视觉模拟评估法对AECOPD患者症状感知的适用性研究

Applicability of visual analog scale to the symptom perception in patients with AECOPD

目的分析视觉模拟评估法(visual analog scale,VAS)应用于慢性阻塞性肺疾病急性加重期(AECOPD)患者症状感知的实用性及其影响因素。方法通过对2021年2月至2021年8月在阜阳市人民医院住院诊治的455例AECOPD患者的不同症状表型(咳嗽、咳痰、喘息、乏力)进行VAS评分,分析其与多种评分之间的相关性;并采用多元线性回归进一步寻找其影响因素。结果VAS((总))评定简单、迅速、有效,与CAT、CPIS、BODE指数和HAD评分结果均高度相关,与各表型VAS之间亦有着一定的相关性;其中,患者近1年急性加重次数、感染、分泌物性状、FEV1%pred、抑郁、焦虑均是VAS((总))的影响因素。结论临床上可尝试采用VAS评分对患者进行高效评定,其中病患情绪因素也需要引起重视。

Objective To analyze the practicability and influencing factors of visual analog scale(VAS)in symptom perception of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods The VAS scores of 455 patients with AECOPD hospitalized in Fuyang People’s Hospital from February 2021 to August 2021 with different symptom phenotypes(cough,expectoration,wheezing,and fatigue)were performed.The correlation between VAS scores and various scores was analyzed.Multiple linear regression was used to find the influencing factors.Results VAS(total)assessment is simple,rapid,and effective.It is highly correlated with CAT,CPIS,BODE index,and HAD score,and has a certain correlation with the VAS of each phenotype.Among them,the number of acute exacerbations in the recent 1 year,infection,secretion characteristics,FEV1%pred,depression,and anxiety were the influencing factors of VAS(total).Conclusion Clinically,we can try to use the VAS score to evaluate patients efficiently,and the emotional factors of patients also need to be paid attention to.