中文版老年人體力活動量表在老年COPD患者中的應(yīng)用及體力活動的影響因素分析
發(fā)布時間：2018-10-18 12:31
【摘要】：目的1.將中文版老年人體力活動量表(PASE)引入到老年慢性阻塞性肺疾病患者中;2.調(diào)查老年慢性阻塞性肺疾病患者體力活動的水平,并探索體力活動的影響因素。方法選取2015年3月至2016年5月在天津市第一中心醫(yī)院門診接受治療的194例老年慢性阻塞性肺疾病患者作為研究對象。收集患者的一般資料;運用中文版老年人體力活動量表和國際體力活動問卷評估老年慢性阻塞性肺疾病患者的體力活動狀況,運用SF-36生活質(zhì)量量表評估患者的生活質(zhì)量,運用慢性病自我效能量表評價患者的自我效能,運用計步器測量患者的步數(shù),運用DOSE指數(shù)評價患者的疾病嚴重程度。檢驗中文版老年人體力活動量表的心理學特征,包括測量信度、效度和測量誤差。信度的評定包括重測信度評定和內(nèi)部一致性信度評定。效度的評定包括內(nèi)容效度評定、同時效度評定、效標關(guān)聯(lián)效度評定和結(jié)構(gòu)效度評定。測量誤差由測量的標準誤差、最小可測變化值及一致性界限范圍評價。采用便利抽樣的方法,研究對象選取了2016年5月至2016年10月在天津市第一中心醫(yī)院和天津市胸科醫(yī)院門診接受治療的慢性阻塞性肺疾病患者209例。收集患者的一般資料,運用中文版老年人體力活動量表、SF-36生活質(zhì)量量表、慢性病自我效能量表、醫(yī)院焦慮抑郁量表和多維度疲勞量表等評定患者的相關(guān)狀況。采用單因素分析檢驗不同分類變量中的體力活動水平的差異,采用相關(guān)性分析檢驗各連續(xù)變量與體力活動水平的相關(guān)性;采用多元線性逐步回歸分析,進一步探討老年慢性阻塞性肺疾病患者體力活動水平的影響因素。結(jié)果1.中文版老年人體力活動量表的信效度檢驗194例老年慢性阻塞性肺疾病患者參與研究,中文版PASE量表的Cronbach’sα系數(shù)為0.725;總體重測信度為0.980;條目水平的內(nèi)容效度指數(shù)為0.70~1.00,全體一致量表水平的內(nèi)容效度指數(shù)為0.70,平均量表水平的內(nèi)容效度指數(shù)為0.93;校標關(guān)聯(lián)效度為0.578;同時效度為0.698;PASE量表與SF-36和SES6的相關(guān)系數(shù)分別為0.522和0.600,與mMRC評分和DOSE指數(shù)的相關(guān)系數(shù)分別為-0.444和-0.405。測量的標準誤差為6.96,最小可測變化值為19.29。2.老年慢性阻塞性肺疾病患者的體力活動水平及影響因素分析209例老年慢性阻塞性肺疾病患者參與了研究,體力活動水平得分為(71.29±51.44)分,低于正常老年人體力活動水平。單因素分析結(jié)果顯示,社會人口學變量中,在職狀況、氧療狀況、mMRC評分、GOLD分級、是否患有哮喘、是否患有冠心病的患者的體力活動水平的差異有統(tǒng)計學意義(P0.05);連續(xù)性變量中,生理機能、生理職能、情感職能、精力、社會功能、精神健康、一般健康狀況、SES6、抑郁、握力、起坐試驗與體力活動水平存在正相關(guān)(P0.05),年齡、吸煙、DOSE指數(shù)、焦慮、多維度疲勞量表MFI-20的五個維度(綜合性疲勞、體力疲勞、活動減少、動機下降、腦力疲勞)與體力活動水平存在負相關(guān)(P0.05)。多元線性逐步回歸分析結(jié)果顯示:起坐試驗、活動減少、SES6、在職狀況和哮喘對體力活動水平有影響,五個變量對應(yīng)的標準化偏回歸系數(shù)分別為0.448、-0.243、0.239、-0.133、0.122,可解釋體力活動總變異的62.5%,結(jié)論中文版老年人體力活動量表在老年慢性阻塞性肺疾病患者中具有良好的信度和效度,可以作為國內(nèi)老年慢性阻塞性肺疾病患者體力活動水平的測量工具。老年慢性阻塞性肺疾病患者體力活動水平相對較低,有待進一步提高,其中下肢肌力、疲勞、自我效能、在職狀況是影響患者體力活動水平的主要因素。故在今后的臨床工作中,應(yīng)加強對于患者體力活動水平的關(guān)注,積極改善影響體力活動水平的危險因素,采取針對性的干預(yù)措施,改善患者的體力活動現(xiàn)狀,進而提高患者的生活質(zhì)量。
[Abstract]:Purpose 1. PASE was introduced into the elderly patients with chronic obstructive pulmonary disease (COPD). To investigate the level of physical activity in elderly patients with chronic obstructive pulmonary disease and to explore the influencing factors of physical activity. Methods 194 elderly patients with chronic obstructive pulmonary disease were selected from March 2015 to May 2016 in the first central hospital of Tianjin. collecting general information of patients, evaluating the physical activity status of elderly patients with chronic obstructive pulmonary disease by using the Chinese version of the physical fitness table and the international physical activity questionnaire, and evaluating the quality of life of the patients by using the SF-36 quality of life scale, Using the self-efficacy scale of chronic disease to evaluate the patient's self-efficacy, the patient's number of steps was measured by pedometer and the severity of the disease was evaluated by using the DOSE index. The psychological characteristics of the physical examination table of the old people in the Chinese version are examined, including the measurement reliability, the effect degree and the measurement error. Reliability evaluation includes retest reliability assessment and internal consistency reliability assessment. The evaluation of efficiency includes the evaluation of content validity, the evaluation of the same time validity, the correlation efficiency of the effect mark and the evaluation of the structure efficiency. The measurement error is evaluated by the measured standard error, the minimum detectable change value, and the consistency limit range. Methods 209 patients with chronic obstructive pulmonary disease were selected from May 2016 to October 2016 in the First Central Hospital of Tianjin and Tianjin Chest Hospital from May 2016 to October 