重度慢性阻塞性肺疾病患者姑息照护需求水平及其影响因素分析

重度慢性阻塞性肺疾病患者姑息照护需求水平及其影响因素分析

刘小英崔妙玲黄文婷陆汪洋

广西医科大学研究生学院（刘小英，黄文婷，陆汪洋）；广西医科大学第一附属医院护理部（崔妙玲）

出版日期:2016-03-25 发布日期:2016-03-25
基金资助:
广西壮族自治区卫生和计划生育委员会自筹经费科研课题（Z2015497）

Palliative care needs and influencing factors among patients with severe Chronic Obstructive Pulmonary Disease

Online:2016-03-25 Published:2016-03-25

摘要/Abstract

摘要： 目的：调查重度慢性阻塞性肺疾病（COPD) 患者姑息照护需求水平及其影响因素，为制定COPD 姑息照护干预策略提供依据。方法：采用姑息照护结局量表（POS 量表），修订版的Borg 量表，KPS 卡氏功能状态量表，HAD 医院焦虑抑郁量表对108 例重度COPD 患者进行调查。结果：本研究中COPD 患者POS 量表得分为（14.102±5.403) 分；姑息照护需求与呼吸困难评分、功能状态评分、焦虑抑郁评分各评分均有显著相关性；且焦虑抑郁、肺功能分级、合并症个数是COPD 姑息照护需求的影响因素。结论：COPD 患者症状负担重，亟须进行姑息照护，应及早对其采取姑息照护措施，提升患者的生活质量。

Abstract: Objective: To explore the palliative care needs and influencing factors among patients with severe Chronic Obstructive Pulmonary Disease (COPD), and to provide reference for drawing up palliative care interventions among COPD patients. Methods: Totally 108 severe COPD patients were recruited and investigated by Palliative Outcome Scale(POS), Modified Borg Scale, Karnofsky Performance Status (KPS) Scale, and The hospital anxiety and depression scale(HAD) . Results: The palliative care needs score of COPD patients was 14.102±5.403. The palliative care needs was related to breathlessness, functional status, anxiety and depression. Anxiety and depression, pulmonary function classification, and complication were the influencing factors of palliative care needs. Conclusion: The symptom burden of COPD patients was heavy and the patients need palliative care. The palliative care interventions should be delivered as soon as possible to improve the patients' quality of life.

刘小英崔妙玲黄文婷陆汪洋. 重度慢性阻塞性肺疾病患者姑息照护需求水平及其影响因素分析[J]. , 2016, 16(3): 332-336.