支气管哮喘患者接受健康教育后自我管理水平与生活质量关系研究  

The correlation between self-management skills and the quality of life in patients with asthma after health education

作　　者：刘秋云[1] 廖春丽[2] 孙继红[3] 王艳军[1] 刘莉[1] 

机构地区：[1]首都医科大学附属北京朝阳医院呼吸与危重症医学科,100020 [2]首都医科大学护理学院 [3]首都医科大学第三临床医学院

出　　处：《中国护理管理》2011年第7期33-36,共4页Chinese Nursing Management

摘　　要：目的:了解对支气管哮喘患者实施健康教育后患者自我行为管理和生活质量的情况,并探讨两者的相关性。方法:采用问卷调查法对某院健康呼吸门诊209例支气管哮喘患者进行研究。2个问卷分别是:①自行设计的哮喘患者健康教育自我管理调查问卷,其中包括患者的一般人口社会学资料;②经翻译并检验过的哮喘患者生活质量量表。结果:哮喘患者接受健康教育后自我管理平均得分为(6.1±2.5)分,患者自我监测管理率低。多元逐步回归结果显示付费方式对哮喘患者接受健康教育后自我管理有影响(P<0.05);健康教育后自我管理水平与患者生活质量呈正相关(P<0.05);生活质量多元逐步回归结果显示自我管理对生活质量有影响(P<0.05)。结论:哮喘患者接受健康教育后自我管理处于中等水平及以下,并受付费方式的影响;哮喘患者接受健康教育后自我管理意识增强,尤其是自我监测管理意识的增强,能明显改善患者的生活质量。Objective：To understand self-management skills and the quality of life post-health education and to explore the relationship between them. Methods：209 outpatients participated in this study. The questionnaire employed in this study included quality of life scale for asthma patients and the self-developed questions for measuring self-management skills together with demographic data.Results：Their self-management skills remained poor,particularly in self-monitoring, which is associated with payment for health care cost （P〈0.05）.There was a positive correlation between quality of life and self-management skills post-health education （P〈0.05）. Conclusion：Health education may enhance the awareness of self-management in asthma patients, especially in improvement of their self-monitoring, which in turn improve their quality of life.

关 键 词：支气管哮喘 健康教育 自我管理 生活质量 

分 类 号：R47[医药卫生—护理学] R494[医药卫生—临床医学]