[1]徐榆林,王晓东,李豪,等.老年慢性阻塞性肺疾病患者社会疏离感现状及影响因素分析[J].解放军护理杂志,2021,38(04):41-44.[doi:10.3969/j.issn.1008-9993.2021.04.011]
 XU Yulin,WANG Xiaodong,LI Hao,et al.Status Quo and Its Influencing Factors of Social Alienation in Elderly Patients with Chronic Obstructive Pulmonary Disease[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(04):41-44.[doi:10.3969/j.issn.1008-9993.2021.04.011]
点击复制

老年慢性阻塞性肺疾病患者社会疏离感现状及影响因素分析()
分享到:

《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年04期
页码:
41-44
栏目:
研究荟萃
出版日期:
2021-04-15

文章信息/Info

Title:
Status Quo and Its Influencing Factors of Social Alienation in Elderly Patients with Chronic Obstructive Pulmonary Disease
文章编号:
1008-9993(2021)04-0041-04
作者:
徐榆林1王晓东1李豪2蒋秋玲1
(1.郑州大学第一附属医院 呼吸内科,河南 郑州 450000; 2.河南大学 护理与健康学院,河南 开封 475000)
Author(s):
XU Yulin1WANG Xiaodong1LI Hao2JIANG Qiuling1
(1.Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan Province,China; 2.College of Nursing and Health,He’nan University,Kaifeng475000,He’nan Province,China)
关键词:
慢性阻塞性肺疾病 社会疏离感 领悟社会支持 影响因素
Keywords:
chronic obstructive pulmonary disease social alienation perceived social support influencing factors
分类号:
R473.56
DOI:
10.3969/j.issn.1008-9993.2021.04.011
文献标志码:
A
摘要:
目的 调查老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者社会疏离感的现状,并分析其影响因素。方法 2018年12月至2020年3月,便利抽样法选取在郑州市某三级甲等综合性医院呼吸内科住院治疗的292例老年COPD患者为研究对象,采用一般情况调查表、一般疏离感量表、领悟社会支持量表及医院焦虑抑郁量表对其进行问卷调查。结果 老年COPD患者社会疏离感得分为(40.83±2.56)分。领悟社会支持各维度得分及总分与社会疏离感得分呈负相关、抑郁与社会疏离感得分呈正相关(均P<0.001)。回归分析结果显示,领悟社会支持、抑郁、呼吸困难程度、年住院次数是老年COPD患者社会疏离感的影响因素(均P<0.001)。结论 老年COPD患者社会疏离感水平有待改善,医护人员应关注其社会疏离状况,采取针对性干预措施,帮助老年COPD患者调节负性情绪,识别、调动社会支持,以降低患者的社会疏离水平。
Abstract:
Objective To investigate the status quo of social alienation in elderly patients with chronic obstructive pulmonary disease(COPD)and analyze its influencing factors.Methods From December 2018 to March 2020, 292 elderly COPD inpatients of a tertiary hospital in Zhengzhou were selected by convience sampling method and were investigated with General Condition Questionnaire,General Alienation Scale,Perceived Social Support Scale and Hospital Anxiety and Depression Scale.Results The score of social alienation in elderly patients with COPD was 40.83±2.56.The scores of each dimension and total scores of perceived social support were negatively correlated with social alienation,while depression was positively correlated with social alienation(all P<0.001).Regression analysis showed that perceived social support,depression,degree of dyspnea and annual hospitalization frequency were the influencing factors of social alienation in elderly COPD patients(all P<0.001).Conclusions The level of social alienation in elderly COPD patients needs to be improved.Medical staff should pay attention to it,take targeted intervention measures to help patients adjust negative emotions,identify and mobilize social support,so as to reduce the social alienation level.

参考文献/References:

