社区慢性阻塞性肺疾病稳定期患者自我管理现状及影响因素分析
Analysis of self-management status quo and influencing factors of patients with stable chronic obstructive pulmonary disease in community
周红娟 1邓丽金 2陈良英 1刘翠婷 1刘佳静 3陈锦秀2
作者信息
- 1. 莆田学院护理学院,福建莆田 351100
- 2. 福建中医药大学护理学院,福建福州 350122
- 3. 福建中医药大学附属人民医院普通内科,福建福州 350122
- 折叠
摘要
目的 调查社区慢性阻塞性肺疾病(COPD)稳定期患者自我管理现状及影响因素.方法 选择便利抽样法,调查2023年6-12月在福建省3个地市5家三甲医院呼吸科门诊复查的COPD稳定期患者,采用一般资料调查表、社区COPD稳定期患者自我管理量表、中文版患者积极度量表、家庭支持问卷、衰弱现状量表进行调查,使用多元逐步回归分析患者自我管理的影响因素.结果 社区COPD稳定期患者自我管理总分为(133.90±41.05)分,积极度总分为(69.39±26.58)分,家庭支持总分为(10.43±4.61)分,衰弱现状总分为(1.68±0.79)分.自我管理与积极度、家庭支持呈正相关,与衰弱现状呈负相关(P＜0.01).积极度、家庭支持、衰弱现状、年龄、所在社区、文化程度是社区COPD稳定期患者自我管理的主要影响因素(P＜0.05).结论 社区COPD稳定期患者自我管理为中等水平,有待进一步提高,医护人员应根据关注患者自我管理的影响因素,采取对应的干预策略,以提高患者自我管理能力及水平.
Abstract
Objective To investigate the self-management status quo and influencing factors of patients with stable chronic obstructive pulmonary disease(COPD)in community.Methods Convenient sampling method was selected to investigate the stable COPD patients who rechecked at the respiratory clinics of five grade A tertiary hospitals in three cities in Fujian Province from June to December,2023.General information questionnaire,community self-management scale for patients with stable chronic obstructive pulmonary disease,Chinese version of patient activation measure,family support questionnaire and frailty status scale were used to investigate,and the influencing factors of patients'self-management were analyzed by multiple stepwise regression.Results The total score of self-management of stable COPD patients in community was(133.90±41.05)points,the total score of activation was(69.39±26.58)points,the total score of family support was(10.43±4.61)points,and the total score of frailty status quo was(1.68±0.79)points.Self-management was positively correlated with activation and family support,and negatively correlated with frailty status quo(P＜0.01).Activation,family support,frailty,age,community and education level were the main influencing factors of self-management of stable COPD patients in community(P＜0.05).Conclusion The self-management of stable COPD patients in community is in the middle level,which needs to be further improved.Medical staff should take corresponding intervention strategies according to the influencing factors of patients'self-management to improve patients'self-management ability and level.
关键词
慢性阻塞性肺疾病/自我管理/社区护理/影响因素/护理Key words
Chronic obstructive pulmonary disease/Self-management/Community nursing/Influencing factors/Nursing引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据