摘要
目的 调查老年COPD患者的症状负担、自我效能以及生活质量现状,并探讨三者之间的相关性.方法 采用便利抽样的方法,选取2016年2月—2017年3月在浙江省中西医结合医院住院的老年COPD患者370例,使用一般资料调查表、COPD症状评估测试问卷、COPD自我效能量表以及COPD生活质量测定量表进行调查.结果 老年COPD患者症状负担总得分为（28.27±9.52）分,自我效能总得分为（98.66±10.78）分,生活质量总得分为（148.37±21.33）分;不同年龄、性别、文化程度、居住方式、是否吸烟以及疾病严重程度的患者症状负担、自我效能、生活质量各量表得分的差异均有统计学意义（P〈0.05）.不同家庭月收入的患者,其症状负担得分差异无统计学意义（t=1.628,P〉0.05）,自我效能得分和生活质量得分差异均具有统计学意义（t值分别为2.036、2.184;P〈0.05）.症状负担与自我效能总分及其各维度评分均成负相关（r=-0.427^-0.529,P〈0.05）;症状负担与生活质量总分及其各维度评分均成负相关（r=-0.428^-0.608,P〈0.01）;自我效能总分及其各维度评分与生活质量总分及其各维度评分均成正相关（r=0.477~0.778,P〈0.01）.结论 老年COPD患者的症状负担、自我效能及生活质量之间存在关联,患者的症状负担越重,其自我效能水平越低,生活质量越低.可以通过减轻症状负担,提高自我效能水平,从而改善老年COPD患者的生活质量.
Objective To investigate the status of symptom burden,self-efficacy and quality of life in elderly patients with chronic obstructive pulmonary disease （COPD）,and to explore the correlation among the three. Methods A total of 370 elderly patients with COPD hospitalized in the Hospital of Integrated Traditional Chinese and Western Medicine in Zhejiang Province from February 2016 to March 2017 were selected by convenience sampling method. The general data questionnaire,COPD assessment test,COPD self-efficacy scale and COPD quality of life instrument for chronic disease were used to investigate all the subjects. Results The total score of symptom burden in elderly patients with COPD was （28.27±9.52）,the total score of self-efficacy was （98.66±10.78）,the total score of quality of life was （148.37±21.33）. There were significant differences in symptom burden, self-efficacy, and quality of life among patients with different ages, genders, educational level, living styles, smoking and the severity of illness （P〈 0.05）. There was no statistical difference on symptom burden of patients with different household income （t=1.628,P〉0.05）, and the scores of self-efficacy and life quality were statistically different （t=2.036,2.184;P〈 0.05）. Symptom burden was negatively correlated with self-efficacy score and its dimension scores （r=-0.427--0.529,P〈0.05）;symptom burden was negatively correlated with the total score of quality of life and the scores of each dimension （r=-0.428--0.608,P〈0.01）;the total score of self-efficacy and the scores of its all dimensions were positively correlated with the total score and each dimension score of life quality （r=0.477-0.778,P〈0.01）. Conclusions There is correlation with symptom burden,self-efficacy and life quality in elderly patients with COPD. Patients have lower self-efficacy and life quality as their symptom burden increases. It is suggested that by reducing patients′symptom burden,improving self-efficacy level,elderly COPD patients′ quality of life can be improved.
出处
《中华现代护理杂志》
2018年第2期175-180,共6页
Chinese Journal of Modern Nursing
关键词
生活质量
肺疾病
慢性阻塞性
症状负担
自我效能
Quality of life
Pulmonary disease, chronic obstructive
Symptom burden
Self-efficacy