[1] 方利文,王临虹,吴静.慢性阻塞性肺疾病患者诊断、治疗与管理状况监测评估[J].中华流行病学杂志,2020,41(7):1009-1013.
[2] WANG C,XU J,YANG L,et al.Prevalence and risk factors of chronic obstructive pulmonary disease in China(the China pulmonary health[CPH]study):a national cross-sectional study[J].Lancet,2018,391(10131):1706-1717.
[3] BIORDI D L.Social isolation[M].Boston:Jones and Bartlett Publishers,2009:85-116.
[4] MALCOLM M,FROST H,COWIE J.Loneliness and social isolation causal association with health-related lifestyle risk in older adults:a systematic review and meta-analysis protocol[J/OL].[2020-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366024/.
[5] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中华结核和呼吸杂志,2013,36(4):255-264.
[6] ROBINSON.性格与社会心理测量总览 [M].杨宜音,译.台湾:远流出版,1997: 389-495.
[7] 汪向东,王希林,马弘.心理卫生评定量表手册:增订版[M].北京:中国心理卫生杂志社,1999:117-118.
[8] ZIGMOND A S,SNAITH R P.The hospital anxiety and depression scale[J].Acta Psychiatr Scand,1983,67(6):361-370.
[9] 叶丛蕾,于龙娟,邹雨辰,等.城市移居老人疏离感水平现状及其干预对策[J].解放军护理杂志,2018,35(12):22-26.
[10]陈泳康,姚桂谊,谭志坚.慢性阻塞性肺疾病患者伴发自杀观念的发生率及相关危险因素分析[J].中国当代医药,2019,26(22):181-184.
[11]李玉平,孙建萍.慢性阻塞性肺疾病患者失能的研究进展[J].护理学杂志,2020,35(1):102-106.
[12]谭春苗,周向东,陈海燕,等.呼吸指导小组对慢性阻塞性肺疾病患者呼吸康复锻炼依从性的影响[J].广东医学,2016,37(20):3146-3148.
[13]许诺,钮美娥,韩燕霞,等.远程康复技术辅助慢性阻塞性肺疾病患者居家肺康复的研究进展[J].中国护理管理,2020,20(6):906-910.
[14]MENEC V H,NEWALL N E,MACKENZIE C S,et al.Examining social isolation and loneliness in combination in relation to social support and psychological distress using Canadian longitudinal study of aging(CLSA)data[J/OL].[2020-12-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089537/.
[15]古思奕,李彦章,董玲,等.老年人疏离感特点及与抑郁的关系[J].中国老年学杂志,2017,37(10):2545-2547.
[16]张凯明,刘鑫,蔡亚敏,等.慢性阻塞性肺疾病患者自我感受负担与自我效能、应对方式的相关性分析[J].中国医师杂志,2018,20(5):697-700.

相似文献/References:

[1]张百艺,赵妹,李明,等.老年慢性阻塞性肺疾病患者急性加重再入院现况及影响因素研究[J].解放军护理杂志,2021,38(12):26.[doi:10.3969/j.issn.1008-9993.2021.12.007]
 ZHANG Baiyi,ZHAO Mei,LI Ming,et al.Status Quo and Its Influencing Factors of Readmission for Acute Exacerbation in Elderly Patients with Chronic Obstructive Pulmonary Disease[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(04):26.[doi:10.3969/j.issn.1008-9993.2021.12.007]
[2]马佳楚,商临萍,李淑花,等.慢性阻塞性肺疾病患者住院时间延长危险因素的Meta分析[J].解放军护理杂志,2022,39(02):60.[doi:10.3969/j.issn.1008-9993.2022.02.015]
 MA Jiachu,SHANG Linping,LI Shuhua,et al.Risk Factors of Prolonged Hospitalization for Patients with Chronic Obstructive Pulmonary Disease:A Meta Analysis[J].Nursing Journal Of Chinese People’s Laberation Army,2022,39(04):60.[doi:10.3969/j.issn.1008-9993.2022.02.015]
[3]张源,赵雅宁,赵润平,等.慢性阻塞性肺疾病急性加重住院患者慢性病资源利用与未来取向应对现状及其相关性分析[J].解放军护理杂志,2022,39(08):38.[doi:10.3969/j.issn.2097-1826.2022.08.010]
 ZHANG Yuan,ZHAO Yaning,ZHAO Runping,et al.Future-oriented Coping and Utilization of Chronic Illness Resources of Inpatients with Acute Exacerbation of Chronic Obstructive Disease: Status Quo and Correlation Analysis[J].Nursing Journal Of Chinese People’s Laberation Army,2022,39(04):38.[doi:10.3969/j.issn.2097-1826.2022.08.010]

备注/Memo

备注/Memo:
【 收稿日期 】 2020-12-14 【 修回日期 】 2021-03-22
【 基金项目 】 河南省科技攻关项目(202102310378)
【 作者简介 】 徐榆林,硕士在读,护师,从事慢性病护理研究
【 通信作者 】 王晓东,电话:0371-67967708
更新日期/Last Update: 2021-04-15