2016. The general information of the patients was collected, and the related conditions of the patients were evaluated by using the Chinese version of the old man's physical examination table, SF-36 quality of life scale, chronic disease self-efficacy scale, hospital anxiety and depression scale and multi-dimensional fatigue scale. Using single factor analysis to test the difference of physical activity level in different classification variables, correlation analysis was used to examine the correlation between continuous variables and physical activity level, and multiple linear stepwise regression analysis was used. Objective To study the influence factors of physical activity level in elderly patients with chronic obstructive pulmonary disease (COPD). Result 1. In this paper, 194 elderly patients with chronic obstructive pulmonary disease participated in the study, and the Conbach's coefficient of validity of the Chinese version of the PASE Scale was 0.725, and the overall retest reliability was 0. 980; the content validity index of the entry level was 0. 70 ~ 1. 00, The content validity index of the level of all consensus scales was 0. 70, the content validity index of the average scale was 0. 93, the correlation efficiency of the school scale was 0. 578, and the correlation coefficients between the PASE scale and SF-36 and SES6 were 0. 522 and 0. 600, respectively. The correlation coefficients of the mMRC score and the DOSE index were -0. 444 and-0.405, respectively. The measured standard error is 6.96 and the minimum detectable change value is 19. 29. 2. In the elderly patients with chronic obstructive pulmonary disease, 209 elderly patients with chronic obstructive pulmonary disease participated in the study, and the level of physical activity was divided into (71.29/ 51. 44), which was lower than that of the normal elderly. The results of single-factor analysis showed that in the social demographic variables, the difference of physical activity level of patients with coronary heart disease was statistically significant (P0.05). Physical function, emotional function, energy, social function, mental health, general health status, SES6, depression, grip, sitting test and physical activity level were positively correlated (P0.05), age, smoking, DOSE index, anxiety, There was a negative correlation between the five dimensions of the multi-dimensional fatigue scale MFI-20 (comprehensive fatigue, physical fatigue, decreased activity, decreased motivation, mental fatigue) and physical activity level (P0.05). The results of multiple linear stepwise regression analysis showed that the standard deviation regression coefficients corresponding to five variables were 0. 448,-0.243, 0. 239,-0. 133, 0. 122, respectively, which could explain the 62. 5% of the total variance of physical activity. Conclusion The Chinese version of elderly patients with chronic obstructive pulmonary disease (COPD) has good reliability and efficacy, and can be used as a measuring tool for the level of physical activity in elderly patients with chronic obstructive pulmonary disease. The level of physical activity in elderly patients with chronic obstructive pulmonary disease is relatively low, which needs to be further improved, including lower limb muscle strength, fatigue, self-efficacy, and in-service condition is the main factor affecting the level of physical activity of patients. Therefore, in the future clinical work, attention should be given to the level of physical activity of the patient, the risk factors influencing the level of physical activity should be actively improved, the targeted intervention measures should be adopted to improve the current situation of physical activity of the patients, and the quality of life of the patients can be improved.
