慢性阻塞性肺疾病急性加重期病人未满足需求发展轨迹的调查研究  

Investigation on the developmental trajectory of unmet needs of chronic obstructive pulmonary disease patients in acute exacerbation period

作　　者：香敏仪 翟巾帼[2] 叶瑞英 XIANG Minyi;ZHAI Jinguo;YE Ruiying(Dongguan TCM Hospital,Guangdong 523000 China;Southern Medical University)

机构地区：[1]广州中医药大学东莞医院,广东523000 [2]南方医科大学

出　　处：《护理研究》2025年第8期1272-1280,共9页Chinese Nursing Research

基　　金：2022年东莞市社会发展科技项目,编号:20221800906032。

摘　　要：目的:调查慢性阻塞性肺疾病急性加重期(AECOPD)病人未满足需求现况,分析不同组别的差异,为今后制订改善慢性阻塞性肺疾病急性加重期病人未满足需求的干预措施提供参考。方法:采用便利抽样法选取2022年6月1日—2023年6月28日东莞市6所医院住院的231例慢性阻塞性肺疾病急性加重期病人,对其进行4次追踪调查,运用潜类别增长模型进行分析。结果:共获得3个潜类别轨迹组:中需求下降组(9.96%)、低需求上升组(2.60%)、高需求平稳组(87.45%),各组在年龄和自我照顾能力方面差异有统计学意义(P<0.05)。结论:慢性阻塞性肺疾病急性加重期病人未满足需求具有不同变化轨迹,建议医务人员根据病人的群体差异性,实施动态评估,有针对性地给予支持性护理。Objective:To investigate the current status of unmet needs of AECOPD patients,to analyze the variability among different groups,and to provide a reference basis for developing future interventions so as to improve the unmet needs of AECOPD patients.Methods:From June 1,2022 to June 28,2023,totally 231 AECOPD patients in 6 hospitals in Dongguan city were selected for 4 follow-up surveys by using convenience sampling method.And data were analyzed by using latent category growth model.Results:Three latent category trajectory groups were obtained:the medium-need decline group(9.96%),the low-need rise group(2.60%),and the high-need smooth group(87.45%).There were statistical significant differences in terms of age and self-care ability among the three groups(P<0.05).Conclusion:Patients with AECOPD have different trajectories of unmet needs.And it is recommended that medical staff implement dynamic assessment and targeted supportive care according to the group variability of patients.

关 键 词：慢性阻塞性肺疾病急性加重期 未满足需求 潜类别增长模型 护理 影响因素 

分 类 号：R473.5[医药卫生—护理学]