前进行BODE（B体质指数、O气流阻塞程度、D呼吸困难严重程度、E运动耐力）基数评估，给予集束化肺康复干预措施，包括患者评估、下肢运动训练、呼吸肌力量训练、健康宣教、心理和行为干预、营养支持指导，6个月后再进行生BODE指数检测。结果BODE指数从（6．72±2．29）下降至（5．48±2．47）（P〈0．01）。结论集束化肺康复干预策略能降低患者BODE指数。Objective To explore the effect of cluster pulmonary rehabilitation intervention strategy on BODE index of the patients with chronic obstructive pulmonary disease （COPD）. Methods A total of 29 patients with COPD who discharged from our hospital in the department of respiratory medicine and were at the stable period from 2011 to 2013 were selected as the research objects. A self-controlling study was adopted： the BODE base was assessed before the enrollment （B is the body mass index, O is the degree of airflow obstruction, D is the severity of breathlessness, E is exercise tolerance）. All the patients were given cluster pulmonary rehabilitation intervention, including evaluation of patients, exercises training of lower limbs, exercises training of respiratory muscle, health education, psychological and behavioral intervention and guidance for nutrition support. After 6 months＆#39; intervention, the BODE index was measured again. Results The BODE index dropped from （6. 72 ±2. 29） to （5. 48± 2. 47） （P〈0. 01）. Conclu-sion Cluster pulmonary rehabilitation intervention strategy can decrease BODE index.

关 键 词：慢性阻塞性肺疾病 集束化 肺康复 BODE 

分 类 号：R563.05[医药卫生—呼吸系统]