在患有早期肺癌的老年患者中,手术前的身体功能障碍特征和影响因素:潜在类分析
Rui Zhang1,2, Zhengyao Yang3, Xiaoyong Shen3
1Department of Nursing, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, People's Republic of China.
Journal of multidisciplinary healthcare
|April 29, 2024
概括
老年肺癌患者表现出三种不同的手术前身体功能障碍:情绪/睡眠问题,虚弱或肺功能减弱. 了解这些群体有助于为更好的生活质量量量身定制干预措施.
科学领域:
- 老年医学 老年医学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 早期的肺癌会影响老年患者,经常出现复杂的身体功能障碍.
- 手术前的身体状况对这一群体的手术结果和康复有重大影响.
研究的目的:
- 确定早期肺癌老年患者手术前身体功能障碍的不同潜在类别.
- 分析这些已识别的类别之间的人口和临床差异.
主要方法:
- 隐性类别分析用于根据手术前的身体功能障碍对老年肺癌患者进行分类.
- 使用单因素分析和多项逻辑回归来确定每个类别的影响变量.
主要成果:
- 出现了三个潜在类别:"焦虑/抑郁情绪-睡眠不足"",身体功能脆弱"和"肺功能下降-低活动耐受性".
- 在不同班级 (P<0.05) 中观察到年龄,慢性病,慢性肺炎,吸烟史和社会支持方面的显著差异.
- 高龄 (≥75) 和慢性疾病与虚弱有关;COPD和吸烟史与肺功能下降有关;对情绪/睡眠问题的社会支持较低.
结论:
- 老年肺癌患者手术前的身体功能障碍是异质的,分为三个不同的潜在类别.
- 针对每个患者小组的具体需求进行量身定制的干预措施对于改善他们的整体生活质量至关重要.
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