慢性阻塞性肺稳定期患者体力活动水平及与肺功能和生活质量的相关性分析  

Physical activity level and correlation with pulmonary function and quality of life in patients with stable chronic obstructive pulmonary disease

作　　者：瞿佳蕾 田翠雯 QU Jialei;TIAN Cuiwen(Department of Nursing,Shanghai Ninth People′s Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部,上海200011

出　　处：《公共卫生与预防医学》2025年第3期158-161,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的 了解慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者体力活动水平调查及与肺功能和生活质量的相关性。方法 经便利抽样法选取2021年3月至2023年3月间上海交通大学医学院附属第九人民医院收治的COPD稳定期患者作为研究对象,采用一般资料调查表、体力活动水平调查表、肺功能和生活质量对患者进行调查,分析患者体力活动水平与肺功能和生活质量的相关性。结果 340例COPD稳定期患者中体力活动活跃82例(24.12%),体力活动适中146例(42.94%),体力活动不足112例(32.94%),患者的总体水平偏体力活动适中和不足。不同体力活动水平分级患者在年龄、病程及气流受限程度等不同分组间差异有统计学意义(P<0.05);FEVl、FVC,FEV1%在不同分组间差异有统计学意义(P<0.05);CAT评分以及对生活质量水平影响程度在不同分组间差异有统计学意义(P<0.05);Pearson相关性分析显示,体力活动水平与肺功能(FEVl、FVC,FEV1%)呈正相关(r=0.61、0.62、0.65,P<0.05),与CAT评分呈负相关(r=-0.52,P<0.05)。结论 COPD稳定期患者体力活动水平与肺功能和生活质量密切相关。Objective To understand the physical activity level of patients with stable chronic obstructive pulmonary disease(COPD) and its correlation with pulmonary function and quality of life.Methods Patients with stable COPD admitted to Shanghai Ninth People′s Hospital,Shanghai Jiaotong University School of Medicine from March 2021 to March 2023 were selected as research subjects through convenience sampling method,and the patients were investigated using general data questionnaire,physical activity level questionnaire,pulmonary function and quality of life.The correlation between physical activity level,pulmonary function and quality of life was analyzed.Results Among the 340 patients with stable COPD,82 cases(24.12%) had active physical activity,146 cases(42.94%) had moderate physical activity,and 112 cases(32.94%) had insufficient physical activity.The overall level of patients was moderate and insufficient physical activity.There were statistical differences in age,disease duration and degree of airflow limitation among patients with different physical activity levels(P<0.05).FEVl,FVC and FEV1% in different groups had statistical differences(P<0.05).CAT score and the degree of influence on quality of life were statistically different among different groups(P<0.05).Pearson correlation analysis showed that the level of physical activity was positively correlated pulmonary function(FEVl,FVC and FEV1%)(r=0.61,0.62,0.65,P<0.05) and negatively correlated with CAT score(r=-0.52,P<0.05).Conclusion The level of physical activity in patients with stable COPD is closely related to pulmonary function and quality of life.

关 键 词：慢性阻塞性肺疾病 体力活动 稳定期 肺功能 生活质量 

分 类 号：R181[医药卫生—流行病学]