慢性阻塞性肺疾病患者執(zhí)行功能障礙的危險(xiǎn)因素分析
發(fā)布時(shí)間：2019-06-21 11:38
【摘要】：目的分析慢性阻塞性肺疾病(COPD)患者執(zhí)行功能障礙的危險(xiǎn)因素,為提高COPD患者執(zhí)行功能采取應(yīng)對(duì)措施提供可靠的基礎(chǔ)依據(jù)。方法選取2015年9月至2016年8月在華北理工大學(xué)附屬醫(yī)院呼吸內(nèi)科確診COPD的301名患者為研究對(duì)象。采用執(zhí)行功能缺陷綜合征的行為學(xué)評(píng)價(jià)測(cè)試(BADS)進(jìn)行評(píng)測(cè),根據(jù)評(píng)測(cè)結(jié)果將COPD患者確定為病例組和對(duì)照組。嚴(yán)格按照納入排除標(biāo)準(zhǔn),將BADS總標(biāo)準(zhǔn)分≤9分者納入執(zhí)行功能障礙組(病例組),共179人;將BADS總標(biāo)準(zhǔn)分9分者納入執(zhí)行功能非障礙組(對(duì)照組),共122人。通過(guò)問(wèn)卷形式,對(duì)患者的一般人口學(xué)資料、工作情況、生活方式、睡眠情況、心理社會(huì)因素及疾病特征等相關(guān)因素進(jìn)行調(diào)查和收集,應(yīng)用SPSS17.0統(tǒng)計(jì)軟件包,采用卡方檢驗(yàn)和Logistic回歸對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,探討COPD患者執(zhí)行功能障礙的危險(xiǎn)因素。結(jié)果1影響COPD患者執(zhí)行功能障礙的單因素分析結(jié)果顯示,COPD患者的年齡、婚姻狀況、文化程度、居住地、工作與否、工作性質(zhì)、吸煙情況、閱讀情況、關(guān)注新聞情況、有無(wú)業(yè)余愛(ài)好、體育鍛煉、參與社區(qū)活動(dòng)、食用腌制品情況、使用鋁制鍋具情況、睡眠狀況、抑郁程度、家庭支持情況、患病時(shí)間、自發(fā)病后復(fù)發(fā)次數(shù)、伴隨其他疾病種類(lèi)、疾病癥狀種類(lèi)數(shù)、FEV1/FVC、肺功能分級(jí)、Sp O2與執(zhí)行功能障礙的發(fā)生有關(guān),差異有統(tǒng)計(jì)學(xué)意義(P0.05)。2影響COPD患者執(zhí)行功能障礙的多因素分析多因素Logistic回歸分析結(jié)果顯示,年齡、婚姻狀況、業(yè)余愛(ài)好、使用鋁制鍋具、睡眠質(zhì)量、FEV1/FVC、肺功能分級(jí)、Sp O2是COPD患者執(zhí)行功能障礙的影響因素,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。OR值由大到小依次是FEV1/FVC重度下降(OR=43.916)、肺功能重度損傷(OR=13.346)、無(wú)業(yè)余愛(ài)好(OR=9.061)、Sp O294%(OR=8.967)、無(wú)配偶(OR=6.928)、使用鋁制鍋具3次/周(OR=5.349)、年齡(OR=4.528)、睡眠障礙(OR=3.589)。結(jié)論COPD患者的年齡≥70歲、無(wú)配偶、無(wú)業(yè)余愛(ài)好、使用鋁制鍋具、睡眠障礙、FEV1/FVC重度下降、肺功能重度損傷、Sp O294%是發(fā)生執(zhí)行功能障礙的危險(xiǎn)因素。
[Abstract]:Objective To analyze the risk factors of functional dysfunction in patients with chronic obstructive pulmonary disease (COPD) and to provide a reliable basis for improving the performance of patients with chronic obstructive pulmonary disease (COPD). Methods 301 patients with COPD were selected from September 2015 to August 2016 at the Affiliated Hospital of North China University of Technology. The behavior evaluation test (BADS) for performing functional defect syndrome was used to evaluate the patients with COPD as the case group and the control group according to the evaluation results. In strict accordance with the inclusion exclusion criteria, the BADS total standard score of 9 was included in the executive dysfunction group (case group) and 179; the BADS total score of 9 was included in the executive function non-barrier group (control group), with a total of 122. In the form of questionnaire, the data of general demographic data, working condition, life style, sleep condition, psychosocial factors and disease characteristics of the patient were investigated and collected, and the data were analyzed by Chi-square test and logistic regression using the SPSS 10.0 statistical software package. Objective To study the risk factors of functional dysfunction in patients with chronic obstructive pulmonary disease (COPD). Results 1 The single factor analysis of the performance dysfunction in COPD patients showed that the age, the marital status, the degree of culture, the place of residence, the work, the nature of the work, the smoking status, the reading situation, the information about the news, the existence of the hobby and the physical exercise of the COPD patients. participating in community activities, eating the marinade, using the aluminum pan, the sleeping condition, the degree of depression, the family support, the time of the illness, the number of times of recurrence since the onset of the disease, the type of other disease, the number of disease symptoms, the FEV1/ FVC, the lung function classification, The results of multi-factor logistic regression analysis of the multi-factor analysis of functional dysfunction in patients with COPD showed that age, marital