城乡慢性阻塞性肺疾病患者行肺功能检查依从性的比较  

Comparison of compliance with lung function examination in urban and rural chronic obstructive pulmonary disease patients

作　　者：张勃[1] 白吉明[2] 王少飞[1] 李金玲[1] 郑洪飞[1] 庞桂芬[1] 杨林瀛[1] 张庆[1] Zhang Bo;Bai Jiming;Wang Shaofei;Li Jinling;Zheng Hongfei;Pang Guifen;Yang Linying;Zhang Qing(Department of Respiratory,Affiliated Hospital of Chengde Medical College,Chengde 067000,China;不详)

机构地区：[1]承德医学院附属医院呼吸科,河北承德067000 [2]承德市中心医院肿瘤科

出　　处：《临床内科杂志》2020年第8期573-575,共3页Journal of Clinical Internal Medicine

基　　金：中华医学会临床医学慢性呼吸道疾病科研专项资金资助项目(07010260034)。

摘　　要：目的比较城乡慢性阻塞性肺疾病(COPD)患者定期行肺功能检查的依从性,并分析产生这种差异的影响因素。方法选取COPD患者541例并根据居住地将其分为城市组198例和农村组343例,分别于初始、第3、6、9、12个月对患者进行肺功能检查,比较城乡COPD患者随访的依从性,并分析患者随访依从性不强的原因,比较各年龄段亚组COPD患者的随访依从性。结果城市组高文化程度和家庭月收入患者构成比及随访依从率均高于农村组(P<0.05)。城市组随访依从性不强的原因中“认为做肺功能检查无用”的患者构成比高于其他原因;农村组随访依从性不强的原因中“路途遥远、路费昂贵”的患者构成比高于其他原因(P<0.05)。在两组患者中,≥40岁患者随访人次构成比均高于<40岁患者;≥60岁患者人均随访频次均高于<60岁患者(P<0.05)。结论城乡COPD患者行肺功能检查的依从性不同,且产生这种差异的影响因素亦不同。Objective To compare the compliance with routine pulmonary function examination in urban and rural chronic obstructive pulmonary disease(COPD)patients,and to analyze the influencing factors of the differences.Methods A total of 541 COPD patients were sellected and divided into urban group(198 cases)and rural group(343 cases)according to the place of residence.Pulmonary function tests were conducted at the initial,3rd,6th,9th,and 12th months.Compliance of follow-up were compared between urban group and rural group,and to analyze the reasons for poor compliance of follow-up.Compliance of follow-up were compared between different age subgroups.Results Composition ratio of patients with high educational levels,monthly family income and follow-up rate in urban group were significantly higher than those in rural group(P<0.05).Composition ratio of patients with reason for poor compliance of follow-up was that“lung function test was considered useless”was higher than those for other reasons in urban group,while composition ratio of patients with reason for poor compliance of follow-up was that“the long distance and expensive tolls”was higher than those for other reasons in rural group(P<0.05).In patients of two groups,ratios of follow-up times in patients≥40 years old were significantly higher than those<40 years old,average follow-up frequency of patients≥60 years old were significantly higher than those of patients<60 years old(P<0.05).Conclusion Compliances with pulmonary function examination in urban and rural COPD patients are different,and the influencing factors are different.

关 键 词：城乡 慢性阻塞性肺疾病 肺功能 依从性 

分 类 号：R563.9[医药卫生—呼吸系统]