本文選題：慢性阻塞性肺疾病 + 生存質(zhì)量��； 參考：《重慶醫(yī)學》2016年19期

【摘要】：目的了解慢性阻塞性肺疾病(COPD)患者的生存質(zhì)量及相關(guān)影響因素。方法采用WHO生存質(zhì)量測定量表簡表(WHOQOL-BREF)中文版對湛江市3所醫(yī)院250例COPD患者進行問卷調(diào)查,分析影響患者生存質(zhì)量的因素。結(jié)果 250份問卷共回收有效合格問卷237份,回收率為94.80%。生理、心理、社會關(guān)系及環(huán)境領(lǐng)域的生存質(zhì)量評分分別為(59.57±15.73)、(56.99±13.01)、(64.28±14.82)、(58.70±11.53)分,綜合健康狀況自我評分為(74.97±12.61)分。男性患者生理、心理、社會關(guān)系和環(huán)境領(lǐng)域生存質(zhì)量得分均高于女性;文化程度較高者社會關(guān)系領(lǐng)域生存質(zhì)量得分高于文化程度較低者;收入水平較高者生理、心理、社會關(guān)系和環(huán)境領(lǐng)域生存質(zhì)量得分高于收入水平較低者;疾病嚴重程度越高者,生理、心理、社會關(guān)系和環(huán)境領(lǐng)域生存質(zhì)量得分越低,差異均有統(tǒng)計學意義(P0.05)。Logistic回歸分析顯示,性別、月收入水平和疾病嚴重程度是綜合健康自我評分的影響因素。結(jié)論 COPD患者的生存質(zhì)量受到性別、收入水平、文化程度、疾病嚴重程度等多方面因素的影響,應(yīng)加強健康教育,注重個性化護理,提高患者的生存質(zhì)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 鹵15.73, 56.99 鹵13.01, 58.70 鹵11.53 and 74.97 鹵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.
【作者單位】： 南方醫(yī)科大學南方醫(yī)院臨床護理教研室;廣東省湛江市第二人民醫(yī)院康復科;
【基金】：湛江市科技計劃項目(2015B01124)
【分類號】：R473.5

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