北京远郊区县某二级医院慢性阻塞性肺疾病患者气雾剂使用情况调查

Investigation on the application status of aerosol inhalation by suburban patients with chronic obstructive pulmonary disease

目的：调查北京郊区医院住院的慢性阻塞性肺疾病（ COPD ）患者气雾剂的使用情况。方法采用方便抽样法选取82例COPD患者，采用自制问卷对入住呼吸科及非呼吸科患者气雾剂的使用情况进行问卷调查。结果共发放调查问卷82份，回收有效问卷82份，有效回收率为100％。入住呼吸科的COPD患者气雾剂使用得分（5．85±1．35）明显高于入住非呼吸科的患者（2．70±1．65）分，两组比较差异有统计学意义（t＝9．27，P＜0．01）。直线相关分析结果显示，COPD患者气雾剂使用得分与文化程度、是否入住呼吸科、复诊时是否给予检查呈正相关（r值分别为0．350，0．728，0．511；P＜0．05）；多元回归分析显示，是否入住呼吸科及患者的文化程度进入沙丁胺醇得分的回归方程（R2＝0．58），仅是否入住呼吸科进入舒利迭得分的回归方程（ R2＝0．37）。结论二级医院应进一步加强非呼吸科医护人员气雾剂使用的专业培训，以提高入住非呼吸科的COPD患者气雾剂正确使用率。

Objective To investigate the application status of aerosol inhalation by suburban patients with chronic obstructive pulmonary disease （ COPD） .Methods A total of 82 patients with COPD were chosen by convenience sampling , and self-designed questionnaires were used to investigate their application of aerosol inhalation .Results Eighty-two questionnaires were handed out and 82 were recovered , with the effective rate of 100%.Patients hospitalized in respiratory department had statistically higher score in application of aerosol inhalation than those who were hospitalized in non-respiratory department （ t =9.27, P 〈0.01 ）.Linear correlation analysis showed that the score was in positive correlation with the patients ’ educational background , whether hospitalized in respiratory department , and whether examined upon further interview with doctors （ r=0.350, 0.728, 0.511, respectively;P〈0.01）.Logistic regression analysis indicated that whether hospitalized in respiratory department and patients ’ educational background were the main influencing factors （ R2 =0.58, 0.37, respectively ）.Conclusions To improve patients ’ ability of using aerosol inhalation correctly , professional skill trainings are necessary for nurses in non-respiratory department .