Abstract:Objective:To explore the level of demand and influencing factors for palliative care in patients with severe chronic obstructive pulmonary disease (COPD). Methods: A total of 180 patients with severe COPD were enrolled in our hospital from February 2015 to March 2018. The palliative care outcome scale (POS scale) was used to assess the level of palliative care needs, and the HAD anxiety and depression scale was used. Influencing factors of KPS card function scale and Borg scale on POS scale scores in patients with severe COPD. Results: In this study, 180 patients with severe COPD had an average POS score of 14.1 ± 5.3. Univariate analysis showed that gender, economic stress, duration of disease, pulmonary function, and comorbidities were all palliative care for patients with severe COPD. The correlation factors of the demand level were significantly different (P<0.05). The HAD score and Borg score of patients with severe COPD were positively correlated with the palliative care demand level. The KPS score was significantly negatively correlated with the palliative care demand level. The difference was significant. Sexuality (P<0.05); multivariate analysis showed that lung function grade, comorbidity type, and HAD score were the key factors affecting the level of palliative care in patients with severe COPD, and were significantly positively correlated with the level of palliative care needs of patients. Sex (P<0.05). Conclusion: Patients with severe COPD have higher palliative care services. Among them, the patient's lung function level, comorbidity type, anxiety and depression are important factors affecting the level of palliative care of such patients. Clinically, palliative care should be strengthened for such patients. The assessment of needs, the degree of progress of the patient's disease course is closely grasped, and the degree of attention to patient comfort and dignity is improved to improve the quality of life of patients with severe COPD.
陈晓珊. 重度慢性阻塞性肺疾病患者姑息照护需求水平及其影响因素分析[J]. 河北医学, 2019, 25(2): 265-268.
CHEN Xiaoshan. Analysis on the Level of Palliative Care Demand and the Influencing Factors in Patients with Severe Chronic Obstructive Pulmonary Disease. HeBei Med, 2019, 25(2): 265-268.