慢性阻塞性肺疾病住院患者认知度与CAT评分的相关性及影响因素分析

Analysis of correlation and impact factors between cognition and CAT score of inpatients with chronic obstructive pulmonary disease

目的 分析认知度与慢性阻塞性肺疾病评估测试（CAT）评分的相关性及影响因素,对比两个时期CAT评分及影响因素的差异.方法 对符合条件的60例COPD急性加重期住院患者进行认知度调查,并于急性加重期和稳定期进行两次CAT评分、MMRC问卷和体质量指数测算.结果 认知度与CAT评分显著相关;认知度、呼吸困难程度、体质量指数对CAT评分有显著影响;急性加重期与稳定期比较CAT评分、呼吸困难程度、体质量指数差异有统计学意义.结论 认知度与生命质量具有相关性;认知度、呼吸困难程度、体质量指数可影响生命质量,临床中可以考虑应用体质量指数、呼吸困难程度、CAT评分预测急性加重风险.

Objective To analyze correlations and impact factors between cognition and test scores in chronic obstructive pulmonary disease assessment （CAT） and to compare the differences between CAT score and impact factors of two phases.Methods Sixty cases of acute exacerbated hospital patients in compliance with conditions were investigated for cognition.And CAT score,MMRC questionnaire and body mass index calculation proceeded twice both in acute phase and stable phase.Results Cognition was significantly related to CAT score.Cognition,degree of dyspnea and body mass index had significant effects on the CAT score.There was statistical significance in comparison among CAT score,degree of dyspnea and body mass index difference in acute phase and stable phase.Conclusions Cognition is related to quality of life.Cognition,degree of dyspnea and body mass index can affect the quality of life.Body mass index,degree of dyspnea and CAT score could be considered to be used to predict the risk of acute exacerbation in clinic.