慢性阻塞性肺疾病患者对疾病的认知情况

Illness Cognition of Patients with Chronic Obstructive Pulmonary Disease

目的调查慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者对COPD疾病知识的认知情况,以期为今后有效开展COPD患者的自我管理干预提供依据。方法便利抽样法选取2010年3-8月间某地区3所三级甲等医院和2所二级甲等医院呼吸内科住院或门诊的137例COPD患者,采用自行设计的调查问卷对其进行COPD认知情况的调查。结果 137例COPD患者知识问卷总评分为3～29分,平均(15.55±6.28)分。患者在类固醇激素应用、吸入型支气管舒张剂应用、康复训练、家庭氧疗、肺部感染等主题的评分处于低水平,分别为(0.77±0.28)、(1.02±0.20)、(1.28±0.19)、(1.32±1.08)、(1.60±0.89)分。患者在COPD疾病本质、病因、抗生素应用、COPD症状、吸烟等5个主题的评分处中等水平。结论 COPD患者对自身疾病知识的掌握程度不高,针对性的健康教育亟须加强。

Objective To investigate the illness awareness in patients with chronic obstructive pulmonary disease（COPD） so as to provide evidence for effective self-management intervention in COPD patients.Methods Using convenience sampling method,137 COPD in-patients or out-patients were enrolled to receive a self-designed questionnaire on the awareness of COPD knowledge from 3 Grade-Ⅲ Level-A hospitals and 2 Grade-Ⅱ level-A hospitals from March to August 2010.Results The total scores of COPD health knowledge questionnaire in the 137 COPD cases were 3-29 points with the average score of 15.55±6.28 points.The scores of steroids applied,inhaled bronchodilators application,rehabilitation were home oxygen therapy,pulmonary infection at a low levels and the values were 0.77±0.28,1.02±0.20,1.28±0.19,1.32±1.08,1.60±0.89,respectively.While the nature of COPD,COPD etiology,antibiotics,COPD symptoms and smoking were at intermediate levels.Conclusion The master degree of health knowledge by the COPD patients is far from optimal level,which deserves specific and strengthend health education.