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1、COPD肺康复患者疲乏相关性因素分析论文【摘要】目的观察COPD肺康复患者疲乏相关因素,并研究其与呼吸困难、睡眠质量和生理方面的关系。方法选择48名COPD肺康复患者,应用以下几种问卷调查方法:疲乏因素应用多维疲乏量表(MFI);焦虑和抑郁应用医院焦虑抑郁量表(HADS),睡眠质量应用匹兹堡睡眠质量指数(PSQI)。结果95.8%肺康复病人有体力疲乏,精神疲乏和一般性疲乏分别为72.9%和50.0%。41.7%的患者有焦虑表现,20.8%有抑郁表现。结论疲乏尤其是体力疲乏在大部分COPD肺康复病人中可见,并影响肺康复措施的各个方面。【关键词】COPD
2、疲乏焦虑和抑郁睡眠质量相关性【Abstract】Objective:Toexaminedimensionsoffatiguesuchastheemotional,behavioral,cognitive,andphysical,andtheirrelationshipstodyspnea,mentalhealth,sleep,andphysiologicfactors.methods:Aconveniencesampleof48pulmonaryrehabilitationpatientsensionsoffatigueusingtheMultidi
3、mensionalFatigueInventory(MFI),anxietyanddepressionusingtheHospitalAnxietyandDepressionScale(HADS),andsleepqualityusingthePittsburghSleepQualityIndex(PSQI).Dataonotherclinicalvariablespulmonaryrehabilitationprogramhealthrecords.Results:Almostall(95.8%)patientsexperiencedhighlev
4、elsofphysicalfatigue.87.5%offatigueensionsofreducedactivity,reducedmotivation(83.3%),mentalfatigue(72.9%),.freelptomsofanxiety,ptoms.Ageensionsofreducedactivity(r=0.41,P0.05)andreducedmotivation(r=0.34,P0.05).Anxietyotivation(r=-0.45,P0.01).Fatigueptomsofdepression,sleepquality
5、,gender,supplementaloxygenuse,smokingstatus,orMedicalResearchCouncildyspneascores.Conclusions:Fatigueparticularlythephysicalandreducedmotivationdimensionsoffatigue,ostallCOPDpatientsattendingthispulmonaryrehabilitationprogram.Fatigueaffectedgreaterproportionsofparticipantsthane
6、itheranxietyordepression.Thehighprevalenceoffatiguemayimpactonalotinpulmonaryrehabilitationprograms.Furtherinvestigationofthenature,correlates,andimpactoffatigueinthispopulationisrequired【Keyonaryrehabilitationanxietyanddepressionsleepqualitycorrelation慢性阻塞性肺病(COPD)临床表现主要有咳嗽、咳痰
7、、呼吸困难、疲乏和喘息.freelan相关分析,P0.05认为有统计学意义。2结果2.1描述性调查:在48名患者中,47.9%为男性,平均年龄为62.5岁,FEV1/FVC为0.64,FEV1为45.9%。22人(47.9%)有3到更多的共存病,戒烟、吸烟和不吸烟者分别为75%、18.8%和6.2%。MRC呼吸困难指数从1-4不等,52.1%为3等级。见表1表1观察病例的描述性指标和健康状况备注:*示多于3个共存病2.2MFI平均值在10.9到12.9,CronbachA系数在一般性疲乏、体力疲乏、活动减少、动力下降以及脑力疲乏中分别为0.63、0.
8、69、0.67、0.70和0.76。疲乏量表与年龄、性别、睡眠质量、6MRC呼吸困难等级、辅助吸氧、吸烟和是