COPD-OSAHS重叠综合征患者自我管理水平影响因素调查分析

Investigation and analysis of influencing factors of self-management level in patients with COPD-OSAHS overlap syndrome

目的探讨影响慢性阻塞性肺疾病(COPD)与阻塞性睡眠呼吸暂停低通气综合征(OSAHS)重叠综合征患者自我管理水平的相关因素,制定干预措施。方法选取2019年1—12月医院收治的经睡眠中心全夜多导睡眠呼吸监测(PSG)确诊为COPD-OSAHS重叠综合征患者276例为研究对象,调查患者自我管理能力水平,分别采用单因素和多元线性回归分析影响COPD-OSAHS重叠综合征患者自我管理水平的因素。结果276例COPD-OSAHS重叠综合征患者自我管理水平总评分均分为65.79±6.40分,其中依据问卷评分划分为良好8例,占2.90%;中等94例,占34.06%;一般174例,占63.04%,总体水平处于中等偏下。单因素及多因素分析结果显示,Epworth嗜睡量表得分、家庭人均月收入、体质量指数、不同压力滴定技术、单纯COPD或阻塞性睡眠呼吸暂停(OSA)肥胖患者筛查或健康教育培训为影响COPD-OSAHS重叠综合征患者自我管理水平独立危险因素(P<0.05)。结论医护人员应根据影响COPD-OSAHS重叠综合征自我管理水平影响因素制定对应个体化针对性对策,改善自我管理水平,提升疾病疗效与预后。

Objective To explore the related factors that affected the self-management level of patients with chronic obstructive pulmonary disease(COPD)and obstructive sleep apnea hypopnea syndrome(OSAHS)overlap syndrome,and formulate intervention measures.Methods A total of 276 patients with COPD-OSAHS overlap syndrome who were admitted to the hospital from January to December 2019 and were diagnosed with COPDOSAHS overlap syndrome through all-night polysomnography(PSG)were selected as the study objects to investigate the level of self-management ability of patients,single factor and multiple linear regression were used to analyze the factors affecting the level of self-management of patients with COPD-OSAHS overlap syndrome.Results The total score of 276 patients with COPD-OSAHS overlap syndrome was divided into 65.79±6.40 points.Among them,according to the questionnaire score,8 cases were good,accounting for 2.90%,94 cases were moderate,accounting for 34.06%,and 174 cases were general,accounting for 63.04%,The overall level belonged to the middle-lower.The Epworth sleepiness scale score,family monthly income per capita,body mass index,different pressure titration techniques,simple COPD or obstructive sleep apnea(OSA)obesity patient screening or health education training were the independent risk factors that affected the self-management level of patients with COPD-OSAHS overlap syndrome(P<0.05).Conclusion Medical staff should formulate individualized and targeted countermeasures based on the influencing factors that affected the level of self-management of COPD-OSAHS overlap syndrome to improve the level of self-management,and improve the efficacy and prognosis of the disease.