老年慢性阻塞性肺疾病患者生活质量调查及干预对策

发布时间：2018-07-24 21:58

【摘要】：目的调查老年慢性阻塞性肺疾病(COPD)患者的生活质量,分析其影响因素,提出有针对性的干预对策,改善患者生活质量。方法 2015年1—12月采用便利抽样方法抽取宁夏人民医院呼吸科门诊接诊的符合纳入标准的COPD患者150例,采用一般资料问卷、圣乔治呼吸问卷(SGRQ)对患者进行调查,并检测患者营养状况和肺功能分级。采用单因素分析及多元线性回归分析分析老年COPD患者SGRQ评分的影响因素。结果 147例(98.0%)患者完成调查,SGRQ总评分为(41.5±19.9)分。单因素分析显示,家庭人均月收入、纳入医保情况、吸烟状况、职业粉尘烟雾暴露史、病程、过去1年因COPD住院次数、药物治疗、肺康复锻炼情况、营养状况、肺功能分级对SGRQ评分有影响(P0.05)。多元线性回归分析显示,肺康复锻炼情况、营养状况、肺功能分级是老年COPD患者SGRQ评分的影响因素(t=-4.599、-3.755、18.702,P0.05)。结论老年COPD患者生活质量不高,肺康复锻炼情况、营养状况、肺功能分级是老年COPD患者生活质量的影响因素,应加强COPD患者营养及肺康复锻炼指导,减缓肺功能下降速度,提高患者生活质量。
[Abstract]:Objective to investigate the quality of life (QOL) of elderly patients with chronic obstructive pulmonary disease (COPD), analyze its influencing factors, and put forward targeted intervention measures to improve the quality of life (QOL). Methods from January to December 2015, 150 COPD patients who met the inclusion criteria were selected by convenience sampling method. The patients were investigated by general information questionnaire and St. George's breathing questionnaire (SGRQ). The nutritional status and pulmonary function grade of the patients were detected. Single factor analysis and multiple linear regression analysis were used to analyze the influencing factors of SGRQ score in elderly patients with COPD. Results the total score of SGRQ in 147 patients (98.0%) was (41.5 卤19.9). Univariate analysis showed that the average monthly income of the family included medical insurance status, smoking status, occupational dust smoke exposure history, course of disease, hospitalization times due to COPD in the past year, drug treatment, lung rehabilitation and exercise, nutritional status. Pulmonary function grade had influence on SGRQ score (P0.05). Multiple linear regression analysis showed that pulmonary rehabilitation exercise status, nutritional status and pulmonary function grade were the influencing factors of SGRQ score in elderly patients with COPD (t = -4.599- 3.755n 18.702P0.05). Conclusion the quality of life of elderly patients with COPD is not high, the condition of pulmonary rehabilitation exercise, the status of nutrition and the grading of lung function are the influencing factors of the quality of life of the elderly patients with COPD. It is necessary to strengthen the guidance of nutrition and pulmonary rehabilitation exercise for the elderly patients with COPD, and to slow down the decline of pulmonary function. Improve the quality of life of patients.
【作者单位】：宁夏医科大学护理学院;宁夏人民医院呼吸科;
【分类号】：R473.5

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