Effect of Intervention Mode Based on A-DROP Score on Rehabilitation of Elderly Patients with Community-acquired Pneumonia

LI Jinghua; QIN Junhong; ZHAO Yuewei; CUI Ying; FAN Lingmin

doi:10.3969/j.issn.1002-3429.2023.09.014

Abstract：Objective To investigate the rehabilitation effect of intervention mode based on A-DROP score in elderly patients with community-acquired pneumonia(CAP).Methods In total,102 elderly patients with CAP from February 2022 to February 2023 were selected and divided into research group and control group according to different intervention modes.All patients received basic treatment and high-quality nursing intervention,the research group was given A-DROP score-based intervention treatment,the control group was given CURB-65 score-based intervention treatment.The mortality rate,length of stay in intensive care unit(ICU),total length of stay and medical expenses,cough disappearance time,time of temperature return to normal,disappearance time of lung rales,pulmonary function indexes forced expiratory volume in one second(FEV1),forced vital capacity(FVC),FEV1/FVC and quality of life before and after intervention were compared between the two groups.Results The mortality rate of the research group was lower than that of the control group,the duration of ICU stay and total length of hospital stay were shorter than that of the control group,and the medical expenses were lower than that of the control group(P＜0.05,P＜0.01).The disappearance time of cough,time of body temperature return to normal and disappearance time of lung rales in the research group were shorter than those in the control group(P＜0.05).After interven-tion,FEV1,FVC and FEV1/FVC in the research group were higher than those in the control group(P＜0.05,P＜0.01).After intervention,the scores of the MOS item short from health survey(SF-36)of the two groups were increased,which were higher in the research group than in the control group(P＜0.05).Conclusion A-DROP score,as a modified version of CURB-65 score,is more appropriate for identifying high-risk elderly inpatients with CAP and assessing the severity of the dis-ease and the risk of death.