老年社区慢性阻塞性肺疾病患者稳定期自我管理水平影响因素分析

Analysis on Influencing Factors of Self-management Level of Elderly Patients with Chronic Obstructive Pulmonary Disease in Stable Period

目的 探讨影响老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者稳定期自我管理水平的因素,为科学防控提供依据。方法 选择2020—2021年上海市徐汇区长桥街道社区建档的老年COPD患者,最终纳入符合研究条件的病例127例。将年龄、教育程度、生活状况、病程、COPD分级、疾病认知作为自变量,将COPD患者自我管理量表评分作为因变量,进行多元线性回归分析。结果 对自我管理水平影响从高到低的因素依次为:COPD分级、病程、疾病认知、教育程度、生活状况和年龄(B=-3.631、3.271、2.114、1.732、1.413、-1.125,P<0.05)。结论 COPD分级低、病程长、疾病认知水平高、教育程度高、非独居、年龄小的COPD患者,自我管理水平较高。

Objective To explore the factors affecting the self-management level of elderly patients with chronic obstructive pulmonary disease(COPD) in stable period,so as to provide basis for scientific prevention and control.Methods A total of 127 elderly patients with COPD who were filed in Changqiao Street community,Xuhui District,Shanghai,from 2020 to 2021 were included.Multiple linear regression analysis was carried out with age,education,living conditions,course of disease,COPD grade and disease cognition as independent variables and COPD patients’ self-management scale score as dependent variables.Results The factors affecting the self-management level from high to low were COPD grade,course of disease,disease cognition,education level,living condition and age(B =-3.631,3.271,2.114,1.732,1.413,-1.125,P<0.05).Conclusion COPD patients with low COPD grade,long disease course,high disease cognition level,high education level,non-living alone and young age have higher selfmanagement level.