慢性阻塞性肺疾病急性加重期患者乐观倾向及领悟社会支持分析

Analysis of Optimistic Tendencies and Comprehension Social Support in Patients with Acute Exacerbations of Chronic Obstructive Pulmonary Disease

目的:探讨慢性阻塞性肺疾病急性加重期(AECOPD)患者乐观倾向与领悟社会支持的相关性,并分析患者乐观倾向的影响因素。方法:选取2020年1月—2021年1月郑州大学第一附属医院收治的40例AECOPD患者,于入院时进行基线资料调查,并在出院前1 d采用生活定向测验修订版量表(LOT-R)评估患者乐观倾向,同期采用领悟社会支持量表(PSSS)测定患者领悟社会支持水平,分析AECOPD患者乐观倾向与领悟社会支持水平的相关性,分析AECOPD患者乐观倾向的影响因素。结果:40例AECOPD患者LOT-R平均得分为(16.10±2.55)分,PSSS评分得分为(50.88±10.99)分。AECOPD患者LOT-R评分与PSSS中家庭维度、朋友维度、其他维度及总分均呈正相关关系(r=0.447、0.453、0.434、0.452,P<0.05);合并症≥2种患者、受教育程度初中及以下患者LOT-R评分低于合并症≤1种患者、受教育程度高中及以上患者,差异有统计学意义(t=3.741、4.005,P<0.05);合并症种类、受教育程度、领悟社会支持是AECOPD患者乐观倾向的影响因素。结论:AECOPD患者乐观倾向与领悟社会支持息息相关,且患者乐观倾向可能受合并症种类、受教育程度及领悟社会支持水平的影响。

Objective:To investigate the correlation between optimistic tendency and comprehending social support in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)and to analyze the factors influencing patients’optimistic tendency.Methods:40 cases of AECOPD patients admitted to the hospital from January 2020 to January 2021 were selected as study subjects.The baseline data were investigated at the time of admission,and the optimistic tendency of the patients was assessed by the Life Orientation Test-Revised(LOT-R)scale 1 d before discharge.During the same period,the Perceived Social Support Scale(PSSS)was used to determine the patients’perceived social support level.The correlation between the optimistic tendency of AECOPD patients and the level of perceived social support and the influencing factors of optimistic tendency of AECOPD patients were analyzed.Results:The mean LOT-R score of 40 AECOPD patients was(16.10±2.55)points and PSSS score was(50.88±10.99)points.The results showed that the LOT-R scores of AECOPD patients were positively correlated with the PSSS re-family dimension,friend dimension,other dimensions,and total scores(r=0.447,0.453,0.434,0.452;P<0.05).The LOT-R scores of patients with≥2 types of comorbidities and patients with junior high school or less education were lower than those of patients with≤1 type of comorbidity and patients with high school or more education,and the differences were statistically significant(t=3.741,4.005;P<0.05).The type of comorbidity,education level,and comprehending social support were influential factors in the optimistic tendency of AECOPD patients.Conclusion:Optimistic tendency of AECOPD patients is closely related to perceived social support and may be influenced by the type of comorbidity,education level and perceived social support level.