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慢性阻塞性肺疾病患者运动能力与生活质量的相关性研究

Correlation between exercise capacity and quality of life in patients with chronic obstructive pulmonary

  • 摘要:
    目的 探讨慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者运动能力、生活质量现状及相关性。
    方法 2018年9月至2019年5月对复旦大学附属中山医院154例COPD患者进行横断面调查,采用6 min行走距离(six-minute walk distance,6 MWD)评估患者运动能力,使用一般资料调查表、圣·乔治呼吸问卷(SGRQ)进行调查分析。
    结果 患者6 MWD为(379.65±121.05)m;SGRQ问卷得分为(42.12±17.54)分;6 MWD与SGRQ得分负相关,差异有统计学意义(r=-0.422,P < 0.001);患者的年龄、体质量指数(BMI)、吸烟指数、疾病严重程度和6 MWD对生活质量(SGRQ得分)有影响;6 MWD、高龄、吸烟指数和BMI是患者生活质量水平的影响因素。
    结论 COPD患者生活质量、运动能力处于较低水平。生活质量与运动能力、年龄、BMI等显著相关。

     

    Abstract:
    Objective To explore the current status of exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD) and their correlation.
    Methods A cross-sectional survey method was used to investigate 154 COPD patients. The 6-minute walk test (6 MWD) was used to assess the exercise ability of the patients. The general data questionnaire and St. George's respiratory questionnaire (SGRQ) were used to investigate and analyzed by SPSS 22.0 software statistically.
    Results The 6 MWD of the patient was (379.65±121.05) m; the SGRQ questionnaire score was (42.12±17.54) points; the 6 MWD was negatively correlated with the SGRQ score, and the difference was statistically significant (r=-0.422, P < 0.001); univariate analysis showed that the patient's age, body mass index (BMI), smoking index, disease severity, and 6 MWD had an impact on quality of life; the results of multiple linear regression analysis showed that 6 MWD, advanced age and smoking index and BMI were the influencing factors of patients' quality of life.
    Conclusion The quality of life and exercise capacity of patients with COPD are at a low level. Quality of life is significantly related to exercise ability, age and BMI.

     

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