宁夏医学杂志2024,Vol.46Issue(1) :46-50.DOI:10.13621/j.1001-5949.2024.01.0046

老年COPD合并吞咽障碍患者抑郁状况及影响因素分析

Analysis on depression status and influencing factors in elderly patients with COPD combined with dysphagia

李素荣 芦鸿雁 王文瑞 张瑞
宁夏医学杂志2024,Vol.46Issue(1) :46-50.DOI:10.13621/j.1001-5949.2024.01.0046

老年COPD合并吞咽障碍患者抑郁状况及影响因素分析

Analysis on depression status and influencing factors in elderly patients with COPD combined with dysphagia

李素荣 1芦鸿雁 2王文瑞 3张瑞2
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作者信息

  • 1. 宁夏盐池县人民医院,宁夏吴忠 751500
  • 2. 宁夏医科大学总医院护理部,宁夏银川 750004
  • 3. 宁夏银川市第一人民医院,宁夏银川 750003
  • 折叠

摘要

目的 调查老年慢性阻塞性肺疾病(COPD)合并吞咽障碍患者抑郁状况及影响因素.方法 采用便利抽样法,选取宁夏地区13所综合医院,使用一般资料调查表、洼田饮水试验、老年人抑郁量表、慢性阻塞性肺疾病评价测试量表、Barthel指数、微型营养评定法简版及FRAIL衰弱评估量表对呼吸内科符合标准的241例患者进行调查,对单因素分析有统计学意义的变量进行logistic回归分析,分析老年COPD合并吞咽障碍患者抑郁状况的影响因素.结果 老年COPD合并吞咽障碍患者抑郁发生率为68.88%,多因素分析结果显示,年龄、文化程度、日常生活活动能力、呼吸困难程度、病情严重程度、吞咽障碍级别及居住方式是患者发生抑郁的影响因素(P<0.05).结论 患者抑郁发生率较高,临床医护人员可根据影响因素制订干预措施以预防抑郁状况的发生.

Abstract

Objective To investigate the depression status and influencing factors in elderly patients with chronic obstructive pulmonary disease(COPD)combined with dysphagia.Methods 13 general hospitals in Ningxia were selected by convenience sampling method.241 patients were investigated by using the general data questionnaire,Water Swallowing Test,Geriatric Depression Scale,COPD Assessment Test,Barthel Index,The Mini Nutritional Assessment-Short Form,MNA-SF and the FRAIL Frail Evaluation scale.The in-fluencing factors of depression in elderly patients with COPD combined with dysphagia were analyzed.Results The incidence of depres-sion in elderly patients with COPD combined with dysphagia was 68.88%.Logistic regression analysis showed that age,education level,ability of daily living,dyspnea degree,severity of disease,dysphagia degree and living style were the factors influencing the occurrence of depression in patients(P<0.05).Conclusion The incidence of depression is high in the patients,and clinical staff can develop inter-ventions to prevent depressive conditions based on the influencing factors.

关键词

老年/慢性阻塞性肺疾病/吞咽障碍/抑郁状况/现状/影响因素

Key words

Old age/Chronic obstructive pulmonary disease/Dysphagia/Depressive condition/The status quo/Influence factors

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基金项目

宁夏重点研发计划项目(2021BEG03116)

出版年

2024
宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
参考文献量14
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