维吾尔族慢性阻塞性肺疾病患者生活质量现状及影响因素的研究

Quality of life and its influencing factors of Uygur patients with chronic obstructive pulmonary disease

目的探讨喀什地区维吾尔族慢性阻塞性肺疾病(COPD)患者生活质量现状及影响因素。方法采用方便抽样,选取2017年10月-2018年1月在喀什地区某三级甲等医院就诊的203名维吾尔族COPD患者,运用维语版一般情况问卷、COPD患者疾病认知问卷和COPD患者自我管理量表以及慢性阻塞性肺疾病评估测试表(CAT)量表对符合纳入标准的研究对象进行调查。结果维吾尔族COPD患者疾病认知水平一般,平均水平为(22.68±4.67)分,自我管理总分的平均水平为(153.58±18.30)分。多元回归分析显示:过去1年因COPD住院的次数、自我管理(症状管理、自我效能维度)、文化程度4个变量进入了以生活质量水平为因变量的回归方程(R2=0.185,F=10.177,P=0.000)。结论维吾尔族COPD患者生活质量水平亟待提高,患者住院次数是影响维吾尔族COPD患者生活质量的重要因素,自我管理及文化程度是影响COPD患者生活质量水平的次要因素。

To investigate the quality of life of Uygur patients with chronic obstructive pulmonary disease(COPD)in Kashi area.Methods By convenient sampling,A convenient sample of 203 Uygur COPD patients visiting the respiratory department of a tertiary hospital in Kashi area of Xinjiang from October 2017 to January 2018 were investigated by questionnaires.The instrument include the general data,disease cognition questionnaire,self-management scale,CAT scale.Result The average level of disease knowledge in patients with COPD in Uygur nationality is(22.68±4.67).The average self-management score of COPD patients in Uygur nationality was(153.58±18.30).There were significant differences sex,education level,per capita monthly income,smoke,medical payment,Suffering from other diseases.The correlation analysis showed that education level,per capita monthly income,the self-management level of COPD patients(Symptom management,Daily life management,self efficacy)and quality of life were negatively correlated,and the number of hospitalization due to COPD was positively correlated with quality of life.Multiple regression analysis showed that the number of hospitalizations due to COPD in the past year,self-management level(Symptom management,Daily life management,self efficacy),education level,The four variables of MI index entered the regression equation with quality of life as dependent variables:R 2=0.185,F=10.177,P=0.000.Conclusion The living standard of patients with COPD in Uygur nationality needs to be improved urgently.The frequency of hospitalization is an important factor affecting the quality of life of patients with COPD in Uygur nationality.Self-management and education are secondary factors affecting COPD patients’quality of life.