status, hobbies, use of aluminum cookware, sleep quality, FEV1/ FVC, pulmonary function classification, The difference was statistically significant (P0.05). The OR value was from large to small, with a severe decrease in FEV1/ FVC (OR = 43.916), severe lung function (OR = 13.346), no hobby (OR = 9.061), Sp O294% (OR = 8.967), no spouse (OR = 6.928), and 3 times/ week for aluminum (OR = 5.349). Age (OR = 4.528), sleep disorder (OR = 3.589). Conclusion The age of COPD patients is 70 years old, no spouse, no hobby, use of aluminum pan, sleep disorder, FEV1/ FVC severe decline, lung function severe injury, Sp O294% is the risk factor to carry out dysfunction.
【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R473.5
本文編號(hào)：2504050
[Abstract]:Objective To analyze the risk factors of functional dysfunction in patients with chronic obstructive pulmonary disease (COPD) and to provide a reliable basis for improving the performance of patients with chronic obstructive pulmonary disease (COPD). Methods 301 patients with COPD were selected from September 2015 to August 2016 at the Affiliated Hospital of North China University of Technology. The behavior evaluation test (BADS) for performing functional defect syndrome was used to evaluate the patients with COPD as the case group and the control group according to the evaluation results. In strict accordance with the inclusion exclusion criteria, the BADS total standard score of 9 was included in the executive dysfunction group (case group) and 179; the BADS total score of 9 was included in the executive function non-barrier group (control group), with a total of 122. In the form of questionnaire, the data of general demographic data, working condition, life style, sleep condition, psychosocial factors and disease characteristics of the patient were investigated and collected, and the data were analyzed by Chi-square test and logistic regression using the SPSS 10.0 statistical software package. Objective To study the risk factors of functional dysfunction in patients with chronic obstructive pulmonary disease (COPD). Results 1 The single factor analysis of the performance dysfunction in COPD patients showed that the age, the marital status, the degree of culture, the place of residence, the work, the nature of the work, the smoking status, the reading situation, the information about the news, the existence of the hobby and the physical exercise of the COPD patients. participating in community activities, eating the marinade, using the aluminum pan, the sleeping condition, the degree of depression, the family support, the time of the illness, the number of times of recurrence since the onset of the disease, the type of other disease, the number of disease symptoms, the FEV1/ FVC, the lung function classification, The results of multi-factor logistic regression analysis of the multi-factor analysis of functional dysfunction in patients with COPD showed that age, marital status, hobbies, use of aluminum cookware, sleep quality, FEV1/ FVC, pulmonary function classification, The difference was statistically significant (P0.05). The OR value was from large to small, with a severe decrease in FEV1/ FVC (OR = 43.916), severe lung function (OR = 13.346), no hobby (OR = 9.061), Sp O294% (OR = 8.967), no spouse (OR = 6.928), and 3 times/ week for aluminum (OR = 5.349). Age (OR = 4.528), sleep disorder (OR = 3.589). Conclusion The age of COPD patients is 70 years old, no spouse, no hobby, use of aluminum pan, sleep disorder, FEV1/ FVC severe decline, lung function severe injury, Sp O294% is the risk factor to carry out dysfunction.
【學(xué)位授予單位】：華北理工大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R473.5
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