慢性阻塞性肺疾病急性加重期患者疾病感知特点研究

Study on the Characteristics of illness perception of patients with acute exacerbation of chronic obstructive pulmonary disease

目的:探讨慢性阻塞性肺疾病急性加重期(AECOPD)患者疾病感知与临床症状相关性。方法:采用疾病感知问卷、圣乔治呼吸问卷,对105例AECOPD患者进行调查。结果:患者疾病同一性、病程急/慢性、严重后果因子得分较高,疾病周期性、疾病相关性、个人控制性、治疗控制性、情绪陈述因子得分较低;Pearson相关性分析显示:疾病同一性与呼吸症状、病程急/慢性与活动受限、严重后果与疾病影响、严重后果与呼吸问卷总分均呈一定相关性(r=0.337、0.403、0.425、0.398,P<0.05)。结论:AECOPD患者具有一定的负性疾病感知,与临床症状相关,临床医护人员应重点关注并提供相应的干预措施。

Objective:To investigate Characteristics of illness perception of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:105 cases of patients were investigated and analyzed by using the Illness Perception Questionnaire-Revised(IPQ-R)and the St George's respiratory questionnaire(SGRQ).Results:AECOPD patients had higher scores on the disease identity,timeline-acute/chronic,serious consequences and lower scores on the timeline-cyclical,disease correlation,personal control,treatment control and emotional representation.Pearson correlation analysis showed that the correlation is significant between the disease identity and respiratory symptoms,timeline-acute/chronic and activity limitation,serious consequences and disease impact,serious consequences and the SGRQ total score(r=0.337、0.403、0.425、0.398,P<0.05).Conclusions:AECOPD patients have a certain negative illness perception which is related to clinical symptoms.Clinical medical staff should focus on and provide corresponding intervention measures.