双向代际支持与老年COPD患者生命质量的关联分析

Correlation analysis on bidirectional intergenerational support and quality oflife in elderly COPD patients

目的分析双向代际支持对老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者生命质量的影响。方法采用便利抽样法,选取2021年7—10月在潍坊市某三级甲等医院呼吸内科住院的201例老年COPD患者作为调查对象,采用一般资料调查表、亲子支持调查问卷、欧洲五维健康量表(Euro qol five dimension scale,EQ-5D)进行调查,并对数据进行分析。结果老年COPD患者健康效用值为0.81,5个维度中日常活动能力和自我照顾能力存在问题最为突出。生命质量与双向代际支持存在相关性,向上代际支持中,经济支持与健康效用值呈正相关(P<0.05),生活照料与健康效用值呈负相关(P<0.05);向下代际支持中,经济支持与健康效用值呈负相关(P<0.05),生活照料、情感慰藉与健康效用值呈正相关(均P<0.05)。年龄、婚姻状况、并发其他慢性病对生命质量均有影响(均P<0.05),经济支持、生活照料进入回归方程(均P<0.05)。结论潍坊市某三级甲等医院201例老年COPD住院患者的健康效用值较低,良好的双向代际支持可以改善老年COPD患者的生命质量。医护人员应采取措施提高患者的自我效能感,并鼓励老年COPD患者的家庭成员为其提供支持和帮助。

Objective To analyze the impact of bidirectional intergenerational support on the quality of life of elderly patients with chronic obstructive pulmonary disease(COPD).Methods Using the convenience sampling method,201 elderly COPD patients hospitalized in the department of respiratory medicine of a grade-A tertiary hospital in Weifang City from July to October 2021 were selected as the research subjects.The general data questionnaire,parent-child support questionnaire and Euro qol five dimension scale(EQ-5D)were used for the investigation,and the data were analyzed.Results The health utility value of elderly COPD patients was 0.81,with the most prominent problems of daily activity ability and self-care ability among the five dimensions.There was correlation between quality of life and bidirectional intergenerational support.In upward intergenerational support,the economic support was positively correlated with health utility value(P<0.05),and the life care was negatively correlated with health utility value(P<0.05).In downward intergenerational support,the economic support was negatively correlated with health utility value(P<0.05),while the life care and emotional solace were positively correlated with health utility value(both P<0.05).The age,marital status and other chronic diseases had effects on quality of life(all P<0.05).The economic support and life care entered the regression equation(both P<0.05).Conclusions The health utility value of 201 elderly inpatients with COPD in a grade-A tertiary hospital of Weifang City is low,and good bidirectional intergenerational support can improve the quality of life in elderly patients with COPD.The medical staff should take measures to improve patients'self-efficacy and encourage family members of elderly COPD patients to provide support and assistance.