慢性阻塞性肺疾病患者的病耻感及其影响因素

Stigma and Influence Factors for Patients with Chronic Obstructive Pulmonary Disease

目的调查慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者病耻感感知状况并分析其影响因素。方法采用基于既往病耻感研究设计的调查问卷、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)、慢性阻塞性肺疾病评估测试问卷(COPD assessment test,CAT)对106例COPD患者进行调查,受调查者病史由有2年以上工作经验的呼吸专科医生直接问诊采集。结果 103例COPD患者完成调查,其中13例(12.6%)报告感知病耻感。病耻感发生率与性别、受教育程度、是否独居、吸烟史、家庭氧疗无相关性。感知病耻感的COPD患者HAMA、HAMD和CAT评分均明显高于无病耻感的COPD患者(均P<0.05)。结论部分COPD患者存在病耻感经历,并与HAMA、HAMD、CAT评分存在相关性,病耻感对COPD患者的影响尚待进一步研究。

Objective To survey the stigma and its influence for patients with chronic obstructive pulmonary disease（COPD）. Methods A total of 106 COPD patients were investigated by questionnaires based on previous stigma studies, Hamilton anxiety scale（HAMA）, Hamilton depression scale（HAMD） and COPD assessment test（CAT） to collect medical history of patients through interrogation by respiratory physician with two or more years of medical practice experience. Results Of the 103 COPD patients who accom- plished the investigation, 13（12.6%）felt stigmatized. The incidence of stigma was not associated with gender,educational background,living alone, smoking history and home oxygen therapy. HAMA, HAMD and CAT scores were higher in patients feeling stigmatized than those in patients without stigma（P〈0.05）. Conclusion This study shows some Chinese COPD patients felt stigmatized,and the feeling of stigma was associated with HAMA, HAMD and CAT scoring. These findings warranted further studies to investigate the influence factors of stigma on COPD patients.