Analysis of compliance status and influencing factors of prone position ventilation in elderly patients with hematological diseases
老年血液病患者合并新型冠状病毒感染俯卧位通气治疗依从性现状及影响因素分析

摘要

目的 探析老年血液病患者并发新型冠状病毒感染俯卧位通气治疗依从性现状及影响因素。方法 病例截取时间为2022年12月至2023年3月，观察对象为我院在此期间收治86例老年血液病患者（年龄≥60周岁），均予以俯卧位通气治疗，整理收集患者资料，并进行深入分析。结果 经调查分析86例行俯卧位通气治疗老年血液病患者中治疗依从者57例，占比为66.28%，治疗不依从者有29例，占比为33.72%；性别、有无合并症、体质量指数对患者治疗依从性无影响（P＞0.05）；治疗依从组和治疗不依从组患者学历水平、家庭人均月收入、治疗不良反应、患者对疾病和治疗认知程度、失眠情况对比存在统计学意义（P＜0.05）；构建Logistic回归分析模型进行多因素分析，学历水平、家庭人均月收入、患者对疾病和治疗认知程度是有利因素，治疗不良反应、失眠情况是不利因素（P＜0.05）。结论 应从学历水平、家庭人均月收入、患者对疾病和治疗认知程度、治疗不良反应、失眠情况等因素出发来采取相应改进措施，以提高老年血液病患者俯卧位通气治疗依从性。

Abstract

Objective: To explore the compliance status and influencing factors of prone position ventilation in elderly patients with hematological diseases.
Methods The case was intercepted from December 2022 to February 2023. The subjects of observation were 86 elderly patients with hematological diseases (age ≥ 60 years old) admitted to our hospital during this period. All patients were treated with prone position ventilation. The data of patients were collected and analyzed in depth.
Results After investigation and analysis, 57 cases (66.28%) of 86 cases of elderly patients with hematological diseases treated with prone position ventilation were subject to treatment, and 29 cases (33.72%) were not subject to treatment; Sex, comorbidities and body mass index had no effect on patients' treatment compliance (P>0.05); There were statistically significant differences between the treatment compliance group and the treatment noncompliance group in terms of education level, family per capita monthly income, treatment adverse reactions, patients' cognition of disease and treatment, and insomnia (P<0.05); Logistic regression analysis model was constructed for multifactor analysis. The educational level, family per capita monthly income, patients' awareness of disease and treatment were favorable factors, while the adverse effects of treatment and insomnia were unfavorable factors (P<0.05).
Conclusion   Corresponding improvement measures should be taken based on educational level, monthly income per capita, patients' cognition of disease and treatment, adverse reactions to treatment, insomnia and other factors to improve the compliance of elderly patients with hematological diseases with prone ventilation.