慢性阻塞性肺疾病患者无创通气后患病不定感与生活质量的相关性研究

Study on the relationship between uncertainty of illness and quality of life in patients with chronic obstructive pulmonary disease after non-invasive ventilation

目的:探讨慢性阻塞性肺疾病(慢阻肺)患者无创通气后患病不确定感与生活质量的相关性。方法:采用前瞻性研究,选取慢阻肺无创通气后的患者93例,采用患病不定感量表和生活质量量表(采用心理社会适应量表)对患者进行调查。结果:慢阻肺无创通气后患者的患病不定感总分为(97.56±13.47)分,其中疾病不明确、不可预测情况得分较高;心理社会适应能力总分为(29.12±6.52)分,其中家庭关系分数较高;两者总分及各项目之间呈负相关(r=-0.12-0.81,P<0.05)。结论:慢阻肺无创通气后患者患病不定感与心理社会适应水平呈负相关,并且随着患病不定感的增加,心理社会适应水平降低,生活质量也就越低。

Objective:To investigate the relationship between the uncertainty of illness and the quality of life in patients with chronic obstructive pulmonary disease(COPD)after non-invasive ventilation.Methods:A prospective study was used to select 93 patients with COPD after non-invasive ventilation,and the patients were investigated using the illness uncertainty scale and the quality of life scale(using the psychosocial adaptation scale).Results:After COPD non-invasive ventilation,the total score of patients with uncertainty of illness was(97.56±13.47)points.Among them,the score of disease uncertainty and unpredictability was higher.The total score was(29.12±6.52)points.Among them,the family relationship score was higher.There was a negative correlation between the total scores of the two and each item(r=-0.12-0.81,P<0.05).Conclusion:After COPD non-invasive ventilation,the patient’s uncertainty of illness is negatively correlated with the level of psychosocial adaptation,and with the increase of uncertainty of illness,the lower the level of psychosocial adaptation,the lower the quality of life.