慢性阻塞性肺疾病合并呼吸衰竭老年患者的生命质量影响因素分析  

Influencing factors of quality of life of elderly patients with chronic obstructive pulmonary disease and respiratory failure

作　　者：朱凌 赵松青[1] Zhu Ling;Zhao Songqing(Department of Geriatrics,The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Huai’an 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院老年医学科,江苏淮安223300

出　　处：《海军医学杂志》2024年第9期965-968,共4页Journal of Navy Medicine

摘　　要：目的调查慢性阻塞性肺疾病(COPD)合并呼吸衰竭(RF)老年患者的生命质量,并分析影响因素。方法采用便利抽样法抽取2021年3月至2023年2月南京医科大学附属淮安第一医院收治的COPD合并RF老年患者100例作为研究对象,采用一般资料调查问卷和慢性疾病患者生命质量测定量表-COPD(QLICD-COPD)评估患者生命质量,并采用logistic回归分析生命质量的影响因素。结果共发放100份调查问卷,回收有效问卷98份,问卷有效回收率为98%。98例COPD合并RF老年患者的QLICD-COPD评分为(45.06±6.76)分。不同年龄、文化程度、家庭收入、第1秒呼气容积占预计值百分比(FEV_(1)%)分级、医疗费用支付方式、居住情况、体重指数(BMI)和就业情况的患者QLICD-COPD评分差异有统计学意义(P<0.05)。年龄≥75岁、文化程度小学及以下、中低家庭收入、FEV_(1)%4级、独居、BMI<18.5和>24.0是COPD合并RF老年患者生命质量的影响因素(P<0.05)。结论COPD合并RF老年患者的生命质量受到年龄、文化程度、家庭收入、FEV_(1)%、居住情况和BMI的影响,对于存在影响因素的患者临床应引起重视。Objective To investigate the quality of life and its influencing factors in elderly patients with chronic obstructive pulmonary disease(COPD)and respiratory failure(RF).Methods A total of 100 elderly COPD patients with RF who were admitted to The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University from March 2021 to February 2023 were selected as research objects by convenience sampling method.The quality of life of the patients was assessed by the survey questionnaire of general information and quality of life instruments for chronic diseases COPD(QLICD-COPD).The influencing factor the quality of life was investigated by logistic regression analysis.Results Eventually,98 valid questionnaires were collected,with an effective response rate of 98%.The mean QLICD-COPD score was 45.06±6.76.There were significant differences in QLICD-COPD scores among patients with different ages,educational levels,family income,percentage of first second forced expiratory volume to expected value(FEV_(1)%)grading,medical expense payment pattern,residence,body mass index(BMI),and employment status(P˂0.05).Age≥75 years,low education level,middle and low family income,FEV_(1)%grade 4,living alone,and BMI<18.5 and>24.0 were influencing factors for the quality of life of elderly COPD patients with RF(P<0.05).Conclusion The quality of life of elderly COPD patients with RF is affected by age,educational level,family income,FEV_(1)%,residence and BMI.Attention should be paid to the patients with the risk factors.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 老年患者 生命质量 影响因素 

分 类 号：R563[医药卫生—呼吸系统]