福建省≥40岁男性吸烟慢阻肺患者生活质量及其影响因素  

Quality of life and its influencing factors in male smokers aged 40 years and above with chronic obstructive pulmonary disease in Fujian Province

作　　者：尹艳榕 钟文玲 章叶发[1] 陈铁晖[1] 杨泽 林修全[1] 陈婧瑜[1] YIN Yanrong;ZHONG Wenling;ZHANG Yefa;CHEN Tiehui;YANG Ze;LIN Xiuquan;CHEN Jingyu(Fujian Provincial Center for Disease Control and Prevention,Fuzhou,Fujian 350012,China)

机构地区：[1]福建省疾病预防控制中心,福建福州350012

出　　处：《海峡预防医学杂志》2024年第4期4-7,共4页Strait Journal of Preventive Medicine

基　　金：福建省卫生健康科技计划项目资助(2020QNB016)。

摘　　要：目的 了解≥40岁男性吸烟慢性阻塞性肺疾病(COPD)患者生存质量,分析其影响因素,为改善患者生活质量提供依据。方法 数据来自福建省居民慢性阻塞性肺疾病监测系统(2019—2020年),用多阶段分层整群随机抽样法,抽取≥40岁男性吸烟COPD患者305人为研究对象进行问卷调查、身体测量及肺功能检查。其中用复杂抽样加权估计分析男性吸烟COPD患者生活质量,用复杂抽样设计下的多元线性回归法分析生活质量的相关影响因素。结果 ≥40岁男性吸烟COPD患者生活质量问卷(CAT量表)总分为6.1±0.9,各题得分:咳嗽1.1±0.1、咳痰1.1±0.9、胸闷0.6±0.1、气喘0.7±0.2、影响劳动0.5±0.1、影响外出0.4±0.2、影响睡眠0.8±0.1、影响精力0.8±0.1;多元线性回归分析显示:年龄较大、有二手烟暴露、有呼吸系统病史、BMI较小和有烟草依赖者生活质量较差,是主要影响因素。结论 福建省≥40岁男性吸烟COPD患者,应加强戒烟干预,保持良好体型,以提高生活质量;需针对老年人群采取针对性措施来改善其生活质量。Objective To understand the quality of life in male smokers aged 40 years and above with chronic obstructive pulmonary disease(COPD),so as to provide a basis for improving the quality of life.Methods Data were obtained from the Chronic Obstructive Pulmonary Disease Surveillance System for Fujian Residents(2019-2020).A multi-stage stratified cluster random sampling method was used to select male smokers aged≥40 years with COPD.A total of 305 individuals were selected and requested to completed questionnaire survey,physical measurements,and pulmonary function tests.Complex sampling weighting was used to estimate quality of life,while the influencing factors were analyzed using multiple linear regression method under complex sampling design.Results The total score of the Quality of Life Questionnaire(CAT scale)was 6.1±0.9.The score for each question was as follows:cough 1.1±0.1,sputum 1.1±0.9,chest distress 0.6±0.1,shortness of breath 0.7±0.2,interference with labor 0.5±0.1,interference with going out 0.4±0.2,interference with sleep 0.8±0.1,and interference with energy 0.8±0.1.Results of multiple linear regression analysis showed that older age,exposure to secondhand smoking,history of respiratory disease,smaller body mass index(BMI),and tobacco dependence were associated with poorer quality of life.Conclusion Smoking cessation intervention and maintaining good body image should be strengthened in order to improve quality of life.In addition,targeted interventions are also needed for elderly population to improve quality of life.

关 键 词：慢性阻塞性肺疾病(COPD) 吸烟人群 生活质量 戒烟干预 

分 类 号：R563[医药卫生—呼吸系统]