【摘 要】
：
目的:对老年稳定期COPD患者健康相关生活质量进行评价.方法:使用CAT、CCQ、SGRQ-C、CRQ-SAS对老年COPD稳定期患者健康相关生活质量进行评价.结果:90例稳定期老年COPD患者完成了本调查,其中男性75例(83.3％),年龄67.83±9.69岁(60-85岁).小学文化程度者13例(14.4％),初中文化程度15例(16.7％),高中及中专文化程度33例(36.7％),大专以上
【机 构】
：
陕西省人民医院呼吸内二科, 陕西西安710068 延安大学医学院,陕西延安716000
【出 处】
：
2015中国老年医学和老年健康产业大会
论文部分内容阅读
目的:对老年稳定期COPD患者健康相关生活质量进行评价.
方法:使用CAT、CCQ、SGRQ-C、CRQ-SAS对老年COPD稳定期患者健康相关生活质量进行评价.
结果:90例稳定期老年COPD患者完成了本调查,其中男性75例(83.3％),年龄67.83±9.69岁(60-85岁).小学文化程度者13例(14.4％),初中文化程度15例(16.7％),高中及中专文化程度33例(36.7％),大专以上文化程度29例(32.2％),受教育年限8.89±3.01年.有吸烟史患者70例(77.8％),吸烟指数577.02±593.22年支.患者平均体重指数为23.27±3.64kg/m2(15.57～35.17 kg/m2);肺功能分级为1级者6例(6.7％),2级38例(42.2％),3级33例(36.7％),4级13例(14.4％),平均FEV1％pred为51.21±18.73％;mMRC评分1分者34例(37.8％),2分者48例(53.3％),3分者8例(8.9％);平均6分钟步行实验距离424.53±99.09米(172～600米).四种COPD健康相关生活质量问卷评分与患者FEV1％pred、6MWD、BODE指数均存在相关性.多因素分析表明SGRQ-C的活动评分与影响评分是6MWD以及BODE指数的独立影响因素.
结论:CAT、CCQ、SGRQ-C和CRQ-SAS均适合用于文化程度偏低老年COPD患者的生活质量评价,SGRQ-C可能是评价老年稳定期COPD患者生活质量的较佳问卷.
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