慢性阻塞性肺疾病稳定期患者自我感受负担与衰弱状态的关系

The relationship between self-perceived burden and debilitating state in patients during the stable period of chronic obstructive pulmonary diseases

目的探究慢性阻塞性肺疾病稳定期患者自我感受负担与衰弱状态的相关性。方法选择某医院2019年6月—2020年10月收治的慢性阻塞性肺疾病稳定期患者90例,采用一般资料量表、自我感受负担量表、Tilburg衰弱量表(TFI)实施评价,通过Pearson相关性检验分析慢性阻塞性肺疾病稳定期患者自我感受负担与衰弱状态的相关性,并确定护理干预策略。结果通过量表评价得到,慢性阻塞性肺疾病稳定期自我感受负担量表评分为43.26±4.16分,低水平69例,中高水平21例;衰弱量表评分为6.13±1.02分,轻度53例,中重度37例;通过Pearson相关性检验显示,慢性阻塞性肺疾病稳定期患者自我感受负担与衰弱状态总体呈正相关性(r=0.994,P=0.000);多元逐步线性回归分析显示,COPD稳定期患者自我感受负担的影响因素有躯体衰弱、心理衰弱(P<0.05)。结论慢性阻塞性肺疾病稳定期患者自我感受负担多较重,伴有衰弱症状,且两者呈正相关性,临床应强化护理干预,缓解衰弱症状,减轻自我感受负担。

Objective To explore the correlation between self-perceived burden and debilitating state in patients during the stable period of chronic obstructive pulmonary disease(COPD).Methods To select 90 cases of patients who were in the stable period of COPD and were admitted to a hospital from June 2019 to October 2020,the general data scale,self-perceived burden scale,Tilburg frailty indicator(TFI)were used for evaluation,and Pearson correlation test was used to analyze the correlation between the self-perceived burden and debilitating status of patients,and determine the nursing intervention strategy.Results Through the scale evaluation,the self-perceived burden scale score of COPD in stable stage was 43.26±4.16 points,69 cases were low level,21 cases were medium-high level.The frailty scale score was 6.13±1.02 points,53 cases were mild,and 37 cases were moderate and severe.Pearson correlation test showed that there was a positive correlation between the self-perceived burden and debilitating state of patients in stable period of COPD(r=0.994,P=0.000).Multiple stepwise linear regression analysis showed that the influencing factors of the self-perceived burden in patients with stable COPD included physical weakness and mental weakness(P<0.05).Conclusion Patients during the stable period of COPD had a heavier self-perceived burden,accompanied by debilitating symptoms,and there was a positive correlation between the two.Clinical nursing intervention should be strengthened to relieve debilitating symptoms and reduce self-perceived burden.