老年慢阻肺稳定期患者呼吸肌群锻炼依从性及影响因素分析  

Compliance of respiratory muscle training in elderly patients with chronic obstructive pulmonary disease at stable period and its influencing factors

作　　者：白晋锋[1] 李硕[2] 蒋宏莉 刘自双 BAI Jinfeng;LI Shuo;JIANG Hongli(Geriatric Rehabilitation Center,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100044,China;不详)

机构地区：[1]首都医科大学附属北京康复医院老年康复中心,北京市100044 [2]首都医科大学附属北京康复医院骨科二康复中心,北京市100044 [3]首都医科大学附属北京康复医院护理部,北京市100044

出　　处：《河北医药》2021年第12期1822-1825,共4页Hebei Medical Journal

摘　　要：目的观察老年慢阻肺(COPD)患者呼吸肌群锻炼依从性情况,分析患者呼吸肌群锻炼依从性低下的影响因素,为未来提高老年COPD患者呼吸肌群锻炼依从性拟定干预方案提供参考。方法选取2018年2月至2020年1月就诊的老年COPD患者120例为研究对象,于常规干预1个月时,采用自制呼吸肌群锻炼依从性调查量表评估患者呼吸肌群锻炼依从性;设计基线资料调查问卷,收集患者基线资料并记录,将可能的影响因素纳入,经单因素、多因素分析找出可能导致老年COPD患者呼吸肌群锻炼依从性低下的影响因素。结果120例老年COPD患者中37例呼吸肌群锻炼依从性低下,占30.83%;初步比较依从性低下患者与依从性正常患者的基线资料后,将差异有统计学意义的变量纳入作单因素分析,后建立多元回归模型作多因素分析结果显示,病程短、文化程度低下、负性情绪、吸烟史、社会支持低下均是老年COPD患者呼吸肌群锻炼依从性低下的影响因素(OR>1,P<0.05)。结论老年COPD患者呼吸肌群锻炼依从性普遍低下,可能与患者病程短、文化程度低下、负性情绪、吸烟史、社会支持低下等因素有关,临床应重视有上述风险因素的老年COPD患者的早期干预,以提高呼患者吸肌群锻炼依从性。Objective To investigate the compliance of respiratory muscle training in elderly patients with chronic obstructive pulmonary disease in stable period to analyze the influencing factors so as to provide reference for make the intervention programs to improve the compliance of patients.Methods A total of 120 elderly patients with COPD who were treated in our hospital from February 2018 to January 2020 were enrolled in the study.After 1-month routine intervention,the self-made respiratory muscle exercise compliance survey scale was used to assess patient’s compliance.Baseline data survey questionnaire was used to collect and record baseline data of patients.Possible influencing factors were incorporated.Moreover,single-factor and multifactor analysis were used to explore the influencing factors that might result in the low compliance of the respiratory muscles of patients.Results Of 120 patients with COPD,37 patients had low compliance of the respiratory muscle training,accounting for 30.83%.The variables with statistically significant differences were included for single factor analysis after comparing the baseline data of patients with low compliance and those with normal compliance.Multivariate analysis showed that short course of disease,lower education level,negative emotions,smoking history and low social support were influencing factors for low compliance of respiratory muscle training in elderly patients with COPD(OR>1,P<0.05).Conclusion The elderly patients with COPD have lower compliance of respiratory muscle exercise,which may be related to factors including short course of disease,lower education level,negative emotions,smoking history and low social support.It is necessary to take early intervention for the elderly patients with COPD patients with the risk factors,so as to improve the compliance.

关 键 词：慢性阻塞性肺疾病 呼吸肌群锻炼 依从性 病程 文化程度 情绪 社会支持 

分 类 号：R563[医药卫生—呼吸系统]