COPD老年患者病程与记忆障碍的相关性分析  

Influence of hospitalizations on memory dysfunction in elderly patients with COPD

作　　者：张新平[1] 郝英秀[2] 陈长香[2] 赵亚军[2] 雷鹏琼[2] 

机构地区：[1]河北省唐山市丰南区医院,河北唐山063000 [2]河北联合大学护理与康复学院

出　　处：《现代预防医学》2013年第8期1408-1410,1413,共4页Modern Preventive Medicine

基　　金：河北省卫生厅重点课题(20100463)

摘　　要：目的探讨老年慢性阻塞性肺疾病(COPD)患者记忆障碍的患病情况及病程对记忆障碍的影响,为实施有针对性的干预方法提供依据。方法整群选取某三甲医院呼吸内科于2009年12月～2010年12月住院符合入选标准的COPD患者205例,年龄60～80岁,应用行为记忆测验第2版(RBMTⅡ)进行记忆功能测评。结果结果显示老年COPD患者的记忆障碍患病率为100%,其中轻度记忆障碍占7.3%;中度记忆障碍占62.9%;重度记忆障碍占29.8%;病程越长的患者记忆障碍患病率越高,且程度越重;RBMTⅡ单项标准评分中立即回忆故事、立即回忆路线、立即回忆信件、回忆预约、故事延迟回忆、路线延迟回忆、信件延迟回忆、回忆姓名、回忆被藏物品、定向和日期病程长者记忆明显降低,差异有统计学意义(P﹤0.05或P﹤0.05)。结论患病时间对老年COPD患者记忆障碍的发生有一定的影响,应该鼓励患者坚持长期的、正确的家庭氧疗及呼吸操训练,养成健康的生活行为习惯,从而改善呼吸困难症状,降低记忆障碍的发生率,延长生存时间,提高患者的自我护理能力和生活质量。OBJECTIVE To explore the prevalence of memory disorders in elderly patients with COPD and the influence of hospitalizations on memory dysfunction, in order to provide evidence for taking the appropriate nursing measures and rehabilitation intervention methods in the future. METHODS With the inclusion criteria, 205 patients with COPD, 60 to 80 years old, were selected from December 2009 to December 2010 in the respiratory department of three level of first-class hospital and their memory functions were evaluated by Rivermead Behavioural Memory Test Second Edition （RBMT II）. RESULTS The results showed that prevalence of memory disorders in elderly patients with COPD was 100%, mild memory disorders accounted for 7.3%, moderate memory disorders accounted for 62.9%, severe memory disorders accounted for 29.8%; The more times the hospitalizations, the higher prevalence and heavier degree of memory disorders; seven factor scores in RBMT- II such as name recall, booking recall, story delayed recall, route delayed recall, immediately letters recall, orientation, date and total scores were signifieanhy lower in the groups of more times hospitalizations （P 〈 0.01 or P 〈 0.05）. CONCLUSION The time of hospitalizations has certain effect on memory disorders in older patients with COPD, we should encourage patients to adhere to long-term, the correct domiciliary oxygen therapy, breathing exercise training and form the good life habit, so as to improve dyspnea symptoms, reduce hospitalizations, reduce the incidence of memory disorder, prolong the survival time and improve the quality of life and ability of self-nursing.

关 键 词：老年患者 COPD 记忆障碍 病程 RBMTⅡ 

分 类 号：R563[医药卫生—呼吸系统] R742[医药卫生—内科学]