关键词: 老年人, 肺疾病,慢性阻塞性, 呼吸功能试验, 因素分析, 统计学

Abstract:

Objective: To explore the status and influencing factors of respiratory function exercise compliance in elderly patients with chronic obstructive pulmonary disease (COPD) and analyze intervention measures. Methods: A total of 123 elderly COPD patients admitted to the First Hospital of Putian City from March 2022 to October 2024 were selected as research subjects. A self-developed respiratory function exercise compliance scale was used to evaluate their compliance, and general information such as gender, age, education level, disease course, drug dependence, anxiety and depression were collected. Multivariable logistic regression was used to analyze the influencing factors of respiratory function exercise compliance. Results: Among the 123 elderly COPD patients, 39 had poor compliance (31.71%), while 84 had good compliance (68.29%). Multivariable logistic regression analysis showed that education level of junior high school or below (OR=2.941, 95%CI:1.327-6.517), disease duration <5 years (OR=2.735, 95%CI:1.251-5.893), drug dependence (OR=2.500, 95%CI:1.140-5.481), anxiety (OR=4.222, 95%CI:1.882-9.473), depression (OR=2.565, 95%CI:1.185-5.552), and low level of social support (OR=3.054,95%CI:1.390-6.709) were all risk factors affecting respiratory function exercise compliance in elderly COPD patients. Conclusion: The compliance of respiratory function exercise in elderly COPD patients is related to their educational level, disease duration, drug dependence, anxiety and depression, and social support level. Effective intervention measures should be taken based on this in clinical practice.

Key words: Aged, Pulmonary diseases, chronic obstructive, Respiratory function tests, Factor analysis, statistical