AECOPD病人衰弱预测模型的构建  

Construction of a frailty prediction model for AECOPD patients

作　　者：张娟 姜晓丽 魏碧欣 王桂珍 王雅丽 邵颖 ZHANG Juan;JIANG Xiaoli;WEI Bixin;WANG Guizhen;WANG Yali;SHAO Ying(The Affiliated Hospital of Xuzhou Medical University,Jiangsu 221000 China)

机构地区：[1]徐州医科大学附属医院,221000

出　　处：《全科护理》2024年第11期1992-1996,共5页Chinese General Practice Nursing

基　　金：徐州市科技项目,编号:KC22245。

摘　　要：目的:探讨影响慢性阻塞性肺疾病急性加重(AECOPD)病人发生衰弱现状及影响因素,构建衰弱风险列线图模型。方法:采用便利抽样法,选取2021年1月—2022年12月就诊于医院的320例AECOPD病人的临床相关资料,统计并分析发生衰弱现状及影响因素,利用Logistic回归构建衰弱风险预测模型,并使用列线图展示模型。结果:320例AECOPD病人,衰弱发生率为28.75%。单因素分析结果显示:年龄、睡眠状况、营养状况、慢性病数量、体质指数、体育锻炼及多重用药成为AECOPD病人衰弱独立危险因素(P<0.05)。交叉分析卡方检验结果显示:PSQI评分与体育锻炼、NRS 2002评分与体质指数、慢性病数量与多重用药之间在5%的水平上显著(P<0.05),其余各影响因素间无交叉关系,相对彼此独立。Logistic回归分析显示,高龄、睡眠状况差、营养不良、慢性病数量多、体质指数较低、无体育锻炼、多重用药的AECOPD病人更易发生衰弱。结论:AECOPD病人衰弱状况处于中等水平。高龄、睡眠状况差、营养不良、慢性病数量多、体质指数较低、无体育锻炼、多重用药的AECOPD病人更易发生衰弱。本研究构建的AECOPD病人衰弱风险预测模型简单易行,可为识别高危病人及及时干预策略提供指导。Objective:To explore the status quo and influencing factors of frailty in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)and construct a frailty risk nomogram model.Methods:The convenience sampling method was used to select the clinical data of 320 AECOPD patients treated in our hospital from January 2021 to December 2022.The status quo and influencing factors of frailty were analyzed,a frailty risk prediction model was built using logistic regression,and display the model using a nomogram.Results:Among 320 AECOPD patients,the incidence of frailty was 28.75%.The univariate analysis results showed that age,sleep status,nutritional status,number of chronic diseases,body mass index(BMI),physical exercise,and polypharmacy were independent risk factors for frailty in AECOPD patients(P<0.05).The results of the cross-analysis chi-square test showed that the relationships between the PSQI score and physical exercise,the NRS 2002 score and BMI,and the number of chronic diseases and polypharmacy were significant at the 5%level(P<0.05).There was no cross-relationship between the other influencing factors,which were relatively independent.Logistic regression analysis showed that frailty was more likely to occur in AECOPD patients with advanced age,poor sleep status,malnutrition,a large number of chronic diseases,low BMI,no physical exercise,and multiple medications.Conclusions:The frailty status of AECOPD patients is at a moderate level.Frailty was more likely to occur in AECOPD patients who are elderly,have poor sleep status,are malnourished,have a large number of chronic diseases,have a low BMI,have no physical exercise,and take multiple medications.The frailty risk prediction model for AECOPD patients constructed in this study is simple and easy to implement,which could guide identifying high-risk patients and timely intervention strategies.

关 键 词：AECOPD病人 衰弱 列线图模型 护理 

分 类 号：R473.5[医药卫生—护理学]