慢性阻塞性肺疾病患者疾病感知现况及其影响因素分析  

The illness perception in COPD patients and influencing factors analysis

作　　者：李思嘉[1] 郭爱敏[2] 赵艳伟[3] 

机构地区：[1]浙江大学医学院附属邵逸夫医院,杭州市310016 [2]北京协和医学院护理学院 [3]北京协和医院

出　　处：《中国护理管理》2017年第8期1112-1116,共5页Chinese Nursing Management

摘　　要：目的:调查慢性阻塞性肺疾病患者疾病感知现况并分析其影响因素。方法:采用一般资料调查表、医院焦虑抑郁量表、简易疾病感知问卷,对北京市某三级甲等综合医院的128例慢阻肺患者进行调查。采用多元线性回归对患者疾病感知的影响因素进行分析。结果:慢阻肺患者疾病感知总分为(46.02±10.28)分,患者对于疾病的关心、病程和症状这3个条目分数较高。多元回归结果提示呼吸困难程度、抑郁状态、年龄是疾病感知的影响因素。结论:慢阻肺患者的疾病感知状况有待改善,应特别注意呼吸困难程度更重、处于抑郁状态、年轻的患者,针对其特点给予相应干预,从而改善慢阻肺患者的疾病感知。Objective： To describe the level of illness perception in COPD patients, and identify the influencing factors of illness perception. Method： Questionnaire was utilized in this study. Totally 128 COPD patients were recruited from a tertiary general hospital in Beijing. Brief Illness Perception Questionnaire was used to collect data of illness perception. Multiple linear regressions were used to determine the influencing factors of illness perception. Results： The average total score of illness perception was 46.02--L10.28. The items were ranked from high to low according to the average score, the first three items were concern, timeline and identity. Multiple linear regression analyses indicated that the influencing factors were degree of dyspnea, depression and age. Conclusion： Illness perception of patients with COPD should be improved. The patients with dyspnea, depression or young age should be given intensive nursing care.

关 键 词：慢性阻塞性肺疾病 疾病感知 影响因素 

分 类 号：R47[医药卫生—护理学]