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老年慢性阻塞性肺疾病患者个人生活掌控感现状及影响因素分析

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目的 了解老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者个人生活掌控感现状并分析其影响因素。方法 采用便利抽样法选取2021年4-12月于山西省某三级甲等医院住院的210例老年COPD患者作为调查对象,选用一般资料调查表、个人掌控感量表、一般自我效能量表、简易应对方式问卷、领悟社会支持量表对其进行问卷调查。结果 老年COPD患者个人掌控感得分为(21。88±3。66)分。多元线性回归分析结果显示,文化程度(高中/中专及以上:p'=0。136)、肺功能分级(3级:β'=-0。285)、积极应对(β'=0。313)、自我效能感(β'=0。265)、领悟社会支持(β'=0。145)是老年COPD患者个人生活掌控感的主要影响因素(P<0。05)。结论 老年COPD患者个人生活掌控感水平有待提升,医护人员应对其掌控感多加关注,采取针对性的干预措施,帮助患者提高自我效能及积极应对方式,调动社会支持,以增强患者的个人生活掌控水平。
Status and Influencing Factors of Personal Mastery in Elderly Chronic Obstructive Pulmonary Disease Patients
Objective To understand the current status of personal mastery in elderly patients with chronic ob-structive pulmonary disease(COPD)and analyze the influencing factors.Methods Using a convenience sampling method,210 hospitalized elderly COPD patients from a tertiary hospital in Shanxi province from April 2021 to De-cember 2021 were selected as participants.The General Information Questionnaire,Personal Mastery Scale,General Self-efficacy Scale,Simplified Coping Style Questionnaire and Perceived Social Support Scale were used for investiga-tion.Results The score of personal mastery in elderly patients with COPD was(21.88±3.66).The results of mul-tiple linear regression analysis showed that education level(high school/technical secondary school or above:β'=0.136),pulmonary function grade(level 3:β'=-0.285),active coping(β'=0.313),self-efficacy(β'=0.265)and perceived social support(β'=0.145)were the influencing factors of personal mastery in elderly COPD patients(P<0.05).Conclusion The level of personal mastery in elderly COPD patients needs to be improved.Medical staff should pay more attention to their sense of control,take targeted interventions to help patients improve their self-efficacy and active coping,and mobilize social support to enhance their level of personal mastery.

Chronic obstructive pulmonary disease(COPD)Personal masterySelf-efficacyCoping stylePerceived social supportInfluencing factors

史艳红、赵素琴、杨美峰、王颖、李红梅

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山西医科大学汾阳学院,山西 汾阳,032200

山西省汾阳医院,山西 汾阳,032200

慢性阻塞性肺疾病 个人掌控感 自我效能 应对方式 领悟社会支持 影响因素

吕梁市科技计划项目

吕科发[2020]33号-15

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(5)