慢阻肺急性加重期患者延迟就医与家庭动力学的相关性研究

目的研究慢阻肺急性加重期患者延迟就医与家庭动力学的相关性,希望能够为慢阻肺急性加重期患者拟定护理措施提供科学依据。方法选取2017年1月-2019年12月我院240例诊断为慢阻肺急性加重期的患者为研究对象。根据患者入院就医的时间进行分组,时间≥24h的延迟就医的患者为观察组,时间<24h的及时就医患者为对照组。结果两组患者在文化水平、家庭年收入、在职状态、医疗保险和婚姻状况和APACHEⅡ评分比较(P<0.05)。观察组患者疾病观念、个性化、系统逻辑和家庭氛围得分比对照组高(P<0.05)。Pearman的相关性分析结果显示:慢阻肺急性加重期患者延迟就医时间与各个层面分数以及家庭动力总分呈现负相关性(P<0.05)。应变量为延迟就医为应变量,患者的一般资料为自变量,经Logistic回归分析结果表明:延迟就医的影响因素为文化水平、家庭动力评分、职业状态、家庭收入、婚姻状况和APACHEⅡ评分。结论慢阻肺急性加重期患者家庭动力总分与疾病观念、个性化、系统逻辑和家庭氛围得分与延迟就医时间呈现负相关性,患者延迟就医的影响因素是家庭动力学评分。

Study on the correlation between delayed medical treatment and family dynamics in patients with acute exac-erbation of COPD

Objective To study the correlation between delayed medical treatment and family dynamics in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD),in order to provide a scientific basis for the planning of nursing measures for patients with AECOPD.Methods From January 2017 to December 2019,240 patients diagnosed with AECOPD in our hospital were selected as the research objects.They were divided into two groups according to the time of admission to the hospital.The patients with a delay of more than 24 hours for medical treatment were as the observation group,and the patients with a time of less than 24 hours for timely medical treatment were as the control group.Results There were significant differences in educational level,family annual income,employment status,medical insurance and marital status and APACHEⅡscores between the two groups(P<0.05).The observation group had higher scores of disease concept,individualization,system logic and family atmosphere than the control group did(P<0.05).The results of Pearman′s correlation analysis showed that the delayed medical treatment time of patients with AECOPD was negatively correlated with the scores of various levels and the total score of family motivation(P<0.05).The dependent variable was delayed medical treatment as the dependent variable,and the general data of the patient was the independent variable.The logistic regression analysis showed that the influencing factors of delayed medical treatment were cultural level,family motivation score,occupational status,family income,marital status and APACHEⅡscore.Conclusion The family dynamics score of patients with AECOPD is negatively correlated with disease concept,individualization,system logic,and family atmosphere scores and delayed medical treatment time.The influencing factor of patients′delayed medical treatment is family dynamics score.