慢性阻塞性肺疾病稳定期患者自我管理能力与主观幸福感的相关性

Correlation Between Self-Management Ability and Subjective Well-being in Patients with Stable Chronic Obstructive Pulmonary Disease

目的分析慢性阻塞性肺疾病稳定期(SCOPD)患者自我管理能力与主观幸福感水平的关系。方法采用前瞻性随机试验方法,选择2019年2月至2021年2月汝州市第一人民医院呼吸内科收治的100例SCOPD患者作为研究对象,患者均接受规范化治疗,分别于患者出院时、出院1个月和3个月采用成年人健康自我管理能力测评量表(AHSMSRS)、纽芬兰纪念大学幸福度量表(MUNSH)评估患者自我管理能力水平、主观幸福感水平。分析SCOPD患者自我管理能力与主观幸福感水平的相关性。结果SCOPD患者出院1、3个月AHSMSRS各维度评分及总分均高于出院时,且出院3个月AHSMSRS各维度评分及总分均高于出院1个月(P<0.05);SCOPD患者出院1、3个月正性情感(PA)、正性体验(PE)评分及MUNSH总分均高于出院时,负性情感(NA)、负性体验(NE)评分低于出院时,且出院3个月PA、PE评分及MUNSH总分均高于出院1个月,NA、NE评分均低于出院1个月(P<0.05)。相关性检验结果显示,SCOPD患者AHSMSRS各维度评分及AHSMSRS总分与PA、PE评分及MUNSH总分均呈正相关(r>0,P<0.05),与NA、NE评分均呈负相关(r<0,P<0.05)。结论SCOPD患者自我管理能力与主观幸福感水平呈正相关。

Objective To analyze the relationship between self-management ability and subjective well-being in patients with stable chronic obstructive pulmonary disease(SCOPD).Methods A prospective randomized trial method was conducted to select 100 patients with SCOPD admitted to Department of Respiratory Medicine,the First People’s Hospital of Ruzhou from February 2019 to February 2021 as the study subjects.All patients received standardized treatment.At the time of discharge,1 month and 3 months after discharge,adult health self-management ability assessment scale(AHSMSRS)and Memorial University of Newfoundland scale of happiness(MUNSH)were used to evaluate the self-management ability and subjective well-being of patients.The correlation between self-management ability and subjective well-being of SCOPD patients was analyzed.Results The scores of each dimension and total score of AHSMSRS at 1 month and 3 months after discharge of SCOPD patients were higher than those at discharge,and the scores of each dimension and total score of AHSMSRS at 3 months after discharge were higher than those at 1 month after discharge(P<0.05).The scores of positive emotion(PA),positive experience(PE)and total score of MUNSH of SCOPD patients at 1 and 3 months after discharge were higher than those at discharge,and the scores of negative emotion(NA)and negative experience(NE)were lower than those at discharge,the scores of PA,PE and MUNSH 3 months after discharge were higher than those at 1 month after discharge,and the scores of NA and NE were lower than those at 1 month after discharge(P<0.05).After correlation test,the results showed that the scores of each dimension of AHSMSRS and the total score of AHSMSRS were positively correlated with PA,PE and MUNSH in SCOPD patients(r>0,P<0.05),and was negatively correlated with NA and NE scores(r<0,P<0.05).Conclusion There is a positive correlation between self-management ability and subjective well-being of SCOPD patients.