慢性阻塞性肺疾病住院患者认知度与慢性阻塞性肺疾病评估测试评分的相关性及影响因素分析  

Correlation and influencing factors of cognition and chronic obstructive pulmonary disease assessment test scores in patients with chronic obstructive pulmonary disease in hospital

作　　者：郭爱香[1] 

机构地区：[1]山东省菏泽市立医院呼吸科,山东菏泽274000

出　　处：《中国医学工程》2017年第5期14-18,共5页China Medical Engineering

摘　　要：目的评估慢性阻塞性肺疾病评估测试(CAT)评分和认知度的相关性及其影响因素。方法选择2015年4月‐2016年3月该院收治的慢性阻塞性肺疾病(COPD)住院患者100例,在住院患者慢阻肺稳定期和急性加重期进行疾病评估测试评分(CAT)及评估患者的体质量指数(BMI)、改良英国MRC呼吸困难指数(m MRC)问卷调查,评估COPD住院患者的CAT评分与认知度及影响因素情况分析。结果 COPD急性加重期的BMI评分、CAT评分情况显著高于稳定期,比较差异有统计学意义(P<0.05);COPD的急性加重期与稳定期比较,其MRC呼吸困难指数分级差异有统计学意义(P<0.05);COPD住院患者急性加重期的认知度、m MRC与CAT评分呈正相关,而COPD住院患者的BMI与CAT评分呈负相关,比较差异有统计学意义(P<0.05);COPD住院患者认知程度较佳者46例(46.0%),患者的年龄、经济收入、学历、吸烟情况、医疗保险、职业是影响COPD住院患者的认知度主要因素,比较差异有统计学意义(P<0.05)。结论 COPD住院患者的认知度、m MRC与CAT评分呈正相关,影响患者认知度的因素包括患者的年龄、学历、经济收入、医疗保险、职业和吸烟等因素。[Objective] To evaluate the correlation and influencing factors of cognition and chronic obstructive pulmonary disease （COPD） assessment test scores in patients with COPD in hospital. [Methods] One hundred inpatients with COPD admitted in our hospital from April 2015 to March 2016 were selected, in patients with stable COPD and acute exacerbation, the COPD assessment test （CAT） score and the patient＇s body mass index （BMI） were assessed, modified Medical Research Council （mMRC） questionnaire was conducted, the correlation between CAT score and the awareness and the influence factors of COPD patients were assessed. [Results] In the acute exacerbation of COPD, BMI score and CAT score were significantly higher than those in the stable period, and the differences were statistically significant （P 〈0.05）; there was a significant difference in the Medical Research Council （MRC） dyspnea index between the acute exacerbation and the stable phase of COPD （P 〈0.05）; the cognition of hospitalized COPD patients in acute exacerbation, mMRC score and CAT score was positively correlated, and BMI of patients with COPD was negatively correlated with CAT score, and the difference was statistically significant （P 〈0.05）; there were 46 hospitalized COPD patients （46%） with better cognitive level, the patient＇s age, income, education, smoking, medical insurance, occupation were the main factors affecting cognition in hospitalized patients with COPD, and the difference was statistically significant （P 〈0.05）. [Conclusion] The cognition of COPD and mMRC score were positively correlated with CAT score, factors influencing patient awareness including age, education, income, medical insurance, occupation, smoking and others.

关 键 词：慢性阻塞性肺疾病 影响因素 相关性 CAT评分 认知度 

分 类 号：R563[医药卫生—呼吸系统]