慢性阻塞性肺疾病稳定期患者的生活质量和精神状态调查  

Investigation of the Health-related Quality of Life and Psychoactive Status of Patients with Stable COPD

作　　者：张海琴[1] 李燕芹[1] 刘斌[1] 徐佳波[1] 邹静[1] 

机构地区：[1]上海交通大学医学院附属仁济医院呼吸科,上海200127

出　　处：《中国慢性病预防与控制》2010年第1期15-17,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的评价慢性阻塞性肺疾病(COPD)稳定期患者的健康相关生活质量和精神状态。方法对2006年9月至2007年1月在上海交通大学医学院附属仁济医院呼吸科门诊随访的109例COPD稳定期患者进行问卷调查,了解患者的一般状况、精神状态和生活质量,同时测定肺功能指标。各组间比较采用t检验,量表评分间采用线性相关分析,将与生活质量总分相关的因素进行多因素回归分析,得出最终独立的危险因素。结果患者的抑郁患病率为19.3%。生活质量评定指标中,气促、疲劳、情绪和信心得分分别为(7.0±0.7)分、(5.9±1.3)分、(7.4±0.8)分和(6.9±0.8)分,总分为(27.2±2.8)分。多因素分析结果显示,长期家庭氧疗、1年前急性加重而入院、抑郁与生活质量总分低下均呈独立相关(t值分别为2.190,3.068,6.825,均P<0.05)。结论 COPD患者的总体生活质量低下,可能与抑郁状态、病情严重程度等多种因素相关。Objective To know the health-related quality of life （HRQL） and psychoactive status of patients with stable COPD. Methods 109 patients were recruited for the study from the clinic during September 2006 to January 2007. The level of QOL （Chronic Respiratory Disease Questionnaire was applied）, socio-demographic and clinical characteristics were evaluated. Results 19.3% of all the patients suffered from depression. The mean score of QOL was separately 7.0 for dyspnea; 5.9 for fatigue; 7.4 for emotion; 6.9 for mastery; and the mean of total scores was 27.2. Multiple linear regression analysis showed that long-term oxygen therapy at home, previous frequent hospital admissions and depression were independently related to worse total scores ofQOL （t level separately was 2.190, 3.068, 6.825, P〈0.05）. Conclusion Poor QOL in COPD patients is possibly associated with multiple factors. QOL of the patients with COPD need to be concerned more.

关 键 词：慢性阻塞性肺疾病 问卷调查 生活质量 精神状态 

分 类 号：R563[医药卫生—呼吸系统]