老年慢性阻塞性肺疾病患者疾病知识掌握、健康行为及健康教育需求现状

The status of mastery of disease knowledge,health behavior and health education demands in elderly patients with chronic obstructive pulmonary disease

目的分析老年慢性阻塞性肺疾病(COPD)患者疾病知识掌握、健康行为、健康教育需求的现状。方法选取本院收治的190例老年COPD患者作为研究对象,分析疾病知识掌握、健康行为、健康教育需求等情况。结果老年COPD患者疾病治疗知识得分显著高于健康教育知识得分、基本概念知识得分、疾病诊断知识得分(P<0.05),健康教育知识得分显著高于基本概念知识得分、疾病诊断知识得分(P<0.05),基本概念知识得分与疾病诊断知识得分相比差异无统计学意义(P>0.05)。老年COPD患者压力管理评分显著高于人际关系评分、健康责任评分、营养评分、体育运动评分、精神成长评分(P<0.05),人际关系评分、营养评分显著高于健康责任评分、体育运动评分、精神成长评分(P<0.05),健康责任评分、体育运动评分显著高于精神成长评分(P<0.05),而人际关系评分与营养评分相比差异无统计学意义(P>0.05),健康责任评分与体育运动评分相比差异无统计学意义(P>0.05)。老年COPD患者治疗相关知识需求得分、检查相关知识需求得分、疾病相关知识需求得分显著高于教育与管理知识需求得分、康复治疗知识需求得分(P<0.05),康复治疗知识需求得分显著高于教育与管理知识需求得分(P<0.05),而治疗相关知识需求得分、检查相关知识需求得分、疾病相关知识需求得分相比差异无统计学意义(P>0.05)。结论在疾病知识方面,老年COPD患者对疾病治疗知识掌握得较好,对基本概念知识、疾病诊断知识掌握得欠佳。在健康行为方面,压力管理维度较好,健康责任、体育运动、精神成长等维度较差。在健康教育需求方面,对治疗知识、检查知识、疾病知识的需求较多,对教育与管理知识的需求较少。

Objective To analyze the status of mastery of disease knowledge,health behavior and health education in elderly patients with chronic obstructive pulmonary disease（ COPD）. Methods A total of 190 elderly patients with COPD in our hospital were selected as research objects,mastery of disease knowledge,health behavior and health education requirement were analyzed. Results The scores of diseases treatment knowledge of the elderly patients with COPD was significantly higher than that of health education knowledge scores,basic concepts of knowledge score and knowledge of disease diagnosis score（ P〈 0. 05）,health education knowledge scores was significantly higher than that of the basic concepts of knowledge score and knowledge of disease diagnosis score（ P〈 0. 05）,the basic concept of knowledge score and the diagnosis of disease knowledge scores had no significant difference（ P〉 0. 05）. Knowledge demand scores related to treatment,examination and disease of elderly patients with COPD were significantly higher than that of knowledge demands score for education and management,and rehabilitation treatment（ P〈 0. 05）. Rehabilitation treatment knowledge demands scores was significantly higher than education and management knowledge demands scores（ P〈 0. 05）. But treatment knowledge demand scores,examination knowledge demand score,and disease knowledge demand score had no significant difference（ P〉 0. 05）. Conclusion In the knowledge of the disease,the elderly COPD patients have a good grasp of the disease treatment,the basic concept of knowledge,knowledge of disease diagnosis is poor. In terms of health behavior,the stress management dimension is better,health responsibility,sports,spiritual growth and other dimensions are poor. In the demand of health education,there are more demands for treatment knowledge,knowledge and disease knowledge,and less demand for education and management knowledge.