目的:了解社区慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease, COPD)患者的衰弱发生现状及影响因素。方法:收集我院周边社区的230例COPD患者进行问卷调查,采用一般资料调查表及衰弱量表进行评估,并对社区COPD患者衰弱的危险因素进行分析。结果:230例COPD患者中,衰弱92例,患病率为40.0%。衰弱组年龄 ≥ 80岁、独居、肺部功能严重程度、低学历、低收入、mMRC (改良版英国医学研究委员会呼吸困难量表)评分高的比例均高于非衰弱组。Logistic多因素分析结果显示年龄 ≥ 80岁、独居、肺部功能严重程度、低学历、低收入、mMRC评分、高收入是社区COPD患者衰弱的影响因素。结论:社区COPD患者的衰弱发生率较高,受年龄、文化程度、婚姻状况等多种因素影响,应尽早发现并及时干预。Objective: To investigate the current status of frailty and its influencing factors among community-dwelling patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 230 patients with COPD were recruited from the outpatient clinics of our hospital surrounding communities. Each participant completed a general information questionnaire and a frailty scale assessment. Logistic regression analysis was used to identify risk factors associated with frailty in these patients. Results: Among the 230 patients with COPD, 92 (40.0%) were classified as frail. Compared with the non-frail group, a significantly higher proportion of the frail group were aged ≥80 years, lived alone, had more severe pulmonary dysfunction, had lower educational attainment and lower income, and had higher mMRC scores. Logistic multivariate regression analysis indicated that advanced age (≥80 years), living alone, severe pulmonary dysfunction, low educational attainment, low income, and high mMRC score, and high income were risk factors for frailty in community-dwelling COPD patients. Conclusion: The prevalence of frailty among community-dwelling patient
