农村老年慢性阻塞性肺疾病患者生命质量现状及影响因素分析

Analysis of quality of life and its influencing factors in elderly patients with chronic obstructive pulmonary disease in rural areas

目的探讨农村老年慢性阻塞性肺疾病(COPD)患者生命质量的影响因素。方法回顾性分析2020年5月至2021年10月湖北襄阳市三家三级综合医院呼吸内科就诊的300例COPD患者的临床资料。采用单因素及多因素非条件Logistic回归分析农村老年COPD患者生命质量的影响因素。结果农村老年COPD患者健康调查简表(SF-36)评分为(68.06±15.70)分,圣乔治呼吸问卷(SGQR)评分为(77.71±14.05)分,自我感受负担量表(SPBS)评分为(38.58±9.45)分,健康促进策略量表(SUPPH)评分为(78.65±22.25)分,社会支持评定量表(SSRS)评分为(28.43±5.90)分。单因素分析结果显示,SF-36评分>68分与SF-36评分≤68分患者年龄、文化程度、家庭月收入、合并其他慢性病、是否规律服药、近1年因COPD住院次数、肺功能分级、SGQR评分、SPBS评分、SUPPH评分、SSRS评分比较差异有统计学意义(P<0.05)。非条件Logistic回归分析结果显示,年龄、SGQR评分是农村老年COPD患者生命质量的危险因素(P<0.05),SUPPH评分是农村老年COPD患者生命质量的保护因素(P<0.05)。结论农村老年COPD患者整体生命质量低下,自我管理能力较差,应制定针对性的干预措施,提高患者依从性,积极主动的参与自我健康管理,提高生命质量。

Objective To explore the influencing factors of quality of life in rural elderly patients with chronic obstructive pulmonary disease(COPD).Methods The clinical data of 300 patients with COPD who were admitted to the department of Respiratory Medicine of three tertiary general hospitals in Xiangyang City,Hubei Province from May 2020 to October 2021 were retrospectively analyzed.Univariate and multivariate unconditional Logistic regression were used to analyze the influencing factors of quality of life in rural elderly patients with COPD.Results The score of the MOS item short from health survey(SF-36)was(68.06±15.70)scores,the score of St.George's respiratory questionnaire(SGQR)was(77.71±14.05)scores,the score of self-perceived burden scale(SPBS)was(38.58±9.45)scores,the score of strategies used by people to promote health(SUPPH)was(78.65±22.25)scores,and the score of social support rating scale(SSRS)was(28.43±5.90)scores.The results of univariate analysis showed that there were significant differences in age,education level,family monthly income,combined with other chronic diseases,regular medication,number of hospitalizations due to COPD in the past year,pulmonary function classification,SGQR score,SPBS score,SUPPH score and SSRS score between SF-36 score>68 and SF-36 score≤68 patients(P<0.05).The results of unconditional Logistic regression analysis showed that age,SGQR score were risk factors for the quality of life of rural elderly COPD patients(P<0.05),and SUPPH score was protective factor for the quality of life of rural elderly COPD patients(P<0.05).Conclusion The overall quality of life of elderly COPD patients in rural areas is low and their selfmanagement ability is poor,targeted intervention measures should be developed to improve patients'compliance and actively participate in selfhealth management to improve their quality of life.