慢性阻塞性肺疾病患者接受辅助检查和问卷评估的现状分析

Analysis of acceptable degrees of assistant examination and questionnaire from chronic obstructive pulmonary disease patients

目的客观评价目前慢性阻塞性肺疾病(COPD)患者诊治依从性现状,为改进COPD患者的长期管理策略提供线索和依据。方法选择2011年9月到2012年4月间在我院专病门诊就诊的COPD患者,测评患者对医务人员要求其执行的辅助检查及病情评估问卷项目完成的情况。结果共有143名COPD患者完成测评,仅13.29%患者完成全部检查和问卷评估。患者对检查评估的接受程度(42.28%)高于对问卷评估的接受程度(3.25%)(P<0.001),接受规范化治疗的患者对检查和问卷评估的接受程度(30.56%)较不接受规范化治疗的患者高(7.48%)(P<0.001)。结论 COPD患者对检查和问卷评估的接受程度较低,提高患者对疾病的认知水平是改善和实现新的GOLD策略下COPD管理的可能途径之一。

Objective To objective assess the status quo of compliance of diagnosis and treatment of chronic obstructive pulmonary disease （COPD） patients, in order to provide the clue and basis for improving the long-term management strategy of COPD. Method It was selected the reviewed COPD outpatients in our hospital from September 2011 to April 2012 and the complete status of required assistant examinations and questionnaires of COPD patients were evaluated. Result Total of 143 patients completed the evaluation. Only 13.29% patients completed all assistant examinations and questionnaires. The patients had more willing to accept assistant examinations （42.28 % ） and less willing to accept questionnaire （3.25 % ） （P 〈 0.001 ）. The accepting standard treatments patients were easier to accept assistant examinations and questionnaires （30.56%） than non-accepting standard treatments patients （ 7.48% ） （P 〈0. 001 ）. Conclusion COPD patients have the low acceptable degrees of assistant examination and questionnaire. Enhancing the disease knowledge level of COPD patients maybe the way to improve COPD disease management level.