摘要
目的探讨社区慢性阻塞性肺疾病患者的自我管理、健康素养对生活质量的影响,探讨三者之间的关系并分析其影响路径。方法采用便利抽样法,于2017年5月～10月抽取湖南省长沙市咸嘉湖、望月湖和定王台3个社区的100例COPD患者进行问卷调查。调查工具包括一般资料调查表、COPD患者自我管理量表、COPD患者健康素养量表及圣乔治呼吸问卷。结果社区COPD患者的自我管理与生活质量总分呈负相关(P<0.05),自我管理水平越高,生活质量得分越低,生活质量越高;健康素养与生活质量总分呈负相关(P<0.05),健康素养越高,生活质量得分越低,生活质量越高。路径分析显示自我管理对生活质量总分有直接负向预测作用,路径系数为-0.36,且健康素养可通过自我管理间接影响生活质量。结论社区COPD患者的自我管理水平、健康素养和生活质量处于中下水平,社区医护人员需完善COPD慢病管理制度,提高COPD患者的健康素养,提升自我管理水平,从而降低生活质量得分,提高生活质量水平。
Objective To investigate the effects of self-management and health literacy on quality of life in patients with chronic obstructive pulmonary disease in the community, and to explore the relationship between the three and analyze their impact pathways. Methods A questionnaire survey was conducted in 100 cases of COPD patients from three communities in Xianjiahu, Wangyue Lake and Dingwangtai, Changsha City, Hunan Province from May to October 2017 using a convenient sampling method. Survey tools include the General Information Questionnaire, the COPD Patient Self-Management Scale, the COPD Patient Health Literacy Scale, and the St. George Respiratory Questionnaire.Results The self-management of community COPD patients was negatively correlated with the total quality of life (P<0.05). The higher the self-management level, the lower the quality of life score and the higher the quality of life. The health literacy was negatively correlated with the total quality of life (P<0.05), the higher the health literacy, the lower the quality of life score and the higher the quality of life. Path analysis showed that self-management had a direct negative predictive effect on the total quality of life, with a path coefficient of -0.36, and health literacy could indirectly affect quality of life through self-management. Conclusion The self-management level, health literacy and quality of life of COPD patients in the community are in the middle and bottom level. Community medical staff should perfect the management system of COPD chronic disease, improve the health literacy of COPD patients, and improve the level of self-management, so as to reduce the score of quality of life. Improve the quality of life.
作者
曾云
郭艳艳
刘智群
周金艳
ZENG Yun;GUO Yan-yan;LIU Zhi-qun;ZHOU Jin-yan(Department of Respiratory,The First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital,Changsha 410000,Hunan,China)
出处
《医学信息》
2019年第5期71-74,78,共5页
Journal of Medical Information
基金
湖南省自然科学基金(编号:2017JJ2163)
