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目的分析探讨稳定期慢性阻塞性肺疾病患者生活质量及其影响因素。方法选取在诸暨市人民医院呼吸科就诊的82例COPD患者作为研究对象,使用AQ20、SAS、SDS问卷对患者的生活质量进行评估,采用多元逐步回归分析法对影响其生活质量的因素进行分析。结果 AQ20得分有56.1%的患者处于较差以下的水平,12.2%的患者生命质量极差,COPD患者的焦虑SAS、SDS得分显著高于正常人群(P<0.05);多元逐步回归分析结果提示影响患者生活质量的危险因素包括:家庭月收入、BMI指数、吸烟史、文化程度、FEV1分级、病程。结论 COPD患者的生活质量较差,需要通过针对性的方式进行宣传教育、指导康复,以帮助患者改善生活习惯从而提升患者的生活质量。
Objective To analyze the quality of life and its influencing factors in patients with stable chronic obstructive pulmonary disease. Methods Eighty-two patients with COPD who were treated in Respiratory Department of Zhuji People’s Hospital were selected as subjects. The quality of life of the patients was evaluated by AQ20, SAS and SDS questionnaires. The factors influencing their quality of life were analyzed by multivariate stepwise regression analysis. Results A total of 56.1% of patients with AQ20 scores were below the level of poor, 12.2% of patients with poor quality of life, SAS patients with anxiety SAS, SDS score was significantly higher than the normal population (P <0.05); multivariate stepwise regression analysis prompted the impact The quality of life of patients with risk factors include: family monthly income, BMI index, smoking history, educational level, FEV1 classification, duration. Conclusion The quality of life of patients with COPD is poor, which needs to be propagandized and educated in a targeted manner to guide the rehabilitation so as to help patients improve their living habits so as to improve their quality of life.