慢性阻塞性肺疾病患者疾病感知与自我管理和生活质量的相关性  

Associations of illness perception with self-management and quality of life in patients with chronic obstructive pulmonary disease

作　　者：钱琼 谭莉[1] 方思 朱艳 张力[1] 倪芳 胡轶[1] QIAN Qiong;TAN Li;FANG Si;ZHU Yan;ZHANG Li;NI Fang;HU Yi(Department of Respiratory Medicine,Wuhan Central Hospital Affiliated to Tongji Medical College of Huazhong University of Science&Technology,Wuhan,Hubei 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院呼吸内科

出　　处：《中国临床研究》2019年第11期1492-1495,共4页Chinese Journal of Clinical Research

基　　金：湖北省科技计划项目(2018CFC815)~~

摘　　要：目的探讨慢性阻塞性肺疾病(COPD)患者的疾病感知情况,及其与自我管理、生活质量的相关性。方法运用问卷调查的方法,选取2017年4月至2018年1月就诊于武汉中心医院呼吸内科的COPD患者。患者填写一般资料调查表、简易疾病感知问卷(BIPQ)、COPD患者自我管理行为量表和生活质量量表。结果本次调查共发放问卷172例,回收问卷161例,回收率为93.6%。研究对象的年龄为42~92(74.4±11.5)岁;病程≥10年最多(54.6%)。患者的疾病感知量表各条目评分从高到低依次为病程、疾病关心、影响、症状、情绪、个人控制、了解和治疗控制。Pearson相关分析显示,疾病感知量表的病程、影响、症状和情绪与自我管理量表的总分呈负相关,与生活质量量表的总分呈正相关(P<0.05,P<0.01);疾病感知量表的疾病关心、了解、个人控制与自我管理量表的总分呈正相关(P<0.05,P<0.01),个人控制和治疗控制与生活质量量表的总分呈负相关(P<0.05,P<0.01)。结论COPD患者的疾病感知有待改善,应采取相应措施减少不良的疾病感知,从而增加其自我管理和提高生活质量。Objective To explore the illness perception of patients with chronic obstructive pulmonary disease(COPD)and its correlation with self-management and quality of life of patients.Methods Using the method of questionnaire survey,161 patients with COPD treated in the department of respiratory medicine of Wuhan Central Hospital from April 2017 to January 2018 were recruited and completed the general information questionnaire,the brief illness perception questionnaire(brief IPQ),the self-management scale,and the scale of quality of life(QOL).Results A total of 172 questionnaires were sent out,and 161 valid questionnaires were collected(93.6%).The age of the subjects ranged from 42 to 92(74.4±11.5)years,and the proportions of disease course with more than 10 years were 54.6%.The mean score of each item in Brief IPQ ranked in the descending order of disease course,disease care,impact,symptoms,emotional response,personal control,understanding and treatment control.Pearson correlation analysis showed that the disease course,impact,symptoms and emotions in Brief IPQ were negatively correlated with the total score of the self-management scale and were positively correlated with the total score of QOL(P<0.05,P<0.01).There was a positive correlation between disease care,understanding,personal control in Brief IPQ and the total score of self-management scale(P<0.05,P<0.01)and a negative correlation between personal control and treatment control in Brief IPQ and the total score of QOL(P<0.05,P<0.01).Conclusion The illness perception of patients with COPD needs to be improved,and corresponding measures should be taken to reduce negative disease perception so as to improve the self-management and the quality of life of patients.

关 键 词：慢性阻塞性肺疾病 疾病感知 自我管理 生活质量 

分 类 号：R563[医药卫生—呼吸系统]