目的:描述慢性阻塞性肺疾病急性加重(acute exacerbation of chronic obstructive pulmonary disease, AECOPD)病人多症状现状,对其多症状进行特征分类,为提供针对性的干预提供参考。方法:采用便利抽样法选取2018年5月—2020年1月某三...目的:描述慢性阻塞性肺疾病急性加重(acute exacerbation of chronic obstructive pulmonary disease, AECOPD)病人多症状现状,对其多症状进行特征分类,为提供针对性的干预提供参考。方法:采用便利抽样法选取2018年5月—2020年1月某三级甲等医院住院的202例AECOPD病人为研究对象,采用一般资料调查表、改良的呼吸困难指数分级(Modified Medical Research Council, mMRC)、修订版记忆症状评估量表、COPD自我效能量表对其进行问卷调查,采用主成分因子分析和聚类分析法对病人多症状特征及群体异质性进行特征分类。结果:分为多症状低度组(n=103)、多症状中度组(n=60)、多症状高度组(n=39)3个亚组,其中高度组病人mMRC得分明显高于其他两组(均P<0.01),呼吸困难管理、体力活动、情感波动维度得分及自我效能总分低于低度组(均P<0.05)。结论:AECOPD病人的多症状存在群体异质性,导致病人不同程度的困扰,多症状3个亚组的识别可为个体化症状管理提供参考。展开更多
A study was conducted to identify the factors related to diabetes mellitus among the diabetes patients at HUSM Kelantan. A total of 972 diabetes mellitus patients who had attended Hospital Universiti Sains Malaysia （...A study was conducted to identify the factors related to diabetes mellitus among the diabetes patients at HUSM Kelantan. A total of 972 diabetes mellitus patients who had attended Hospital Universiti Sains Malaysia （HUSM） from 2005 to 2006 were involved in the study. The significant findings include： （1） Mean age of diabetes patients under the study was 44.36 years old; （2） The average age of patients from control group and pre-diabetes group which came from the middle-age were 44.30 and 42.43 years old respectively. Patients from diabetes group had recorded the highest mean age of 53.24 years old which are the elderly; （3） There was a significant difference in the average blood sugar between patient age group of〈30 years old and patient age group of〉30 years old. However, there was no significant difference in the mean blood sugar between male and female patients; （4） There were significant associations between diabetes mellitus and gender, occupation and clinical symptoms such as tired, polyuria and polydipsia. However, there was no significant association between diabetes mellitus and polyphagia symptoms. The authors believed that the symptoms ofpolyuria and polydipsia were highly associated with the chances of the patients to get diabetes mellitus.展开更多
文摘目的:描述慢性阻塞性肺疾病急性加重(acute exacerbation of chronic obstructive pulmonary disease, AECOPD)病人多症状现状,对其多症状进行特征分类,为提供针对性的干预提供参考。方法:采用便利抽样法选取2018年5月—2020年1月某三级甲等医院住院的202例AECOPD病人为研究对象,采用一般资料调查表、改良的呼吸困难指数分级(Modified Medical Research Council, mMRC)、修订版记忆症状评估量表、COPD自我效能量表对其进行问卷调查,采用主成分因子分析和聚类分析法对病人多症状特征及群体异质性进行特征分类。结果:分为多症状低度组(n=103)、多症状中度组(n=60)、多症状高度组(n=39)3个亚组,其中高度组病人mMRC得分明显高于其他两组(均P<0.01),呼吸困难管理、体力活动、情感波动维度得分及自我效能总分低于低度组(均P<0.05)。结论:AECOPD病人的多症状存在群体异质性,导致病人不同程度的困扰,多症状3个亚组的识别可为个体化症状管理提供参考。
文摘A study was conducted to identify the factors related to diabetes mellitus among the diabetes patients at HUSM Kelantan. A total of 972 diabetes mellitus patients who had attended Hospital Universiti Sains Malaysia （HUSM） from 2005 to 2006 were involved in the study. The significant findings include： （1） Mean age of diabetes patients under the study was 44.36 years old; （2） The average age of patients from control group and pre-diabetes group which came from the middle-age were 44.30 and 42.43 years old respectively. Patients from diabetes group had recorded the highest mean age of 53.24 years old which are the elderly; （3） There was a significant difference in the average blood sugar between patient age group of〈30 years old and patient age group of〉30 years old. However, there was no significant difference in the mean blood sugar between male and female patients; （4） There were significant associations between diabetes mellitus and gender, occupation and clinical symptoms such as tired, polyuria and polydipsia. However, there was no significant association between diabetes mellitus and polyphagia symptoms. The authors believed that the symptoms ofpolyuria and polydipsia were highly associated with the chances of the patients to get diabetes mellitus.
