[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):26-29.[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(12):26-29.[doi:10.3969/j.issn.1008-9993.2021.12.007]
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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()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年12期
页码:
26-29
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
Status Quo and Its Influencing Factors of Readmission for Acute Exacerbation in Elderly Patients with Chronic Obstructive Pulmonary Disease
文章编号:
1008-9993(2021)12-0026-04
作者:
张百艺1; 赵妹2; 李明1; 张海宏1; 王丹丹1; 王克芳1
1.山东大学 护理与康复学院,山东 济南 250012; 2.中国医学科学院阜外医院 成人外科恢复室一区,北京 100037
Author(s):
ZHANG Baiyi1; ZHAO Mei2; LI Ming1; ZHANG Haihong1; WANG Dandan1; WANG Kefang1
1.School of Nursing and Rehabilitation,Shandong University,Ji’nan 250012,Shandong Province,China; 2.Adult Surgical Intensive Care Unit 1,Fuwai Hospital,CAMS&PUMC,Beijing 100037,China
关键词:
慢性阻塞性肺疾病;  急性加重;  再入院;  影响因素
Keywords:
chronic obstructive pulmonary disease;  acute exacerbation;  readmission;  influencing factors
分类号:
R473.56
DOI:
10.3969/j.issn.1008-9993.2021.12.007
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)患者急性加重再入院的现况及影响因素。方法 2018年12月至2019年3月,便利抽样法选取北京市7所医院的215例住院老年COPD患者为研究对象。采用一般资料调查问卷、功能共患病指数、改良版英国医学研究委员会呼吸问卷、简易精神状态评价量表、患者健康问卷简版、临床衰弱量表等工具对其进行调查,于6个月后随访调查其是否急性加重再入院,并分析影响因素。结果 6个月内再入院次数≥1次的患者55例(25.6%); 低体重、合并症多、过去1年急性加重次数≥2次为患者6个月内急性加重再入院的危险因素,差异均有统计学意义(均P<0.05)。结论 老年COPD患者6个月内急性加重再入院的风险较高,医护人员应该重点关注低体重、合并症多、过去1年急性加重次数≥2次的患者,并根据患者的个体情况定期随访监测。
Abstract:
Objective To explore the status quo and influencing factors of readmission for acute exacerbation in elderly patients with Chronic Obstructive Pulmonary Disease(COPD).Methods Baseline data were collected from December 2018 to March 2019,and hospitalized elderly patients with COPD were recruited from the 7 hospitals in Beijing by convenience sampling method.The general information questionnaire,FCI,mMRC,MMSE,PHQ-2,and CFS instruments were used to conduct a survey.The patients were followed up 6 months to investigate whether the elderly patients were readmitted for acute exacerbation and analyze the influencing factors of readmission.Results A total of 215 patients completed the survey.The number of elderly patients who have readmitted ≥1 was 55,accounting for 25.6%.Binary logistic regression showed that patients with underweight,more comorbidities,acute exacerbations ≥2 in the past 1 year were risk factors of readmission for acute exacerbation in patients within 6 months.(all P<0.05).Conclusions Elderly patients with COPD are at higher risk of readmission within 6 months for acute exacerbations.Medical staffs should pay more attention to patients with underweight,more comorbidities,AECOPD≥2 in the past 1 year.Regular follow-up monitor is necessary for each patient with specific medical condition.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-10 【 修回日期 】 2021-10-20
【 基金项目 】 中华护理学会2018年度立项科研课题(ZHKY201824)
【 作者简介 】 张百艺,硕士在读,从事老年与慢性病护理研究
【 通信作者 】 王克芳,电话:0531-88382201
更新日期/Last Update: 2021-12-20