COPD患者家庭反应及应对方式对疾病控制的影响

The effect of family response and coping styles on disease control in patients with COPD

目的探讨慢性阻塞性肺疾病(COPD)患者家庭反应及应对方式对疾病控制的影响。方法选择2017年1月至2018年6月在我院治疗的COPD患者60例为研究对象。出院时调查患者应对方式,家庭复原力,测定患者肺功能;出院1个月复诊,检测患者肺功能,调查其慢性病管理水平、自我管理能力以及生活质量。分析患者不同应对方式、不同家庭复原力对患者自我管理能力、慢性病管理水平、肺功能指标的影响。结果积极应对组在出院后1个月,FEV 1、FEV 1/FVC较出院时明显改善,差异有统计学意义(P<0.05);出院后1个月,积极应对组FEV 1、FVC、FEV 1/FVC均明显高于消极应对组,差异有统计学意义(P<0.05)。积极应对组患者生活质量、自我管理能力、慢性病管理水平评分明显高于消极应对患者,差异有统计学意义(P<0.05)。家庭复原力高组的患者出院后1个月FEV 1、FEV 1/FVC较出院时明显改善,差异有统计学意义(P<0.05);出院后1个月,家庭复原力高组患者FEV 1、FVC、FEV 1/FVC均明显高于家庭复原力低组患者,差异有统计学意义(P<0.05)。复原力高组患者生活质量、自我管理能力、慢性病管理水平评分显著高于复原力低组患者,差异有统计学意义(P<0.05)。结论积极的应对方式、家庭复原力高有利于COPD患者病情控制,提高患者自我管理能力、慢性病管理水平和生活质量。

Objective To discuss the effect of family response and coping styles on disease control in patients with chronic obstructive pulmonary diseases(COPD).Methods To select 60 patients with COPD who were treated in our hospital from January 2017 to June 2018 as a object.At the time of discharge,the patient's coping style,family remunerability,and patient's lung function were measured.After the patient was discharged from the hospital for one month,the lung function was examined to investigate the chronic disease management level,self-management ability and quality of life.The effects of different coping styles and different family remunerability for patient self-management ability,chronic disease management level and lung function index were analyzed.Results One month after discharge,the positive coping group showed a significant improvement in FEV 1,FEV 1/FVC compared with status on discharge,and the differences were statistically significant(P<0.05).One month after discharge,FEV 1,FVC,and FEV 1/FVC in positive coping group were significantly higher than those in the negative coping group,and the differences were statistically significant(P<0.05).The quality of life,self-management ability,and chronic disease management level scores in positive coping group were significantly higher than those in the negative coping group,and the differences were statistically significant(P<0.05).One month after discharge,the high family resiliency group showed a significant improvement in FEV 1,FEV 1/FVC compared with status on discharge,and the differences were statistically significant(P<0.05).One month after discharge,FEV 1,FVC,and FEV 1/FVC in high family resiliency group were significantly higher than those in low family resiliency group,and the differences were statistically significant(P<0.05).The quality of life,self-management ability,and chronic disease management level scores in high family resiliency group were significantly higher than those in the low family resiliency group,and the differences were statistically significant(P<0.05).Conclusion Active coping style and high family remunerability were conducive to the control of COPD patients'disease,improve their self-management ability,chronic disease management level and quality of life.