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老年慢性阻塞性肺疾病缓解期患者自我感受负担的影响因素

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目的:分析老年慢性阻塞性肺疾病(COPD)缓解期患者自我感受负担的影响因素.方法:选取 2019 年 1 月至 2021 年4 月该院收治的 106 例老年COPD缓解期患者进行横断面研究.收集患者临床资料,并评估呼吸困难程度分级、日常生活活动能力评分、正念水平和自我感受负担评分.采用多元线性回归分析老年COPD缓解期患者自我感受负担的影响因素.结果:106 例老年COPD缓解期患者自我感受负担量表(SPBS)评分为(28.85±3.25)分,其中经济负担评分(6.54±1.84)分,身体负担评分(9.35±2.15)分,情感负担评分(12.96±2.32)分;不同性别、居住地、职业状态患者的SPBS评分比较,差异均无统计学意义(P>0.05).多元线性回归分析结果显示,年龄≥70 岁、文化程度为小学及以下、无配偶、家庭月收入<3000 元、病程≥5 年、呼吸困难程度分级 2~4 级、日常生活活动能力评分<60 分、有并发症、主要照顾者为子女、正念水平低均为老年COPD缓解期患者自我感受负担的危险因素(P<0.05).结论:年龄≥70岁、文化程度为小学及以下、无配偶、家庭月收入<3000元、病程≥5年、呼吸困难程度分级2~4级、日常生活活动能力评分<60分、有并发症、主要照顾者为子女、正念水平低均为老年COPD缓解期患者自我感受负担的危险因素.
Influencing factors of self-perceived burden in elderly patients with chronic obstructive pulmonary disease in remission period
Objective:To analyze influencing factors of self-perceived burden in elderly patients with chronic obstructive pulmonary disease(COPD)in remission period.Methods:A cross-sectional study was conducted on 106 elderly patients with COPD in remission period admitted to the hospital from January 2019 to April 2021.The clinical data of these patients were collected.The degree of dyspnea,the activity of daily living score,the mindfulness level,and the self-perceived burden score were evaluated.Multivariate linear regression was used to analyze the influencing factors of self-perceived burden in the elderly patients with COPD in remission.Results:The self-perceived burden scale(SPBS)score of the 106 elderly patients with COPD in remission period was(28.85±3.25),of which the economic burden score was(6.54±1.84),the physical burden score was(9.35±2.15),and the emotional burden score was(12.96±2.32).There were no significant differences in the SPBS score among the patients with different genders,places of residence and occupational status(P>0.05).The multivariate linear regression analysis showed that age≥70 years old,education level of primary school and below,no spouse,family monthly income<3000 yuan,course of disease≥5 years,dyspnea grade 2-4,activity of daily living score<60 points,complications,children as the main caregivers,and low level of mindfulness were risk factors for self-perceived burden in the elderly patients with COPD remission period(P<0.05).Conclusions:Age≥70 years old,education level of primary school and below,no spouse,family monthly income<3000 yuan,course of disease≥5 years,dyspnea grade 2-4,activity of daily living score<60 points,complications,children as the main caregivers,and low level of mindfulness are the risk factors for self-perceived burden in the elderly patients with COPD remission period

Chronic obstructive pulmonary diseaseRemission periodMindfulness levelSelf-perceived burdenInfluencing factor

李慧

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周口市中心医院呼吸与危重症医学科一病区,河南 周口 466000

慢性阻塞性肺疾病 缓解期 正念水平 自我感受负担 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(5)
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