摘要
目的探讨生活方式对慢性阻塞性肺疾病(COPD)患者认知功能的影响。方法选取2016年10月至2017年11月在天津市某三甲医院呼吸内科住院治疗的212例COPD患者为研究对象,采用一般资料调查表、生活方式问卷和蒙特利尔认知评估量表北京版进行调查。结果COPD患者的认知功能得分(21.45±4.78)分,低于国内常模(t=-17.600,P<0.001)。单因素分析显示:性别、年龄、受教育程度、个人月收入、居住方式、疾病史和益智活动对患者认知功能有影响(P<0.05)。分层回归结果显示性别、年龄、个人月收入、受教育程度、居住方式、身体活动和益智活动对COPD患者认知功能有影响(P<0.05);在控制了人口学等变量后,回归模型拟合度明显提高,共解释了COPD患者认知功能48.1%的变异量。结论COPD患者应多参加身体活动和益智活动,进而降低认知功能的损害,促进生活质量的改善。
Objective To explore the influence of lifestyle on cognitive function of COPD patients.Methods A total of 212 COPD patients who were hospitalized in the respiratory department of a top three hospital in Tianjin from October 2016 to November 2017 were selected as the research objects,and they were investigated by general information questionnaire,lifestyle questionnaire and Montreal cognitive assessment(Beijing edition).Results The cognitive function score(21.45±4.78)in COPD patients was lower than the national norm(t=-17.600,P<0.001).Single-factor analysis showed that gender,age,education level,monthly personal income,lifestyle,disease history and educational activities had an impact on patients′cognitive function(P<0.05).Stratified regression results showed that gender,age,monthly personal income,physical activities and educational activities had an impact on cognitive function of COPD patients(P<0.05).After controlling for demographic variables,the fitting degree of the regression model was significantly improved,and a total of 48.1%variation in the cognitive function of COPD patients was explained.Conclusion COPD patients should participate in more physical activities and educational activities,thereby reducing cognitive impairment and promoting the improvement of quality of life.
作者
郑敏娜
唐星月
张清
ZHENG Minna;TANG Xingyue;ZHANG Qing(School of Nursing,Tianjin Medical University,Tianjin 300000,China;Xiangyang Vocational and Technical College,Xiangyang,Hubei 441050,China)
出处
《重庆医学》
CAS
2020年第23期3946-3950,3954,共6页
Chongqing medicine
基金
教育部人文社科项目(15YJAZH109)。
关键词
肺疾病
慢性阻塞性
生活方式
认知功能
影响因素
pulmonary disease,chronic obstructive
life style
cognitive function
influencing factors
