首页|慢性阻塞性肺疾病合并呼吸衰竭老年患者的生命质量影响因素分析

慢性阻塞性肺疾病合并呼吸衰竭老年患者的生命质量影响因素分析

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目的 调查慢性阻塞性肺疾病(COPD)合并呼吸衰竭(RF)老年患者的生命质量,并分析影响因素。方法 采用便利抽样法抽取 2021 年 3 月至 2023 年 2 月南京医科大学附属淮安第一医院收治的COPD合并RF老年患者 100 例作为研究对象,采用一般资料调查问卷和慢性疾病患者生命质量测定量表-COPD(QLICD-COPD)评估患者生命质量,并采用logistic回归分析生命质量的影响因素。结果 共发放 100 份调查问卷,回收有效问卷 98 份,问卷有效回收率为 98%。98 例COPD合并RF老年患者的QLICD-COPD评分为(45。06±6。76)分。不同年龄、文化程度、家庭收入、第 1 秒呼气容积占预计值百分比(FEV1%)分级、医疗费用支付方式、居住情况、体重指数(BMI)和就业情况的患者QLICD-COPD评分差异有统计学意义(P<0。05)。年龄≥75 岁、文化程度小学及以下、中低家庭收入、FEV1%4 级、独居、BMI<18。5 和>24。0 是COPD合并RF老年患者生命质量的影响因素(P<0。05)。结论 COPD合并RF老年患者的生命质量受到年龄、文化程度、家庭收入、FEV1%、居住情况和BMI的影响,对于存在影响因素的患者临床应引起重视。
Influencing factors of quality of life of elderly patients with chronic obstructive pulmonary disease and respiratory failure
Objective To investigate the quality of life and its influencing factors in elderly patients with chronic obstructive pulmonary disease(COPD)and respiratory failure(RF).Methods A total of 100 elderly COPD patients with RF who were admitted to The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University from March 2021 to February 2023 were selected as research objects by convenience sampling method.The quality of life of the patients was assessed by the survey questionnaire of general information and quality of life instruments for chronic diseases COPD(QLICD-COPD).The influencing factor the quality of life was investigated by logistic regression analysis.Results Eventually,98 valid questionnaires were collected,with an effective response rate of 98%.The mean QLICD-COPD score was 45.06±6.76.There were significant differences in QLICD-COPD scores among patients with different ages,educational levels,family income,percentage of first second forced expiratory volume to expected value(FEV1%)grading,medical expense payment pattern,residence,body mass index(BMI),and employment status(P<0.05).Age≥75 years,low education level,middle and low family income,FEV1%grade 4,living alone,and BMI<18.5 and>24.0 were influencing factors for the quality of life of elderly COPD patients with RF(P<0.05).Conclusion The quality of life of elderly COPD patients with RF is affected by age,educational level,family income,FEV1%,residence and BMI.Attention should be paid to the patients with the risk factors.

Chronic obstructive pulmonary diseaseRespiratory failureElderly patientsQuality of lifeInfluencing factor

朱凌、赵松青

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223300 江苏 淮安,南京医科大学附属淮安第一医院老年医学科

慢性阻塞性肺疾病 呼吸衰竭 老年患者 生命质量 影响因素

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(9)