【學位授予單位】：天津醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473.5
本文編號：2279129
[Abstract]:Purpose 1. PASE was introduced into the elderly patients with chronic obstructive pulmonary disease (COPD). To investigate the level of physical activity in elderly patients with chronic obstructive pulmonary disease and to explore the influencing factors of physical activity. Methods 194 elderly patients with chronic obstructive pulmonary disease were selected from March 2015 to May 2016 in the first central hospital of Tianjin. collecting general information of patients, evaluating the physical activity status of elderly patients with chronic obstructive pulmonary disease by using the Chinese version of the physical fitness table and the international physical activity questionnaire, and evaluating the quality of life of the patients by using the SF-36 quality of life scale, Using the self-efficacy scale of chronic disease to evaluate the patient's self-efficacy, the patient's number of steps was measured by pedometer and the severity of the disease was evaluated by using the DOSE index. The psychological characteristics of the physical examination table of the old people in the Chinese version are examined, including the measurement reliability, the effect degree and the measurement error. Reliability evaluation includes retest reliability assessment and internal consistency reliability assessment. The evaluation of efficiency includes the evaluation of content validity, the evaluation of the same time validity, the correlation efficiency of the effect mark and the evaluation of the structure efficiency. The measurement error is evaluated by the measured standard error, the minimum detectable change value, and the consistency limit range. Methods 209 patients with chronic obstructive pulmonary disease were selected from May 2016 to October 2016 in the First Central Hospital of Tianjin and Tianjin Chest Hospital from May 2016 to October 2016. The general information of the patients was collected, and the related conditions of the patients were evaluated by using the Chinese version of the old man's physical examination table, SF-36 quality of life scale, chronic disease self-efficacy scale, hospital anxiety and depression scale and multi-dimensional fatigue scale. Using single factor analysis to test the difference of physical activity level in different classification variables, correlation analysis was used to examine the correlation between continuous variables and physical activity level, and multiple linear stepwise regression analysis was used. Objective To study the influence factors of physical activity level in elderly patients with chronic obstructive pulmonary disease (COPD). Result 1. In this paper, 194 elderly patients with chronic obstructive pulmonary disease participated in the study, and the Conbach's coefficient of validity of the Chinese version of the PASE Scale was 0.725, and the overall retest reliability was 0. 980; the content validity index of the entry level was 0. 70 ~ 1. 00, The content validity index of the level of all consensus scales was 0. 70, the content validity index of the average scale was 0. 93, the correlation efficiency of the school scale was 0. 578, and the correlation coefficients between the PASE scale and SF-36 and SES6 were 0. 522 and 0. 600, respectively. The correlation coefficients of the mMRC score and the DOSE index were -0. 444 and-0.405, respectively. The measured standard error is 6.96 and the minimum detectable change value is 19. 29. 2. In the elderly patients with chronic obstructive pulmonary disease, 209 elderly patients with chronic obstructive pulmonary disease participated in the study, and the level of physical activity was divided into (71.29/ 51. 44), which was lower than that of the normal elderly. The results of single-factor analysis showed that in the social demographic variables, the difference of physical activity level of patients with coronary heart disease was statistically significant (P0.05). Physical function, emotional function, energy, social function, mental health, general health status, SES6, depression, grip, sitting test and physical activity level were positively correlated (P0.05), age, smoking, DOSE index, anxiety, There was a negative correlation between the five dimensions of the multi-dimensional fatigue scale MFI-20 (comprehensive fatigue, physical fatigue, decreased activity, decreased motivation, mental fatigue) and physical activity level (P0.05). The results of multiple linear stepwise regression analysis showed that the standard deviation regression coefficients corresponding to five variables were 0. 448,-0.243, 0. 239,-0. 133, 0. 122, respectively, which could explain the 62. 5% of the total variance of physical activity. Conclusion The Chinese version of elderly patients with chronic obstructive pulmonary disease (COPD) has good reliability and efficacy, and can be used as a measuring tool for the level of physical activity in elderly patients with chronic obstructive pulmonary disease. The level of physical activity in elderly patients with chronic obstructive pulmonary disease is relatively low, which needs to be further improved, including lower limb muscle strength, fatigue, self-efficacy, and in-service condition is the main factor affecting the level of physical activity of patients. Therefore, in the future clinical work, attention should be given to the level of physical activity of the patient, the risk factors influencing the level of physical activity should be actively improved, the targeted intervention measures should be adopted to improve the current situation of physical activity of the patients, and the quality of life of the patients can be improved.
