老年COPD患者疲乏状况及其相关因素分析

Fatigue status of elderly patients with COPD and its related factors

目的：了解老年COPD患者疲乏状况及其相关因素，为临床干预提供依据。方法采用疲乏程度量表（ FSS）对老年科142例老年COPD患者进行调查。结果老年COPD患者FSS疲乏平均分为（4．4±2．2）分，69．0％存在疲乏，且不同心功能、自理能力、卧床、睡眠障碍、呼吸困难程度者疲乏发生情况不同，有心力衰竭、自理能力障碍、卧床、睡眠障碍、呼吸困难指数高的老年COPD患者疲乏发生率较高，差异有统计学意义（P＜0．05）；多因素分析结果表明睡眠质量差、呼吸困难指数高及合并心力衰竭是影响老年COPD患者疲乏的主要因素。结论多数老年COPD患者存在疲乏症状，应该加强对患者睡眠障碍呼吸困难指数高及合并心力衰竭患者的临床干预，以减轻患者疲乏症状，从而提高其生活质量。

Objective To learn the fatigue conditions and the related factors of the patients with chronic obstructive pulmonary disease （ COPD ） and provide an evidence for clinical intervention .Methods We used fatigue severity scale （ FSS） to investigate 142 patients who had COPD in our geriatric department .Results The average scores of the FSS in those patients were （4.4 ±2.2）.69.0% of them felt fatigued, and their fatigue conditions differ in their heart functions, self-care abilities, sleep qualities, dyspnea degrees when patients, who had heart failure, poor self-care abilities, dyssomnia or high score of dyspnea index, occurred the higher fatigue incidences （P〈0.05）.The results of multifactor analysis had shown poor sleep ability, high score of dyspnea index and complicated heart failure were the major factors of the fatigue in the patients with COPD.Conclusions Most COPD patients have fatigue .We should strengthen the clinical intervention of sleep quality , high score of dyspnea index and heart failure to decrease the fatigue of the patients , thus to increase their living quality .