慢性阻塞性肺疾病患者经验性回避现状及影响因素分析  

Analysis of the current status and influencing factors of experiential avoidance in patients with chronic obstructive pulmonary disease

作　　者：朱艳 张力[1] 汪滢 谭莉[1] 倪芳 ZHU Yan;ZHANG Li;WANG Ying;TAN Li;NI Fang(Respiratory Medicine,Tongji Medical College,Huazhong University of Science and Technology,The Central Hospital of Wuhan,Wuhan,Hubei Province 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,湖北省武汉430014

出　　处：《中国慢性病预防与控制》2020年第4期249-252,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：湖北省科技计划项目资助项目(2018CFC815)。

摘　　要：目的了解慢性阻塞性肺疾病(COPD)患者经验性回避的现状,并分析其影响因素,为降低COPD患者经验性回避,减少患者心理问题提供依据。方法采用便利抽样,于2018年6-12月选取武汉市3所三甲综合性医院呼吸内科住院治疗的150例COPD患者为研究对象。采用一般情况调查表、接纳与行动问卷第2版、一般自我效能感量表及领悟社会支持量表对调查对象进行问卷调查。采用SPSS 19.0软件进行t检验、方差分析、Pearson相关分析及多元线性回归分析。结果 COPD患者经验性回避得分为(27.29±8.28)分。不同性别、肺功能分级的COPD患者经验性回避得分差异有统计学意义(P<0.05)。一般自我效能感得分、领悟社会支持各维度得分及总分与经验性回避均呈负相关(P<0.01)。性别(β=0.156)、肺功能分级(β=0.243)、一般自我效能感(β=-0.153)及领悟社会支持(β=-0.455)是COPD患者经验性回避的影响因素(R2=0.390,调整R2=0.371,F=20.912,P<0.01)。结论 COPD患者经验性回避水平较高。医护人员应关注COPD患者的经验性回避状况,采取针对性干预措施,基于自我效能和社会支持实施干预,以降低患者的经验性回避水平。Objective To understand the current status of experiential avoidance in patients with chronic obstructive pulmonary disease(COPD),to analyze its influencing factors,and to provide the basis for reducing the experiential avoidance and psychological problems of COPD patients. Methods From June to December of 2018,the convenient sampling was used to select150 COPD inpatients from the three top general hospitals in Wuhan as the subjects. The investigation was performed by the general questionnaire,Acceptance and Action Questionnaire-2 nd Edition(AAQ-Ⅱ),General Self-Efficacy Scale(GSES) and Perceived Social Support Scale(PSSS). The t test,analysis of variance,Pearson correlation analysis and multiple liner regression analysis were used to analyze the data,the used software was SPSS 19.0. Results The experiential avoidance score of COPD patients was(27.29±8.28) points. There were significant differences of experiential avoidance scores between COPD patients with different gender and lung function grading(P <0.05). The scores of general self-efficacy,the dimensional scores and total scores of perceived social support were negatively correlated with experiential avoidance(P<0.01). Gender (β=0.156),lung function grading (β =0.243),general self-efficacy (β=-0.153) and perceived social support (β=-0.455) were the influencing factors of experiential avoidance in COPD patients(R2=0.390,adjusted R2=0.371,F =20.912,P <0.01). Conclusion COPD patients has higher levels of experiential avoidance. Medical staff should pay attention to the experiential avoidance of COPD patients,take the targeted interventions,and implement interventions based on self-efficacy and social support to reduce the level of experiential avoidance.

关 键 词：经验性回避 慢性阻塞性肺疾病 一般自我效能感 领悟社会支持 

分 类 号：R563[医药卫生—呼吸系统]