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目的:调查慢性阻塞性肺疾病患者疾病感知现况并分析其影响因素。方法:采用一般资料调查表、医院焦虑抑郁量表、简易疾病感知问卷,对北京市某三级甲等综合医院的128例慢阻肺患者进行调查。采用多元线性回归对患者疾病感知的影响因素进行分析。结果:慢阻肺患者疾病感知总分为(46.02±10.28)分,患者对于疾病的关心、病程和症状这3个条目分数较高。多元回归结果提示呼吸困难程度、抑郁状态、年龄是疾病感知的影响因素。结论:慢阻肺患者的疾病感知状况有待改善,应特别注意呼吸困难程度更重、处于抑郁状态、年轻的患者,针对其特点给予相应干预,从而改善慢阻肺患者的疾病感知。
Objective: To investigate the status of disease perception in patients with chronic obstructive pulmonary disease and analyze its influential factors. Methods: A total of 128 COPD patients in a tertiary level general hospital in Beijing were surveyed by using the general data questionnaire, the anxiety and depression scale of the hospital and the simple disease perception questionnaire. Multivariate linear regression was used to analyze the influencing factors of patients’ disease perception. Results: The total score of disease perception in patients with COPD was (46.02 ± 10.28) points, and the patients had higher scores on the disease concern, course and symptoms. Multivariate regression results suggest that the degree of dyspnea, depression, age is the impact of disease perception. CONCLUSIONS: The disease-sensing status of COPD patients needs to be improved. Special attention should be paid to those with more severe breathing difficulties and depression. Young patients are given interventions according to their characteristics so as to improve the disease perception in COPD patients.