| 毛晓雨,万秋容,黄雅莲,戚蒙莎,唐平.慢性阻塞性肺疾病住院失能老人社会支持现状及影响因素[J].中华老年多器官疾病杂志,2022,21(9):655~659 |
| 慢性阻塞性肺疾病住院失能老人社会支持现状及影响因素 |
| Status and influencing factors of social support in hospitalized disabled elderly with chronic obstructive pulmonary disease |
| 投稿时间：2022-04-24 |
| DOI：10.11915/j.issn.1671-5403.2022.09.142 |
| 中文关键词: 老年人 慢性阻塞性肺疾病 失能 社会支持 死亡焦虑 |
| 英文关键词:aged chronic obstructive pulmonary disease disability social support death anxiety This work was supported by the Key Research and Development Project of Sichuan Provincial Department of Science and Technology |
| 基金项目:四川省科技厅重点研发项目(2020YFS0319)；四川省心理学会年度科研规划项目(SCSXLXH2021041)；四川医事卫生法治研究中心项目(YF21-Q20) |
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| 中文摘要: |
| 目的 探讨慢性阻塞性肺疾病住院失能老人社会支持现状及影响因素。方法 选择2021年6月至10月于成都市6所三甲医院呼吸科住院治疗、诊断为慢性阻塞性肺疾病并由日常生活活动能力评定量表(ADLs)判定为失能的200例患者为研究对象。使用自制问卷及医疗社会支持量表(MOS-SSS)、生命意义感问卷(C-MLQ)及死亡焦虑量表(T-DAS)对患者进行调查。采用SPSS 22.0统计软件进行数据分析。根据数据类型,分别采用t检验或方差分析进行组间比较。应用多元逐步线性回归分析影响慢性阻塞性肺疾病住院失能老人社会支持的因素。结果 慢性阻塞性肺疾病住院失能老人社会支持平均分为(60.26±12.78)分,处于较低水平。多因素回归分析结果显示,生命意义感、自评家庭关系、死亡焦虑、低落情绪及婚姻状况对慢性阻塞性肺疾病住院失能老年人社会支持具有一定的预测作用(P＜0.05)。结论 慢性阻塞性肺疾病住院失能老人社会支持现况易被忽视,需加强关注住院老人的心理问题,提升临床护理干预手段,推动老龄社会的“适老化”转型。 |
| 英文摘要: |
| Objective To investigate the status and influencing factors of social support for hospitalized disabled elderly with chronic obstructive pulmonary disease (COPD). Methods A total of 200 COPD elderly patients who were determined to be disabled by activities of daily living (ADLs) and hospitalized in respiratory departments from 6 Class-A tertiary hospitals in Chengdu City during June and October 2021 were recruited in this study. Self-made questionnaires, Chinese version of medical outcomes study social support survey (MOS-SSS), Chinese meaning in life questionnaire (C-MLQ), Templer-death anxiety scale (T-DAS) were used for investigation. SPSS statistics 22.0 was used for statistical analysis. Intergroup comparison was performed using student′s t test or ANOVA depending on data types. Multivariate stepwise linear regression analysis was applied to analyze the factors affecting social support in hospitalized disabled elderly with COPD. Results The average score of social support was (60.26±12.78) points for the cohort, which was at a low level. Multivariate regression analysis indicated that sense of meaning in life, self-assessment of family relationships, death anxiety, depression and marital status showed certain predictive effects on the social support of COPD hospitalized disabled elderly (P＜0.05). Conclusion The current status of social support for the hospitalized disabled elderly with COPD is easily overlooked. It is necessary to pay more attention to their psychological problems, improve clinical nursing interventions, and promote the transformation of “appropriate aging” in the aging society. |
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