慢性阻塞性肺疾病患者生存质量调查及影响因素分析

发布时间：2018-06-19 02:47

本文选题：慢性阻塞性肺疾病 + 生存质量　；参考：《重庆医学》2016年19期

【摘要】：目的了解慢性阻塞性肺疾病(COPD)患者的生存质量及相关影响因素。方法采用WHO生存质量测定量表简表(WHOQOL-BREF)中文版对湛江市3所医院250例COPD患者进行问卷调查,分析影响患者生存质量的因素。结果 250份问卷共回收有效合格问卷237份,回收率为94.80%。生理、心理、社会关系及环境领域的生存质量评分分别为(59.57±15.73)、(56.99±13.01)、(64.28±14.82)、(58.70±11.53)分,综合健康状况自我评分为(74.97±12.61)分。男性患者生理、心理、社会关系和环境领域生存质量得分均高于女性;文化程度较高者社会关系领域生存质量得分高于文化程度较低者;收入水平较高者生理、心理、社会关系和环境领域生存质量得分高于收入水平较低者;疾病严重程度越高者,生理、心理、社会关系和环境领域生存质量得分越低,差异均有统计学意义(P0.05)。Logistic回归分析显示,性别、月收入水平和疾病严重程度是综合健康自我评分的影响因素。结论 COPD患者的生存质量受到性别、收入水平、文化程度、疾病严重程度等多方面因素的影响,应加强健康教育,注重个性化护理,提高患者的生存质量。
[Abstract]:Objective to investigate the quality of life (QOL) and related factors in patients with chronic obstructive pulmonary disease (COPD). Methods 250 COPD patients in 3 hospitals in Zhanjiang City were investigated with WHO quality of Life scale (WHOQOL-BREF) Chinese version, and the factors influencing the quality of life were analyzed. Results A total of 237 valid questionnaires were collected from 250 questionnaires with a recovery rate of 94.80. The scores of physical, psychological, social and environmental quality of life were 59.57 卤15.73, 56.99 卤13.01, 58.70 卤11.53 and 74.97 卤12.61, respectively. The scores of male patients in physiology, psychology, social relations and environmental quality of life were higher than that of women; those with higher education level had higher scores of quality of life in social relations than those with lower education level; those with higher income level had higher scores of physiology and psychology. The scores of social relations and environmental quality of life were higher than those of the lower income level, and the higher the degree of disease, the lower the scores of physiology, psychology, social relations and environmental quality of life, the difference was statistically significant (P 0.05). Gender, monthly income level and severity of disease were the influential factors of comprehensive health self-score. Conclusion the quality of life of COPD patients is affected by gender, income level, education level and disease severity, etc. Health education should be strengthened, individualized nursing should be paid attention to, and the quality of life of patients should be improved.
【作者单位】：南方医科大学南方医院临床护理教研室;广东省湛江市第二人民医院康复科;
【基金】：湛江市科技计划项目(2015B01124)
【分类号】：R473.5

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