在慢性阻塞性肺病患者中轻度认知障碍的农村和城市差异在中国成都
Xiaomei Chen1,2, Xunhu Dong3, Jia Liu1
1School of Nursing, Army Medical University, Chongqing, People's Republic of China.
International journal of chronic obstructive pulmonary disease
|November 15, 2023
概括
轻度认知障碍 (MCI) 在农村慢性阻塞性肺病 (COPD) 患者中更为普遍. 生活方式因素和家庭氧气疗法在农村和城市环境中不同地影响MCI风险.
科学领域:
- 肺部医学 肺部医学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 慢性阻塞性肺病 (COPD) 是一个全球性的健康问题,患者特征在农村和城市之间存在显著的差异.
- 这些差异可能会影响COPD患者轻度认知障碍 (MCI) 的患病率.
- 了解这些差异对于有针对性的干预至关重要.
研究的目的:
- 为了比较农村和城市COPD患者之间轻度认知障碍 (MCI) 的患病率.
- 在这些不同的群体中确定MCI的决定因素.
- 为COPD患者提供量身定制的医疗保健策略.
主要方法:
- 一项涉及中国372名COPD患者的横截面研究.
- 认知功能,肺功能的评估,以及社会人口统计,生活方式和疾病相关数据的收集.
- 多变量回归分析以确定MCI风险因素.
主要成果:
- 农村地区 (65.4%) 的MCI患病率高于城市 (47.9%) 的COPD患者.
- 农场工人在城市地区的MCI率较高;长期的家庭氧气治疗和更高的收入与农村地区的MCI率较低有关.
- 在这两组中,老年和前吸烟增加了MCI风险,而在城市地区,充足的睡眠,频繁的购物和定期的运动降低了风险.
结论:
- 农村和城市的COPD患者之间存在MCI患病率和决定因素的显著差异.
- 生活方式因素 (睡眠,运动,购物) 和特定的治疗方法 (家庭氧气疗法) 起着不同的作用.
- 医疗保健提供者应根据患者的生活环境和条件提供个性化的指导.
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