摘要
目的了解老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的生存质量,并分析其主要影响因素,为提供有效的防治提供科学依据。方法采用慢性阻塞性肺疾病(COPD)患者生存质量评估表(QOL)对广州市某医院250例老年COPD患者进行调查,选择社区的500名健康老人作1∶2配对分析。采用逐步回归方法分析慢性阻塞性肺疾病患者生存质量的影响因素。结果病例组患者COPD-QOL的日常生活能力、社会活动状况、抑郁状况、焦虑心理状况及生存质量总分分别是3.080±0.681、2.370±0.461、3.140±0.712、2.410±0.457和2.770±0.582,均明显低于对照组的各项得分(分别为1.610±0.245、1.480±0.347、1.340±0.294、1.430±0.412、1.470±0.357),差异有统计学意义(P<0.05)。多元逐步回归显示:影响COPD患者生存质量的因素是COPD严重程度、年龄、卧床时间、体育锻炼、每日吸烟量和家庭关系。结论老年COPD患者的生存质量明显下降,建议对COPD患者开展综合性社区干预,提高其生活质量。
Objective To explore the Quality of Life（QOL） of gerontal patients with COPD and its influence factors,and provide the information for the intervention of COPD in communities.Methods COPD-QOL questionnaire were used to evaluate the QOL of 250 gerontal patients with COPD and 500 healthy subjects.Stepwise regression methods were used to filter the influence factors for COPD.Results Compared with the control group,the scores of gerontal patients with COPD in activities of daily living,activities of society,depression,anxiety and total scores decreased significantly（P〈0.05）.Stepwise regression showed that the main factors affecting QOL of gerontal COPD were severity of COPD,patients’ age,duration of lying in bed,physical exercise,and quantity of smoking and family relationships.Conclusion The QOL of gerontal patients with COPD decrease obviously as compared with healthy people.Comprehensive community intervention should be taken to control the COPD,and improve the COPD patients’ quality of life.
出处
《中华全科医学》
2011年第8期1279-1280,共2页
Chinese Journal of General Practice
关键词
老年患者
慢性阻塞性肺疾病
生存质量
影响因素
Gerontal patients
Chronic obstructive pulmonary disease（COPD）
Quality of life
Influencing factors
