|
|
|
| Analysis on the Level of Palliative Care Demand and the Influencing Factors in Patients with Severe Chronic Obstructive Pulmonary Disease |
| CHEN Xiaoshan |
| West China Hospital, Affiliated to Sichuan University, Sichuan Chengdu 610041, China |
|
|
|
|
Abstract Objective:To explore the level of demand and influencing factors for palliative care in patients with severe chronic obstructive pulmonary disease (COPD). Methods: A total of 180 patients with severe COPD were enrolled in our hospital from February 2015 to March 2018. The palliative care outcome scale (POS scale) was used to assess the level of palliative care needs, and the HAD anxiety and depression scale was used. Influencing factors of KPS card function scale and Borg scale on POS scale scores in patients with severe COPD. Results: In this study, 180 patients with severe COPD had an average POS score of 14.1 ± 5.3. Univariate analysis showed that gender, economic stress, duration of disease, pulmonary function, and comorbidities were all palliative care for patients with severe COPD. The correlation factors of the demand level were significantly different (P<0.05). The HAD score and Borg score of patients with severe COPD were positively correlated with the palliative care demand level. The KPS score was significantly negatively correlated with the palliative care demand level. The difference was significant. Sexuality (P<0.05); multivariate analysis showed that lung function grade, comorbidity type, and HAD score were the key factors affecting the level of palliative care in patients with severe COPD, and were significantly positively correlated with the level of palliative care needs of patients. Sex (P<0.05). Conclusion: Patients with severe COPD have higher palliative care services. Among them, the patient's lung function level, comorbidity type, anxiety and depression are important factors affecting the level of palliative care of such patients. Clinically, palliative care should be strengthened for such patients. The assessment of needs, the degree of progress of the patient's disease course is closely grasped, and the degree of attention to patient comfort and dignity is improved to improve the quality of life of patients with severe COPD.
|
|
|
|
|
|
[1] 张勇,付传发,寇英华,等.重庆市沙坪坝区40岁以上人群慢性阻塞性肺疾病流行特征及影响因素研究[J].国际呼吸杂志,2018,38(5):352~356.
[2] 王洋.综合护理干预在慢性阻塞性肺疾病患者感染多重耐药菌中的应用[J].齐鲁护理杂志,2018,24(5):27~29.
[3] 刘小英,崔妙玲,黄文婷,等.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].中国护理管理,2016,16(3):332~336.
[4] 刘春涛,冯玉麟.慢性阻塞性肺疾病全球创议慢性阻塞性肺疾病诊断、管理和预防袖珍指南(2006年修订版)[J].中国呼吸与危重监护杂志,2007,6(3):230~237.
[5] 刘小英,崔妙玲.慢性阻塞性肺疾病患者姑息照护的研究进展[J].护理学杂志,2015,30(11):106~109.
[6] Qiao D,Ameli A,Prokopenko D,et al.Whole exome sequencing analysis in severe chronic obstructive pulmonary disease[J].Hum Mol Genet,2018.
[7] Weingaertner V,Scheve C,Gerdes V,et al.Breathlessness,functional status,distress,and palliative care needs over time in patients with advanced chronic obstructive pulmonary disease or lung cancer:a cohort stud[J]Pain Symptom Manage,2014,48(4):569~581
[8] 焦涛,王萍,于红,等.慢性阻塞性肺疾病患者焦虑抑郁状况调查[J].环球中医药,2013,6(z1):42~43.
[9] 陈晓燕,李啸.慢性阻塞性肺疾病的认知功能评价及其影响因素分析[J].中国医药导报,2017,12(16):55~58.
[10] Beernaert K,Cohen J,Deliens L,et al.Referral to palliative care in COPD and other chronic diseases:a population-based study[J]Respir Med,2013,107(11):1731~1739
[11] 王小仁,李亚洁,张立颖,等.慢性阻塞性肺疾病患者生存质量调查及影响因素分析[J].重庆医学,2016,45(19):2661~2663,2667.
[12] 刘惠莲,秦怡.慢性阻塞性肺疾病急性加重期各项影响因素与伴发轻度认知功能障碍的影响因素分析[J].现代中西医结合杂志,2017,26(17):1841~1846. |
|
|
|
2019, Vol. 25 
