实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2015年
3期
19-21
,共3页
李佳宁%郭霞%赵雅宁%戈艳蕾
李佳寧%郭霞%趙雅寧%戈豔蕾
리가저%곽하%조아저%과염뢰
肺结核%肺疾病,慢性阻塞性%老年人%正念%自我感受负担%预后
肺結覈%肺疾病,慢性阻塞性%老年人%正唸%自我感受負擔%預後
폐결핵%폐질병,만성조새성%노년인%정념%자아감수부담%예후
Tuberculosis%Pulmonary disease,chronic obstructive%Aged%Mindfulness%Self - perceived burden%Prognosis
目的：探讨老年肺结核合并慢性阻塞性肺疾病（ COPD）患者正念水平与自我感受负担（ SPB）及预后的关系。方法选择2013年10月—2014年10月在唐山市人民医院住院治疗的老年肺结核合并COPD患者148例，征得患者同意后进行一对一现场调查。内容包括一般资料采集、正念水平、SPB评分及用药依从性，观察患者治疗2个月后预后。结果根据正念注意觉知量表（ MAAS）评分将148例患者分为高水平组75例和低水平组73例，高水平组患者治疗有效率为84.0%，高于低水平组的60.3%（χ2=16.25，P=0.001）。多因素Logistic回归分析结果显示，正念水平〔β=-0.268，OR=0.62，95%CI（0.404，0.788）〕、SPB评分〔β=0.322，OR=1.96，95%CI（1.115，3.826）〕及用药依从性〔β=0.412，OR=2.64，95%CI（1.666，5.248）〕是老年肺结核合并COPD患者预后的影响因素。Pearson相关分析结果显示，正念水平与SPB评分呈负相关（r=-0.639，P<0.01）；SPB评分与用药依从性呈负相关（r=-0.618，P<0.01）。结论高水平正念可在一定程度上减轻老年肺结核合并COPD患者的SPB，有利于改善患者预后。
目的：探討老年肺結覈閤併慢性阻塞性肺疾病（ COPD）患者正唸水平與自我感受負擔（ SPB）及預後的關繫。方法選擇2013年10月—2014年10月在唐山市人民醫院住院治療的老年肺結覈閤併COPD患者148例，徵得患者同意後進行一對一現場調查。內容包括一般資料採集、正唸水平、SPB評分及用藥依從性，觀察患者治療2箇月後預後。結果根據正唸註意覺知量錶（ MAAS）評分將148例患者分為高水平組75例和低水平組73例，高水平組患者治療有效率為84.0%，高于低水平組的60.3%（χ2=16.25，P=0.001）。多因素Logistic迴歸分析結果顯示，正唸水平〔β=-0.268，OR=0.62，95%CI（0.404，0.788）〕、SPB評分〔β=0.322，OR=1.96，95%CI（1.115，3.826）〕及用藥依從性〔β=0.412，OR=2.64，95%CI（1.666，5.248）〕是老年肺結覈閤併COPD患者預後的影響因素。Pearson相關分析結果顯示，正唸水平與SPB評分呈負相關（r=-0.639，P<0.01）；SPB評分與用藥依從性呈負相關（r=-0.618，P<0.01）。結論高水平正唸可在一定程度上減輕老年肺結覈閤併COPD患者的SPB，有利于改善患者預後。
목적：탐토노년폐결핵합병만성조새성폐질병（ COPD）환자정념수평여자아감수부담（ SPB）급예후적관계。방법선택2013년10월—2014년10월재당산시인민의원주원치료적노년폐결핵합병COPD환자148례，정득환자동의후진행일대일현장조사。내용포괄일반자료채집、정념수평、SPB평분급용약의종성，관찰환자치료2개월후예후。결과근거정념주의각지량표（ MAAS）평분장148례환자분위고수평조75례화저수평조73례，고수평조환자치료유효솔위84.0%，고우저수평조적60.3%（χ2=16.25，P=0.001）。다인소Logistic회귀분석결과현시，정념수평〔β=-0.268，OR=0.62，95%CI（0.404，0.788）〕、SPB평분〔β=0.322，OR=1.96，95%CI（1.115，3.826）〕급용약의종성〔β=0.412，OR=2.64，95%CI（1.666，5.248）〕시노년폐결핵합병COPD환자예후적영향인소。Pearson상관분석결과현시，정념수평여SPB평분정부상관（r=-0.639，P<0.01）；SPB평분여용약의종성정부상관（r=-0.618，P<0.01）。결론고수평정념가재일정정도상감경노년폐결핵합병COPD환자적SPB，유리우개선환자예후。
Objective To investigate the mindfulness level and its correlation with self -perceived burden ( SPB ) and prognosis in aged tuberculosis patients complicated with chronic obstructive pulmonary disease( COPD). Methods A total of 148 aged tuberculosis patients complicated with COPD were selected in the People′s Hospital of Tangshan from October 2013 to October 2014,and one -to -one field investigation was carried out after patients′consent. General information,mindfulness level,SPB score, medication compliance, prognosis after 2 months of treatment were collected and observed. Results According to MAAS score,all of the patients were divided into groups A(with high mindfulness level,n=75)and B(with low mindfulness level,n=73),the effective rate of A group was 84. 0%,was higher than that of B group of 60. 3%(χ2 =16. 25,P=0. 001). Multivariable Logistic regression analysis showed that,mindfulness level〔β = -0. 268,OR =0. 62, 95%CI(0. 404,0. 788)〕,SPB score〔β=0. 322,OR=1. 96,95%CI(1. 115,3. 826)〕and medication compliance〔β=0.412,OR = 2.64,95% CI(1.666,5.248)〕were influencing factors of prognosis of aged tuberculosis patients complicated with COPD. Pearson correlation analysis showed that,mindfulness level was negatively correlated with SPB score, SPB score was negatively correlated with medication compliance(r = -0. 618,P <0. 01). Conclusion High mindfulness level can reduce the SPB of aged tuberculosis patients complicated with COPD to some extent,is helpful to improve the patients′prognosis.
