海军老干部疗养员慢性阻塞性肺疾病院外药物治疗依从性及影响因素调查

Present status of the compliance to the medical treatment of chronic obstructive pulmonary disease outside military hospitals among navy convalescents and analysis of influential factors

目的：了解海军疗养员慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）患者对院外药物治疗依从性的现状及影响因素。方法应用改良版英国医学研究委员会呼吸问卷（mMRC）、Morisky 问卷、COPD 疾病认知问卷（BCKQ）等调查问卷，对确诊 COPD 的114名海军老干部疗养员进行横断面调查。结果114名海军老干部疗养员 COPD 患者中，对院外药物治疗依从性 Morisky评分平均为（1．18±1．05）分，评分0分（完全依从）的仅占28．9％，依从性高低与 COPD 急性发作次数有关。疗养员对 COPD 的认知评分平均为（55．26±9．54）分。治疗依从性与对疾病认知程度呈正相关，与合并3种及以上其他慢性疾病和使用2种及以上治疗药物呈负相关。结论加强老干部疗养员对COPD 的知识教育，优化药物治疗方案，是提高患者治疗依从性、改善预后的重要措施。

Objective To investigate the present status of the compliance to the medical treatment of chronic obstructive pulmonary disease （COPD） outside military hospitals among navy convalescents and analysis of influential factors.Methods A horizontal survey was made on 114 navy convalescents with confirmed COPD,by using the Modified British Medical Research Council Dyspnea Scale （mMRC）,the Morisky survey and the Bristol COPD Knowledge Questionnaire （BCKQ ）.Results In the 114 navy convalescents with COPD,the average score of the Morisky survey was 1.18 ±1.05,those with total compliance only accounted for 28.9%.The extent of compliance was closely associated with the number of COPD recurrence.The average scores of COPD perception in the convalescents were 55.26 ±9.54.The compliance to the treatment was positively correlated with the perception of diseases.However,it was negatively correlated with those who were complicated with 3 or more than 3 chronic diseases and received 2 or more than 2 drugs.Conclusions Consolidated education about COPD in navy convalescents and optimized drug treatment regimen are the key to the improvement of compliance and better prognosis.