浙江省慈溪市慢性阻塞性肺疾病患病情况及管理现状分析  

Analysis on prevalence and management status of chronic obstructive pulmonary disease in Cixi City,Zhejiang Province

作　　者：胡明杰 周文荣 王坚迪 HU Mingjie;ZHOU Wenrong;WANG Jiandi(Cixi Third People's Hospital,Cixi,Zhejiang 315300,China)

机构地区：[1]慈溪市第三人民医院,浙江慈溪315300

出　　处：《中国公共卫生管理》2024年第6期936-939,943,共5页Chinese Journal of Public Health Management

摘　　要：目的分析浙江省慈溪市慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患病情况及管理现状,为制定COPD防控措施提供科学依据。方法采用多阶段随机抽样法于2020年1月—2023年1月共随机抽取1067名慈溪市居民进行肺功能检查和问卷调查,并计算COPD发病率;采用二元logistic回归分析COPD发生的影响因素;采用Pearson相关分析自我管理水平与知识掌握情况及自我效能的相关性。结果COPD发病率为9.37%。年龄较高、初中及以下文化程度、患有糖尿病或高血压等基础疾病和有粉尘暴露史是COPD发生的危险因素(P<0.05)。COPD患者自我管理水平与知识掌握情况及自我效能均呈正相关(r=0.772、0.677,P<0.05)。结论慈溪市COPD患病情况仍有待改善。应针对危险因素采取有效干预措施,加强健康知识宣传,提高COPD患者自我效能和自我管理水平,从而改善其生活质量。Objective To analyze the prevalence and management status of chronic obstructive pulmonary disease(COPD)in Cixi City,and to provide a scientific basis for the development of COPD prevention and control measures.Methods A multistage random sampling method was used to randomly select 1067 residents of Cixi City from January2020 to January 2023 for pulmonary function tests and questionnaires,and the incidence of COPD was calculated;multivariate binary logistic regression was applied to analyze the influencing factors of COPD occurrence;the correlation between COPD patients'self-management level with knowledge mastery and self-efficacy was analyzed by Pearson correlation analysis.Methods The incidence of COPD was 9.37%.Advanced age,education level of junior high school or below,suffering from basic diseases such as diabetes or hypertension,and history of dust exposure were risk factors for the development of COPD(P<0.05).COPD patients'self-management level was positively correlated with knowledge mastery and self-efficacy(r=0.772,0.677,P<0.05).Conclusion The prevalence of COPD in Cixi City still needs to be improved,and effective interventions should be implemented targeting risk factors,health knowledge promotion should be strengthened,and patients'self-efficacy and self-management levels should be improved to enhance their symptoms and quality of life.

关 键 词：慢性阻塞性肺疾病 危险因素 管理现状 

分 类 号：R563[医药卫生—呼吸系统]