稳定期慢性阻塞性肺疾病患者家庭运动训练现状调查及其影响因素的Logistic回归分析

Investigation on the Status Current Situation of Family Sports Training in Patients with Stable Period Chronic Obstructive Pulmonary Disease and Logistic Regression Analysis of Its Influencing Factors

目的:探讨稳定期慢性阻塞性肺疾病(COPD)患者家庭运动训练现状调查及其影响因素的Logistic回归分析。方法:收集2018年1月~2019年12月期间于本院进行治疗的稳定期COPD患者172例为调查研究对象,根据患者家庭运动训练进行情况将患者分为非运动训练组和运动训练组,对两组患者的一般资料、临床资料等进行统计对比,并采用单因素和多因素Logistic回归分析对影响稳定期COPD患者家庭运动训练进行情况的因素进行分析探讨。结果:在随访调查中,有59例患者进行了家庭运动训练,运动康复训练的普及率为34.30%。经单因素分析,两组患者在性别、年龄、体质指数(BMI)、居住地、婚姻状况、基础疾病、职业对比无显著性差异(P>0.05),而两组患者在住院次数、病程、文化程度、照顾情况、肺康复指导对比有显著性差异(P<0.05)。经多因素Logistic回归分析显示,COPD患者的住院次数、病程、文化程度、照顾情况、肺康复指导是影响患者进行家庭运动训练的主要因素(P<0.05)。结论:我院稳定期COPD患者随访期间家庭运动训练的普及率普遍偏低,且运动方式、强度、频率、规律性等均欠佳。运动训练现状受到患者的住院次数、病程长短、文化程度高低、有无照顾者、有无肺康复指导等因素影响。

Objective:To investigate the status current situation of family sports training in patients with stable period chronic obstructive pulmonary disease(COPD)and the Logistic regression analysis of its influencing factors.Methods:172 patients with COPD who were treated in our hospital from January 2018 to December 2019 were collected as the research objects According to the patients’family sports training,the patients were divided into the non sports training group and sports training group.The general data and clinical data of the two groups were compared statistically.Single factor and logistic multiple factor regression analysis were used to analyze the factors influencing the family sports training of patients with stable period COPD.Results:In the follow-up survey,59 patients had family sports training,the prevalence of sports rehabilitation training was 34.30%.By single factor analysis,there were no significant differences between the two groups in gender,age,body mass index(BMI),place of residence,marital status,basic diseases,occupation(P>0.05),but there were significant differences between the two groups in the number of hospitalization,course of disease,education degree,care situation,pulmonary rehabilitation guidance(P<0.05).Multi factor Logistic regression analysis showed that the main factors influencing the family sports training were the number of hospitalization,course of disease,education degree,care situation and pulmonary rehabilitation guidance(P<0.05).Conclusion:During the follow-up period,the prevalence rate of family sports training is generally low,and the sports mode,intensity,frequency and regularity are not good.The current situation of sports training is affected by the number of hospitalization,length of course of disease,high or low of education degree,have or no caregivers,have or no pulmonary rehabilitation guidance and other factors.