老年重度慢性阻塞性肺疾病患者症状困扰和功能状态与生活质量的相关性

发布时间：2018-04-28 16:26

本文选题：重度慢性阻塞性肺疾病 + 症状困扰　；参考：《广东医学》2014年06期

【摘要】：目的探讨老年重度慢性阻塞性肺疾病(COPD)患者的症状困扰、功能状态与生活质量的关系。方法前瞻性研究,应用患者一般资料问卷、症状评定量表(MSAS)、疾病影响程度量表(SIP)、生活质量多维指数(MILQ)对106例老年重度COPD患者进行问卷调查,并做相关性分析。结果老年COPD患者最高发症状为气促(98.1%)、疲劳(94.3%)、口干(90.6%)、咳嗽(89.6%)、担忧(83.0%),其他高发症状还有嗜睡(81.1%)、烦躁(78.3%)、疼痛(75.5%);患者症状数目是10.87±1.56,超过一半患者认为气促、疲劳、口干是最感困扰的症状。SIP总分70.72±4.29,功能状态严重受损;MILQ总分15.35±3.03,生活质量严重受影响。患者生活质量与症状困扰(r=-0.68)、功能状态(r=-0.63)显著相关(P0.01)。多元逐步回归分析显示,SIP中的社会行为、MSAS-GDI中的担忧、烦躁共同解释生活质量总变异的39.6%。结论老年重度COPD患者面临多项躯体症状和心理症状的困扰,功能状态受限,护士应根据患者实际情况,给予有针对性的健康宣教和干预措施,以提高患者的生活质量。
[Abstract]:Objective to investigate the relationship between symptom disturbance, functional status and quality of life in elderly patients with severe chronic obstructive pulmonary disease (COPD). Methods in a prospective study, 106 elderly patients with severe COPD were investigated with general data questionnaire, symptom assessment scale (MS), degree of disease impact scale (sip) and quality of life (MILQ). Results the most common symptoms in elderly patients with COPD were shortness of breath (98.1), tiredness (94.3%), dry mouth (90.6), cough (89.6m), anxiety (83.0%), other symptoms such as drowsiness (81.1%), irritability (78.3%), pain (75.55.The number of symptoms was 10.87 卤1.56), and more than half of the patients thought that they had shortness of breath and fatigue. Dry mouth was the most disturbed symptom. The total score of SIP was 70.72 卤4.29, the total score of MILQ was 15.35 卤3.03, and the quality of life was seriously affected. The quality of life (QOL) was significantly correlated with symptom distress (P 0.01) and functional status (P < 0. 01). Multiple stepwise regression analysis showed that social behavior in SIP and anxiety in MSAS-GDI explained 39.6% of total quality of life variation. Conclusion elderly patients with severe COPD are confronted with many physical and psychological symptoms, and their functional status is limited. Nurses should give health education and intervention measures according to the actual situation of the patients to improve the quality of life of the patients.
【作者单位】：河北大学附属医院中西医结合科;河北大学附属医院护理部;河北大学附属医院院长办公室;
【基金】：河北大学附属医院护理科研基金项目(编号:2012-09)
【分类号】：R563.9

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