老年慢性阻塞性肺疾病患者老化期望现状及影响因素分析  

Expectations regarding aging and its influencing factors in elderly patients with Chronic Obstructive Pulmonary Disease

作　　者：段菲 孙小卫 肖江琴[1] 刘伟[2] DUAN Fei;SUN Xiaowei;XIAO Jiangqin;LIU Wei(Department of Nursing,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,830000,China)

机构地区：[1]新疆维吾尔自治区人民医院护理部,乌鲁木齐市830000 [2]新疆维吾尔自治区人民医院重症医学科

出　　处：《中国护理管理》2023年第4期517-522,共6页Chinese Nursing Management

基　　金：新疆维吾尔自治区自然科学基金(2022D01C111)。

摘　　要：目的 :调查老年慢性阻塞性肺疾病(COPD)患者老化期望现状并分析其影响因素。方法 :采用便利抽样法,选取2022年1月—6月在乌鲁木齐市某三级甲等医院呼吸内科住院的335例老年COPD患者为研究对象,采用老化期望量表、衰弱表型量表、Morse跌倒风险评估量表等对患者进行调查。采用多元线性回归分析老年COPD患者老化期望的影响因素。结果 :老年COPD患者老化期望总分为(35.29±6.28)分;年龄、文化程度、是否合并慢性病、肺功能分级、COPD评估测试量表评分、社会支持水平及衰弱是老年COPD患者老化期望的影响因素,共解释46.6%的总变异。结论 :老年COPD患者老化期望水平有待提高,应采取一体化管理模式,给予患者个性化的健康指导,帮助患者提高疾病应对能力,以增加其对健康老龄化的期望。Objective:To investigate the expectations regarding aging and analyse its influencing factors in elderly patients with Chronic Obstructive Pulmonary Disease(COPD).Methods:Totally 335 elderly COPD patients hospitalized in the Department of Respiratory of a tertiary grade A hospital in Urumqi from January to June 2022 were selected by convenient sampling method,and the aging expectation scale,frailty phenotype scale,Morse fall risk assessment scale,etc.were used to collect data.Mutiple Liner regression was used to analyze the influencing factors of expectations on aging.Results:The total score of expectations regarding aging in elderly COPD patients was 35.29±6.28.Age,education level,whether with chronic diseases,pulmonary function grading,CAT score,social support and frailty were the influencing factors of expectations regarding aging,which accounted for 46.6%of the total variation.Conclusion:The expectations regarding aging in elderly patients with COPD need to be improved.An integrated management mode should be adopted to provide personalized health guidance,and help patients improve their ability to cope with the changes in disease,and to increase their expectations of healthy aging.

关 键 词：老年人 慢性阻塞性肺疾病 老化期望 影响因素 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]