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[韩国的慢性阻塞性肺疾病:患病率、危险因素及生活质量]

[Chronic obstructive pulmonary disease in Korea: prevalence, risk factors, and quality of life].

作者信息

Jung Young-Mi, Lee Heeyoung

机构信息

Department of Nursing, Daegu Haany University, Daegu, Korea.

出版信息

J Korean Acad Nurs. 2011 Apr;41(2):149-56. doi: 10.4040/jkan.2011.41.2.149.

Abstract

PURPOSE

This study seeks to examine prevalence, risk factors, and quality of life of Korean adults with Chronic Obstructive Pulmonary Disease (COPD).

METHODS

From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV-1, 2008), the researchers selected 1,458 adults over the age of 45. The original study was a population-based epidemiological survey of health and nutrition with a stratified multistage clustered probability design. Prevalence of COPD was computed on the basis of the sampling weight. Data were analyzed using descriptive statistics, χ(2) test, t-test and multiple logistic regression with the SPSS WIN 18.0 and SAS Ver. 9.1 program.

RESULTS

The prevalence of COPD was 18.0% among people older than 45 yr. The prevalence of current smokers was 19.7% in this population and 26.3% in individuals with COPD. Age, gender, education, and smoking levels were found to be risk factors for COPD. Significant difference in quality of life was founded between adults with COPD and the healthy controls.

CONCLUSION

The results of this study indicate that COPD is a highly prevalent disease in Korea. To reduce the prevalence of COPD and improve health-related quality of life in patients with COPD, nursing interventions must focus on prevention of risk factors.

摘要

目的

本研究旨在调查韩国慢性阻塞性肺疾病(COPD)成年患者的患病率、危险因素及生活质量。

方法

研究人员从第四次韩国国家健康与营养检查调查(KNHANES IV-1,2008)数据库中选取了1458名45岁以上的成年人。原研究是一项基于人群的健康与营养流行病学调查,采用分层多阶段整群概率设计。COPD患病率根据抽样权重计算。使用SPSS WIN 18.0和SAS Ver. 9.1程序进行描述性统计、χ²检验、t检验和多元逻辑回归分析数据。

结果

45岁以上人群中COPD患病率为18.0%。该人群中当前吸烟者的患病率为19.7%,COPD患者中为26.3%。年龄、性别、教育程度和吸烟水平被发现是COPD的危险因素。COPD成年患者与健康对照组之间的生活质量存在显著差异。

结论

本研究结果表明,COPD在韩国是一种高度流行的疾病。为降低COPD患病率并改善COPD患者的健康相关生活质量,护理干预必须侧重于预防危险因素。

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