社区COPD患者家庭肺康复现状调查及影响因素分析

Investigation of present situation about pulmonary rehabilitation among COPD patients in community and the analysis of influence factors

目的 调查了解社区COPD患者家庭肺康复现状及其影响因素.方法 对广州市1个社区及清远市3个社区共205例COPD患者家庭肺康复现状进行问卷调查,并采用非条件Logistic逐步回归分析法分析其影响因素.结果 共回收问卷205份,排除填写不合格的问卷4份,有效问卷为201份,有效率98％.201例COPD患者中,20.4％的患者坚持家庭氧疗,其中吸氧时间＞15h的仅1例患者,40.8％的患者会因病情加重而加大氧流量;17.9％的患者坚持呼吸功能锻炼,其中75.5％的患者呼吸功能锻炼方法不正确;50.7％的患者进行运动锻炼.住院3～4次的患者家庭氧疗率高,职业为农民及病程＞10年的COPD患者运动锻炼率高.结论 COPD患者家庭肺康复的认知较差,康复锻炼的依从性不高,医护人员应加强患者家庭肺康复的健康宣教,并对社区COPD患者住院次数、职业、病程予以重视.

Objective To study the present situation and influence factors of pulmonary rehabilitation among COPD patients in community.Methods The present situation of pulmonary rehabilitation was investigated using questionnaire in 201 COPD patients,including one community in Guangzhou and three communities in Qingyuan,and the influencing factors were analyzed by Logistic regression.Results Total of 201 COPD patients,20.4% COPD patients could insist on oxygen therapy,just one patient＇s oxygen time more than 15 hours;40.8% COPD patients would increase the oxygen flow if exacerbation;17.9% COPD patients could insist on respiratory exercising,and 75.5% COPD patients took exercise in wrong way.50.7% COPD patients took exercise in their life.3-4 times in hospital with a high rate of home oxygen therapy.Farmers and the course more than ten years with a high rate of exercising.Conclusions The cognition of COPD patients about pulmonary rehabilitation is poor,and also the compliance of pulmonary rehabilitation exercise is bad.The medical staff should strengthen the education of pulmonary rehabilitation of COPI patients in community,and pay attention to patients＇ hospitalization,occupation,and course of disease.