摘要
目的 调查间质性肺疾病与慢性阻塞性肺疾病(简称慢阻肺)患者的疾病认知现状,为临床护理提供参考和依据。方法 采用简单随机抽样方法选择2021年8月—2022年10月中日友好医院呼吸与危重症医学科病房收治的慢阻肺患者83例,间质性肺疾病患者85例,使用疾病感知问卷(IPQ-R)对患者进行调查。结果 在“症状识别”中,间质性肺疾病与慢阻肺患者得分为(5.86±0.83)分、(5.87±0.85)分(t=0.066,P=0.947);在“病因感知”中,2组患者得分为(52.88±0.98)分、(52.80±1.09)分(t=0.545,P=0.587),差异均无统计学意义。在“对疾病和自身认知评价”中,与慢阻肺相比,间质性肺疾病患者认为自己的“病程”更长[(18.91±0.85)分vs.(18.18±1.70)分,t=3.485,P=0.001]。在“周期性复发”“疾病预后”“个人控制信心”方面,间质性肺疾病患者得分低于慢阻肺患者[(14.11±1.39)分vs.(15.19±1.36)分,t=5.130;(20.34±0.93)分vs.(20.69±0.46)分,t=3.142;(16.12±1.15)分vs.(16.49±0.67)分,t=2.566,均P<0.05]。结论 间质性肺疾病患者对疾病复发、预后方面的疾病认知水平要低于慢阻肺患者,医护人员要根据患者疾病感知的水平与特点,有针对性地实施临床护理干预。
Objective To investigate the status quo of disease cognition in patients with interstitial lung disease and chronic obstructive pulmonary disease(COPD),and to provide reference and basis for clinical nursing.Methods A questionnaire survey was used to randomly select 83 patients with COPD and 85 patients with interstitial lung disease from the Department of Respiratory and Critical Care Medicine of China-Japan Friendship Hospital from August 2021 to October 2022.The patients were investigated by disease perception questionnaire(IPQ-R).Results In the dimension of"symptom recognition",the scores of patients with interstitial lung disease and COPD were(5.86±0.83)points,(5.87±0.85)points,t=0.066,P=0.947.In the dimension of"etiological perception",the scores of the two groups were(52.88±0.98)points,(52.80±1.09)points,t=0.545,P=0.587.Compared with COPD,patients with interstitial lung disease perceived their"disease course"to be longer[(18.91±0.85)points vs.(18.18±1.70)points,t=3.485,P=0.001].In terms of"cyclical recurrence""disease prognosis""personal control confidence",patients with interstitial lung disease scored lower than those with COPD[(14.11±1.39)points vs.(15.19±1.36)points,t=5.130;(20.34±0.93)points vs.(20.69±0.46)points,t=3.142;(16.12±1.15)points vs.(16.49±0.67)points,t=2.566,all P<0.05].Conclusion Patients with interstitial pulmonary disease have a lower cognition level of disease recurrence and prognosis than patients with COPD.Medical staff should implement targeted clinical nursing interventions according to the level and characteristics of patients'disease perception.
作者
李杰红
姜丁源
林芳
黄可
刘宇
赵帆
LI Jiehong;JIANG Dingyuan;LIN Fang;HUANG Ke;LIU Yu;ZHAO Fan(Department of Respiratory and Critical Care Medicine,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中华全科医学》
2023年第10期1689-1692,共4页
Chinese Journal of General Practice
基金
国家自然科学基金项目(82170080)
中国医学科学院课题(2021-I2M-1-049)
中日友好医院护理部临床科研项目-重点课题(ZRHL-LCZD-22-01)。
关键词
间质性肺疾病
慢性阻塞性肺疾病
疾病感知
Interstitial lung disease
Chronic obstructive pulmonary disease
Disease awareness
