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护理学报 ›› 2023, Vol. 30 ›› Issue (8): 1-6.doi: 10.16460/j.issn1008-9969.2023.08.001

• 研究生园地 •    下一篇

322例老年COPD患者生活空间现状及影响因素分析

孙小卫1, 王燕2, 闵春燕3, 段菲4, 肖江琴3   

  1. 1.新疆医科大学 护理学院,新疆 乌鲁木齐 830000;
    2.新疆维吾尔自治区人民医院 呼吸与危重症医学中心,新疆 乌鲁木齐 830000;
    3.新疆维吾尔自治区人民医院 护理部,新疆 乌鲁木齐 830000;
    4.石河子大学 护理学院,新疆 石河子 832061
  • 收稿日期:2022-11-17 发布日期:2023-05-12
  • 通讯作者: 肖江琴（1973-）,女,新疆乌鲁木齐人,硕士,硕士研究生导师,主任护师。E-mail:470197025@qq.com
  • 作者简介:孙小卫（1996-）,男,山西襄垣人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    新疆维吾尔自治区人民医院院内项目（20210242）; 新疆维吾尔自治区自然科学基金（2022D01C111）

Status quo and influencing factors of life space in elderly patients with chronic obstructive pulmonary disease：a 322-case study

SUN Xiao-wei1, WANG Yan2, MIN Chun-yan3, DUAN Fei4, XIAO Jiang-qin2   

  1. 1. School of Nursing, Xinjiang Medical University, Urumqi 830000, China;
    2. Dept. of Critical Care Medicine, Xinjiang People's Hospital, Urumqi 830000, China;
    3. Dept. of Nursing Administration, Xinjiang People's Hospital, Urumqi 830000, China;
    4. School of Nursing, Shihezi University, Shihezi 832061, China
  • Received:2022-11-17 Published:2023-05-12

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摘要： 目的 了解老年COPD患者生活空间现状,并分析其影响因素。方法 采用便利抽样法,选取2021年11月—2022年4月收治于乌鲁木齐市某三级甲等医院呼吸与危重症医学中心的322例老年COPD患者作为研究对象,采用一般资料调查表、老年人生活空间评价量表、简易躯体能力测试、呼吸困难信念问卷进行调查。运用多元线性回归分析老年COPD患者生活空间水平的影响因素。结果 老年COPD患者生活空间总分为（47.10±19.70）分。多元线性回归分析显示,文化程度、病程、呼吸困难指数、躯体功能、呼吸困难信念是老年COPD患者生活空间的主要影响因素（P<0.05）,可解释总变异的44.9%。结论 本组老年COPD患者生活空间处于轻度受限,文化程度、病程、呼吸困难指数、躯体功能、呼吸困难信念是影响老年COPD患者生活空间的主要因素。医护人员需重视对生活空间的评估,改善患者躯体功能,降低恐惧呼吸困难信念,最大程度地拓展生活空间。

关键词: 老年人, 慢性阻塞性肺疾病, 生活空间, 躯体功能, 呼吸信念, 影响因素

Abstract: Objective To understand the current status of life space in elderly patients with chronic obstructive pulmonary disease (COPD), and to analyze its influencing factors. Methods Convenience sampling was used to select 322 elderly patients with COPD who were admitted to respiratory and critical care medicine center of a tertiary grade-A hospital in Urumqi from November 2021 to April 2022. General information questionnaire, Life Space Assessment Scale, the Simple Physical Ability Test, and the Breathlessness Belief Questionnaire were used to conduct a questionnaire survey, and multiple linear regression was used to analyze the influencing factors of life space level. Results The life space score of elderly COPD patients was 47.10±19.70. Multiple linear regression analysis showed that education background, disease course, dyspnea index, physical function, and dyspnea belief were the influencing factors of life space in elderly COPD patients (P<0.05), which explaining 44.9% of the total variation. Conclusion The life space of the elderly COPD patients in this group is slightly restricted. Education background, disease course, dyspnea index, physical function, and dyspnea belief are the main factors affecting life space of elderly COPD patients. Medical staff should pay attention to the assessment of life space; improved physical function and reduced fear of dyspnea are conducive to expanding the life space.

Key words: elderly people, chronic obstructive pulmonary disease, life space, physical function, breathing beliefs, influencing factor

中图分类号: 

  • R473.56
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