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| Analysis of Risk Factors for Pulmonary Infection in Elderly Patients with Chronic Obstructive Pulmonary Disease and Nursing Intervention Countermeasures |
| ZHANG Yanfang, HU Yinghui, LIU Xiuli |
| Department of Emergency, Anyang Hospital of Traditional Chinese Medicine, Anyang Henan 455000 |
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Abstract 【Objective】To explore the risk factors for pulmonary infection in elderly patients with chronic obstructive pulmonary disease (COPD) and corresponding nursing intervention countermeasures. 【Methods】A total of 150 elderly COPD patients with pulmonary infection treated in our hospital from January 2022 to July 2024 were selected as the observation group, and another 150 COPD patients without pulmonary infection treated in our hospital during the same period were selected as the control group. Clinical data of patients were collected to analyze the risk factors for pulmonary infection in COPD patients, and corresponding nursing interventions were proposed. 【Results】Univariate analysis showed that age, disease course, length of hospital stay, ventilator-related microbial infection, and history of diabetes mellitus were influencing factors for pulmonary infection in elderly COPD patients (P<0.05); Logistic multivariate regression analysis revealed that advanced age, long disease course, prolonged hospital stay, ventilator-related microbial infection, and history of diabetes mellitus were independent risk factors for pulmonary infection in elderly COPD patients (P<0.05). 【Conclusion】Advanced age, long disease course, prolonged hospital stay, ventilator-related microbial infection, and history of diabetes mellitus are independent risk factors for pulmonary infection in elderly COPD patients. Clinically, targeted nursing interventions should be implemented for elderly COPD patients based on the above-identified risk factors to reduce the incidence of pulmonary infection.
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Received: 16 May 2025
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[1] 丁碧园,张涛,冯丽娟. 慢性阻塞性肺气肿合并肺部感染患者痰液病原菌检测及药敏试验结果分析[J].湖北民族大学学报(医学版),2024,41(4):101-103.
[2] 刘未邦,邓妍,魏志喜,等. 老年慢性阻塞性肺疾病合并肺部感染患者病原菌分布及其血清炎症因子的变化[J].中国老年学杂志,2023,43(14):3391-3393.
[3] 李玲,王原,李嘉,等. 慢性阻塞性肺疾病合并肺部感染患者的微生态学特征[J].中国微生态学杂志,2024,36(5):563-568.
[4] 周晓飞. COPD患者下呼吸道微生物定植与肺部感染炎症指标的关系[J].生物医学工程学进展,2024,45(2):149-155.
[5] 常海英. COPD急性加重期患者并发多重耐药菌肺部感染的相关因素调查分析[J].西藏医药,2023,44(1):46-47.
[6] 马冰冰,崔宏艳. PASE指导下的分级护理干预在老年COPD患者中的应用效果[J].医学临床研究,2025,42(8):1391.
[7] 李贤明. 乙酰半胱氨酸辅助无创呼吸机在老年COPD伴呼吸衰竭患者中的应用价值[J].医学临床研究,2024,41(10):1475-1478.
[8] 莫秋弟,谢栩硕,郑志伟,等. COPD相关的肺动脉高压患者发生肺部感染的危险因素分析[J].广东药科大学学报,2024,40(3):119-123.
[9] 迟雪春. COPD患者肺部感染发生的相关因素研究[J].现代诊断与治疗,2022,33(17):2615-2618.
[10] 霍前文,徐曼,程义婷,等. 慢性阻塞性肺疾病合并肺部感染影响因素调查及血清IL-16、CD40、HMGB1变化及意义[J].西部医学,2025,37(1):85-87.
[11] 陈沙沙,魏敬涛,张静静,等. COPD患者家属对健康教育认知现状的调查研究[J].中国老年保健医学,2023,21(4):83-85.
[12] 魏娟. 呼吸功能锻炼联合饮食护理对慢阻肺患者肺功能及生活质量的影响[J].生命科学仪器,2025,23(4):215-216. |
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