| 慢性阻塞性肺疾病老年患者记忆障碍危险因素分析 |
| |
| 引用本文： | 陈桂芝, 李淑杏, 冯芳, 郝习君, 苏旭, 陈长香, 张新平. 慢性阻塞性肺疾病老年患者记忆障碍危险因素分析[J]. 中国公共卫生, 2013, 29(12): 1816-1819. DOI: 10.11847/zgggws2013-29-12-31 |
| |
| 作者姓名： | 陈桂芝 李淑杏 冯芳 郝习君 苏旭 陈长香 张新平 |
| |
| 作者单位： | 1.河北联合大学附属医院, 河北 唐山 063000;2.河北联合大学护理与康复学院;3.迁西县医院 |
| |
| 基金项目： | 国家社会科学基金（12BRK017）;河北省卫生厅重点课题（20100463） |
| |
| 摘 要： | 目的探讨老年慢性阻塞性肺疾病（COPD）患者记忆障碍患病情况及影响因素，为改善COPD老年患者记忆功能提供理论依据。方法整群选取于2009年12月—2010年12月住院的老年COPD患者138例，采用Rivermead行为记忆测验第2版（RBMT-Ⅱ）进行记忆功能测试。结果138例老年COPD患者均存在记忆障碍；单因素分析显示，年龄（χ2=50.164，P=0.000）、文化程度（χ2=55.771，P=0.000）、居住状况（χ2=9.877，P=0.043）、吸烟（χ2=11.683，P=0.003）、饮酒（χ2=7.689，P=0.021）、体育锻炼（χ2=12.633，P=0.013）、每天吸氧时间（χ2=31.728，P=0.000）、病程（χ2=39.927，P=0.004）、使用激素（χ2=6.248，P=0.044）、使用雾化吸入（χ2=21.027，P=0.000）、肺功能损害程度（χ2=13.072，P=0.011）、二氧化碳分压（χ2=25.355，P=0.000）等是老年COPD患者记忆障碍的发生影响因素（P<0.05或P<0.01）；多元线性回归分析结果显示，进入线性全回归方程模型的变量有文化程度（t=-6.234，P=0.000）、居住状况（t=-2.352，P=0.020）、病程长短（t=-3.929，P=0.000）、饮酒（t=-3.073，P=0.003）、每天吸氧时间（t=2.905，P=0.004）、肺功能（t=2.687，P=0.008）、二氧化碳分压（t=-1.987，P=0.002）。结论老年COPD患者记忆障碍的发生率高，且程度重，危险因素复杂。
|
| 关 键 词： | 慢性阻塞性肺疾病 老年人 记忆障碍 危险因素 |
| 收稿时间： | 2012-07-30 |
Prevalence and risk factors of memory disorders among elderly patients with chronic obstructive pulmonary disease |
| |
| CHEN Gui-zhi, LI Shu-xing, FENG Fang.et al, . Prevalence and risk factors of memory disorders among elderly patients with chronic obstructive pulmonary disease[J]. Chinese Journal of Public Health, 2013, 29(12): 1816-1819. DOI: 10.11847/zgggws2013-29-12-31 |
| |
| Authors: | CHEN Gui-zhi LI Shu-xing FENG Fang.et al |
| |
| Affiliation: | 1.Affiliated Hospital of Hebei Union University, Tangshan, Hebei Province 063000, China |
| |
| Abstract: | Objective To investigate the prevalence and influencing factors of memory disorder among elderly patients with chronic obstructive pulmonary disease(COPD)and to provide basis for the improvement of memory function of the patients.Methods Form December 2009 to December 2010,138 COPD patients aged 60-80 years were selected with cluster sampling and surveyed with Rivermead Behavioral Memory Test-Second Edition(RBMT-Ⅱ)for their memory function.Results All the patients had memory impairment.The results of univariate analyses showed that the relevant factors of memory impairment were age(χ2=50.164,P=0.000),education level(χ2=55.771,P=0.000),living conditions(χ2=9.877,P=0.043),smoking(χ2=11.683,P=0.003),alcohol drinking(χ2=7.689,P=0.021),physical exercise(χ2=12.633,P=0.013),time of oxygen inhalation every day(χ2=31.728,P=0.000),duration of the disease(χ2=39.927,P=0.004),use of hormones(χ2=6.248,P=0.044),aerosol inhalation(χ2=21.027,P=0.000),the impairment degree of lung function(χ2=13.072、P=0.011),and partial pressure of carbon dioxide(χ2=25.355,P=0.000).Multi-variable regression analyses showed that education level(t=-6.234,P=0.000),living conditions(t=-2.352,P=0.020),duration of the disease(t=-3.929,P=0.000),alcohol drinking(t=-3.073,P=0.003),daily oxygen inhalation time(t=2.905,P=0.004),pulmonary function(t=2.687,P=0.008),and partial pressure of carbon dioxide(t=-1.987,P=0.002)were significat factors related to memory impairment among the elderly patients.Conclusion The incidence of memory impairment in elderly patients with COPD is high and relates to complex factors. |
| |
| Keywords: | chronic obstructive pulmonary disease(COPD) older people memory impairment risk factor |
|
| 点击此处可从《中国公共卫生》浏览原始摘要信息 |
|
点击此处可从《中国公共卫生》下载全文 |
|
