摘要
目的调查慢性阻塞性肺疾病(慢阻肺)患者疾病自我管理现况及其影响因素,为制定行之有效的管理策略提供依据。方法选取2023年4月至2024年4月云南省文山市人民医院就诊的慢阻肺患者483例作为研究对象,调查其疾病自我管理现况,采用单因素方差分析和多元线性回归分析确定影响其自我管理能力的因素。结果483例研究对象中,仅有2.9%(14/483)的患者对自身疾病全部了解,21.12%(102/483)患者对如何管理自身疾病有一定的了解。仅有34.38%(166/483)的患者按要求院外使用吸入剂治疗,其中仅有40.96%(68/166)的患者按医生要求规律使用,60.84%(101/166)的患者吸入方式正确。经单因素方差分析和多元线性回归分析发现,影响患者自我管理的因素包括慢阻肺分组、吸烟、生活满意度、疾病自我认知情况、运动情况、肺功能情况、性别(t=2.35、-2.22、-5.76、4.37、-2.22、5.09、-3.64,均P<0.05)。结论慢阻肺患者自我管理意识差,用药依从性较差。疾病自我管理能力与慢阻肺分组、肺功能情况、吸烟情况、运动情况、性别,生活满意度及疾病自我认知情况有关,应针对上述情况制定合理的干预措施,有针对性的提高患者的自我管理意识和能力,从而提高其生活质量。
ObjectiveTo investigate the disease self-management status of patients with chronic obstructive pulmonary disease(COPD)and its influential factors,providing evidence for the development of effective management strategies.MethodsA total of 483 patients with chronic obstructive pulmonary disease(COPD)who received treatment at Wenshan People's Hospital from April 2023 to April 2024 were included in this study.Their disease self-management status was assessed,and one-way analysis of variance and multiple linear regression analysis were conducted to identify the factors influencing patients'self-management abilities.ResultsAmong the 483 patients studied,only 2.9%(14/483)showed a complete understanding of their disease,while 21.12%(102/483)had some understanding of how to manage it.Only 34.38%(166/483)of the patients used inhalants outside the hospital as required,of which only 40.96%(68/166)used them regularly as required by doctors,and 60.84%(101/106)of the patients inhaled correctly.One-way analysis of variance and multiple linear regression analysis results showed that the factors affecting patients'self-management included COPD classification,smoking,life satisfaction,disease self-cognition,exercise habits,lung function,and gender(t=2.35,-2.22,-5.76,4.37,-2.22,5.09,-3.64,all P<0.05).ConclusionsPatients with COPD exhibit poor disease self-management awareness and medication compliance.Patient's ability to self-manage their disease is associated with COPD classification,lung function,smoking,exercise habits,gender,life satisfaction,and disease self-cognition.Therefore,it is essential to develop appropriate intervention measures based on these factors,focusing on enhancing patients'self-management awareness and abilities to improve their quality of life.
作者
刘跃琼
牛云芬
尚桂丽
刘正德
古正祥
李银
李香荷
Liu Yueqiong;Niu Yunfen;Shang Guili;Liu Zhengde;Gu Zhengxiang;Li Yin;Li Xianghe(Department of Pharmacy,Wenshan People's Hospital,Wenshan 663099,Yunnan Province,China;Department of Respiratory Medicine,Qiubei People's Hospital,Wenshan 663200,Yunnan Province,China;Department of Pharmacy,Malipo People's Hospital,Wenshan 663600,Yunnan Province,China;Department of Pharmacy,The Affiliated Puer Hospital of Kunming University of Science and Technology,Puer 665000,Yunnan Province,China)
出处
《中国基层医药》
2025年第7期1013-1018,共6页
Chinese Journal of Primary Medicine and Pharmacy
基金
云南省文山市科技局项目(2022AE07)。
关键词
肺疾病
慢性阻塞性
自我管理
调查和问卷
影响因素分析
病人满意度
认知
Pulmonary disease,chronic obstructive
Self management
Surveys and questionnaires
Root cause analysis
Patient satisfaction
Cognition
