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慢性阻塞性肺疾病患者疲劳感对自我感受负担的效应分析

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目的 探讨慢性阻塞性肺疾病(COPD)患者自我感受负担与疲劳感之间的关系,为临床减轻COPD患者的自我感受负担提供参考依据。方法 采用便利抽样法选取2021年11月至2022年4月湖南省衡阳市某三级甲等医院收治的204例COPD患者作为调查对象,采用一般资料调查表、曼切斯特COPD疲劳量表、自我感受负担量表进行数据收集,调查COPD患者疲劳感、自我感受负担现状,分析疲劳感对自我感受负担的效应。结果 共回收有效问卷200份,有效回收率为98。0%。调查对象疲劳感总分为(24。25±7。79)分,自我感受负担总分为(28。45±6。89)分,疲劳感与自我感受负担呈正相关(r=0。779,P<0。001)。自我感受负担模型的校正决定系数R2为79。5%,其中疲劳感总分对拟合优度R2的边际贡献为21。5%,是自我感受负担得分最重要的影响因素,疲劳感对自我感受负担具有正向效应。结论 COPD患者疲劳感对自我感受负担密切相关,因此临床工作中应重视患者的疲劳感,可利用肺康复等有效手段改善疲劳,减轻患者的自我感受负担,提升幸福感。
Effect analysis of fatigue on self-perceived burden in patients with chronic obstructive pulmonary disease
Objective To investigate the relationship between self-perceived burden and fatigue in pa-tients with chronic obstructive pulmonary disease(COPD),and to provide reference for reducing the self-per-ceived burden in patients with COPD.Methods A total of 204 COPD patients admitted to a tertiary hospital in Hengyang city,Hunan province from November 2021 to April 2022 were selected as investigation objects by convenience sampling method.General data questionnaire,Manchester COPD Fatigue Scale and Self-perceived Burden Scale were used to collect data,and the status of fatigue and self-perceived burden of COPD patients were investigated.The effect of fatigue on self-perceived burden was analyzed.Results A total of 200 valid questionnaires were collected,with an effective recovery rate of 98.0%.The total score of fatigue was(24.25± 7.79)points,the total score of perceived burden was(28.45±6.89)points,and fatigue was positively correlated with perceived burden(r=0.779,P<0.001).The calibration coefficient R2 of the self-perceived burden model was 79.5%,and the marginal contribution of the total fatigue score to the goodness of fit R2was 21.5%,which was the most important factor affecting the self-perceived burden score,factigue had a positive effect on self-perceived burden.Conclusion Fatigue in patients with COPD is closely related to perceived burden.Therefore,attention should be paid attention to fatigue in clinical work,and effective means such as lung reha-bilitation can be used to to improve fatigue,reduce patients'perceived burden,and enhance their happiness.

Chronic obstructive pulmonary diseasesFatigueSelf-perceived burdenEffect anal-ysisCorrelation

吴文英、全翠芳、欧玉兰

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南华大学护理学院,湖南衡阳 421001

南华大学附属第一医院,湖南衡阳 421001

慢性阻塞性肺疾病 疲劳感 自我感受负担 效应分析 相关性

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(6)
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