上海北外滩社区慢性阻塞性肺疾病患者及高危人群对疾病的认知情况调查

Investigation of chronic obstructive pulmonary disease awareness in patients and high risk groups in Beiwaitan Community in Shanghai

目的:了解社区慢性阻塞性肺疾病(简称慢阻肺)患者及高危人群对慢阻肺的认知情况,为进行针对性的健康宣教提供依据。方法:对2019年6月-2021年6月在上海北外滩街道社区卫生服务中心体检的105例老年人和门诊患者进行布里斯托慢阻肺知识问卷(BCKQ)调查,其中慢阻肺高危人群74例,确诊患者31例。结果:调查对象中男性57例(54.3%),女性48例(45.7%);61~70岁年龄段居民居多(58.1%),整体以初中文化水平占主导(54.3%)。吸入支扩剂(8.6%)和吸入激素(19%)方面回答正确率最低。慢阻肺患者和高危人群的BCKQ得分差异无统计学意义(P>0.05)。结论:社区慢阻肺患者和高危人群对疾病认知差,尤其是药物治疗方面可作为今后健康宣教的重点。

Objective: To investigate the awareness of chronic obstructive pulmonary disease(COPD) in patients and high risk groups in a community and to provide a basis for targeted health education of COPD. Methods: The Bristol COPD knowledge questionnaire(BCKQ) was conducted among 105 elderly who underwent physical examination and outpatients in Beiwaitan Community Health Service Center, Shanghai from June 2019 to June 2021. Among them, 74 patients were at high risk of COPD and 31 patients were diagnosed. Results: Among the investigated subjects, 57 were male(54.3%) and 48 were female(45.7%);the majority of residents aged from 61 to 70 years old(58.1%), and the overall education level of junior high school was dominant(54.3%). The correct rate of answer was the lowest in inhaled bronchodilator(8.6%) and inhaled hormone(19%). There was no significant difference in BCKQ scores between COPD patients and high-risk groups(P>0.05). Conclusion:COPD patients and high-risk groups in the community have poor knowledge of the disease, and in particular, drug treatment can be the focus of health education in the future.