Melloni B, Veale D, Binet F, Mounier L, Ludot A, Polu J M, Taytard A
Service de Pneumologie, Hôpital du Cluzeau, CHU Limoges, France.
Rev Mal Respir. 2007 May;24(5):609-16. doi: 10.1016/s0761-8425(07)91128-6.
Chronic respiratory failure (CRF) has an impact on quality of life because of respiratory handicap.
The purpose of this study was to analyse the daily life and social activities of patients with CRF. A questionnaire was addressed to over 9000 patients being cared for in the ANTADIR homecare network, with over a 60% response rate.
The data showed that patients were old, and frequently had comorbidity. The predominant diagnosis was chronic obstructive airways disease (COPD) and the number of women in this population continues to increase. Respiratory handicap led to a loss of autonomy, a reduction in social activity and mobility of patients, but the impact differed markedly according to the cause of the respiratory failure, as well as age and social class. A typological study of behavioural characteristics revealed three groups of patients with contrasting profiles.
These results lead to recommendation for better management of social aspects of patient care in the ANTADIR network.
慢性呼吸衰竭(CRF)因呼吸功能障碍而对生活质量产生影响。
本研究旨在分析慢性呼吸衰竭患者的日常生活和社会活动。我们向ANTADIR家庭护理网络中接受护理的9000多名患者发放了问卷,回复率超过60%。
数据显示患者年龄较大,且常伴有合并症。主要诊断为慢性阻塞性气道疾病(COPD),该人群中的女性数量持续增加。呼吸功能障碍导致患者自主性丧失、社会活动和行动能力下降,但根据呼吸衰竭的病因、年龄和社会阶层,其影响存在显著差异。一项行为特征类型学研究揭示了三组特征截然不同的患者。
这些结果促使我们建议在ANTADIR网络中更好地管理患者护理的社会层面。