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目的了解慢性阻塞性肺疾病(COPD)患者社会支持及相关影响因素。方法采用肖水源编制的社会支持评定量表(SSRS)对湛江市3所医院237例COPD患者进行问卷调查。结果 237例COPD患者客观支持得分为(9.17±3.59)分,主观支持得分为(23.24±5.45)分,对支持的利用度得分为(7.41±1.84)分,社会支持总分为(39.82±8.81)分。客观支持不同年龄、职业、文化程度、收入水平和疾病程度差异有统计学意义(P<0.05);主观支持不同年龄、文化程度、疾病程度差异有统计学意义(P<0.05);对支持利用度不同疾病程度差异有统计学意义(P<0.05);社会支持总分不同年龄、文化程度、收入水平和疾病程度差异有统计学意义(P<0.05)。Logistic回归分析显示,年龄、收入水平和疾病严重程度是社会支持总分的影响因素。结论 COPD患者的社会支持受到年龄、职业、文化程度、收入水平、疾病严重程度等多方面因素的影响,应加强健康指导,注重综合护理,提高患者的社会支持水平,促进康复。
Objective To understand the social support and related factors of patients with chronic obstructive pulmonary disease (COPD). Methods A questionnaire survey was conducted on 237 COPD patients from 3 hospitals in Zhanjiang City using Social Support Rating Scale (SSRS) prepared by Xiao Shui-Yuan. Results The objective support scores of 237 COPD patients were 9.17 ± 3.59, subjective support score was (23.24 ± 5.45), supportive utilization score was (7.41 ± 1.84), social support score was (39.82 ± 8.81) )Minute. Objectively supported by age, occupation, education level, income level and disease degree were statistically significant (P <0.05); subjective support of different age, education level and disease severity were statistically significant (P <0.05) There were significant differences in the degree of different diseases (P <0.05). The total score of social support was statistically significant (P <0.05) with different age, educational level, income level and disease severity. Logistic regression analysis showed that age, income level and disease severity were the influencing factors of social support scores. Conclusion The social support of patients with COPD is influenced by many factors such as age, occupation, educational level, income level, severity of disease and so on. Health guidance should be strengthened, comprehensive nursing should be emphasized, social support should be improved, and rehabilitation should be promoted.