【學位授予單位】：天津醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473.5
【參考文獻】
相關(guān)期刊論文 前10條
1 邵紅霞;吳琦;;COPD引起的骨骼肌功能紊亂和肺康復訓練的作用研究進展[J];湖北民族學院學報(醫(yī)學版);2016年04期
2 王佳佳;謝洋;李建生;;慢性阻塞性肺疾病合并癥研究[J];世界科學技術(shù)-中醫(yī)藥現(xiàn)代化;2014年12期
3 王賽;陳憲海;;復合指數(shù)評分系統(tǒng)在慢性阻塞性肺疾病中的應(yīng)用價值[J];中華臨床醫(yī)師雜志(電子版);2014年13期
4 ;慢性阻塞性肺疾病診治指南(2013年修訂版)[J];中國醫(yī)學前沿雜志(電子版);2014年02期
5 杜舒婷;丁連明;王春霞;楊福兵;邢彬;劉珍蘭;朱磊;;太極拳運動對慢性阻塞性肺疾病患者運動耐力及肺功能的影響[J];中國康復醫(yī)學雜志;2013年04期
6 鄧國金;鐘清玲;顏新萍;肖育梅;焦燕琴;;中老年慢性阻塞性肺疾病患者疲勞與自我感受負擔的相關(guān)性[J];中國老年學雜志;2012年20期
7 馮連彩;秦艷;;COPD患者BODE指數(shù)及GOLD分級與生活質(zhì)量的相關(guān)性研究[J];中華全科醫(yī)學;2012年10期
8 于書慧;郭愛敏;鄒小芳;肖桂華;胡結(jié)養(yǎng);;慢性阻塞性肺疾病患者生活質(zhì)量與自我效能相關(guān)性研究[J];中國護理管理;2012年05期
9 鄭湘毅;梁素娟;;無創(chuàng)呼吸機輔助運動訓練對老年重度COPD穩(wěn)定期的影響[J];中華全科醫(yī)學;2012年04期
10 張敏;陳錦秀;;COPD相關(guān)性疲勞評定量表的應(yīng)用進展[J];中國護理管理;2011年04期
相關(guān)博士學位論文 前1條
1 林家仕;運動干預(yù)對改善40-49歲男性心肺耐力的劑量—效應(yīng)關(guān)系研究[D];北京體育大學;2012年
相關(guān)碩士學位論文 前4條
1 郭薇;慢性阻塞性肺疾病患者生活質(zhì)量及其影響因素的研究[D];大連醫(yī)科大學;2014年
2 苑朝霞;健身氣功·五禽戲?qū)?0-69歲老年人心血管和呼吸機能的影響[D];山東體育學院;2011年
3 苗雨;多維疲勞量表中文版的修訂及在軍隊基層醫(yī)護人員中的應(yīng)用研究[D];第二軍醫(yī)大學;2008年
4 賈玉儉;成都市女性國際體力活動問卷（自填式長卷）中文版信度效度研究[D];四川大學;2007年
，本文編號：2279129
本文鏈接：http://sikaile.net/linchuangyixuelunwen/2279129.html
最近更新
教材專著
