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目的:对影响无创呼吸机治疗依从性的相关因素进行评估。方法:选取143例使用无创呼吸机的患者,其中包括呼吸衰竭患者53例,阻塞性睡眠呼吸暂停低通气综合征患者135例(包含40例合并呼吸衰竭患者),收集有关于患者的资料,对可能影响其治疗依从性的因素进行评定,并采用Cox回归全变量模型和逐步回归模型对以上因素进行相关分析。结果:年龄<65岁(HR=2.513,95%CI:1.222~5.167)、文化程度高(HR=2.740,95%CI:1.765~4.255)、高血压(HR=2.404,95%CI:1.550~3.729)、认知无障碍(HR=1.641,95%CI:1.114~2.416)、经济水平高(HR=1.871,95%CI:1.048~3.43)是提高患者无创呼吸机依从性的因素(P<0.05或P<0.01)。结论:临床上应加强对年龄≥65岁、文化程度较低、认知有障碍、经济水平较低和使用呼吸机压力释放方式为持续正压通气患者的教育,同时要加强对患者家属的联合教育,以此来提高患者对无创呼吸机使用的依从性。
OBJECTIVE: To assess the factors that influence the compliance of noninvasive ventilator treatment. METHODS: A total of 143 patients with noninvasive ventilator were included, including 53 patients with respiratory failure, 135 patients with obstructive sleep apnea-hypopnea syndrome (including 40 patients with respiratory failure) and data on patients The factors that may influence the treatment compliance were evaluated. Cox regression total variance model and stepwise regression model were used to analyze the above factors. Results: The patients with high education level (HR = 2.513, 95% CI: 1.222-5.1667) had higher education level (HR = 2.740, 95% CI: 1.765-4.255) (HR = 1.871, 95% CI: 1.048 ~ 3.43) were the factors to improve the non-invasive ventilator compliance (P < 0.05 or P <0.01). Conclusions: The clinical education should be strengthened for patients who are 65 years of age or older, have a low level of education, have a cognitive impairment, have a relatively low level of economy, and be exposed to continuous positive pressure ventilation by means of ventilator release. At the same time, Education, in order to improve the patient’s non-invasive ventilator use compliance.