医院主动管理联合社区康复指导对支气管扩张症稳定期患者BODE指数的影响  

Effect of Active Hospital Management Combined with Community Rehabilitation Guidance on BODE Index of Patients with Bronchiectasis in Stable Stage

作　　者：华丽 LI Hua(Leping City Traditional Chinese Medicine Hospital Jingfengmen Community Health Service Center,Leping 333300,China)

机构地区：[1]乐平市中医医院景丰门社区卫生服务中心,江西乐平333300

出　　处：《中国医药指南》2022年第19期87-89,93,共4页Guide of China Medicine

摘　　要：目的探究医院主动管理+社区康复指导对支气管扩张症稳定期BODE指数的影响。方法选择2019年11月至2021年4月我院收治的稳定期支气管扩张症患者126例,按随机数字表法分为两组,各63例。对照组给予常规护理,观察组实施医院主动管理+社区康复指导。比较两组BODE指标、FEV1及炎性因子水平、焦虑状况、生活质量以及就诊次数。结果护理前,两组BODE指标、第1秒用力呼气容积(FEV1)水平及炎性因子水平比较无差异(P>0.05);护理后,观察组呼吸困难指数(MMRC)、6 min内行走距离(6MWD)、身体质量指数(BMI)、FEV1均优于对照组,白细胞介素-6(IL-6)、肿瘤坏死因子(TNF-α)均低于对照组,有统计学意义(P<0.05)。观察组的焦虑状况、生活质量评分与就诊次数依次是(42.54±5.37)分、(45.68±4.67)分、(3.27±0.35)次,均低于对照组的(51.48±6.47)分、(54.58±6.46)分与(7.47±1.34)次,组间对比差异有统计学意义(P<0.05)。结论医院主动管理+社区康复指导能够纠正稳定期支气管扩张症患者BODE指数,降低炎性因子水平,减少再次就诊的次数,改善患者的焦虑情绪,从而使患者的生活质量有了明显的提升。Objective To explore the influence of active hospital management and community rehabilitation guidance on BODE index in stable bronchiectasis.Methods One hundred and twenty-six patients with stable bronchiectasis admitted to our hospital from November 2019 to April 2021 were randomly divided into two groups,63 cases in each group.The control group was given routine nursing,while the observation group was given active hospital management and community rehabilitation guidance.The levels of BODE index,forced expiratory volume in the first second(FEV1)and inflammatory factors were compared between the two groups.Results Before nursing,there was no significant difference in BODE index,FEV1 and inflammatory factors between the two groups(P>0.05).After nursing,the dyspnea index(MMRC),walking distance within 6 minutes(6MWD),body mass index(BMI)and FEV1 in the observation group were all better than those in the control group,and the levels of interleukin-6(IL-6)and tumor necrosis factor(TNF-α)were all lower than those in the control group,with statistical significance(P<0.05).The anxiety status,quality of life score and the number of visits in the observation group were(42.54±5.37)points,(45.68±4.67)points and(3.27±0.35)points,which were lower than those in the control group(51.48±6.47)points,(54.58±6.46)points and(7.47±1.34)times,the difference between groups was statistically significant(P<0.05).Conclusion Hospital active management and community rehabilitation guidance can correct BODE index of patients with stable bronchiectasis and reduce the level of inflammatory factors.

关 键 词：支气管扩张症 医院主动管理 社区康复指导 BODE指标 炎性因子水平 

分 类 号：R473.5[医药卫生—护理学] R562.22[医药卫生—临床医学]