摘要
目的:调查慢性阻塞性肺疾病(简称“慢阻肺”)患者症状负担和生活质量现状及相关性。方法:采用便利抽样法选取2020年6月1日至12月1日在宁波大学附属第一医院呼吸与危重症门诊就诊的116例慢阻肺患者为研究对象。采用一般情况调查表、中文版记忆症状评估量表及慢阻肺评估测试量表对患者进行问卷调查。结果:在慢阻肺患者症状中,气促症状的发生率(81.03%,94/116)、频繁程度(51.72%,60/116)、严重程度(41.38%,48/116)及困扰程度(39.66%,46/116)均居第1位。症状负担得分中,心理症状负担维度中位得分最高,为0.58(0.00,1.28)分;生活质量总分与总症状负担得分、生理症状负担得分、心理症状负担得分、总困扰指数均呈明显正相关(r=0.66、0.52、0.61、0.58,P值均<0.05)。结论:在临床工作中要关注慢阻肺患者的气促症状,症状负担越高,生活质量越差。医护人员应加强评估慢阻肺患者症状负担,尤其是心理症状负担,采取针对性干预措施,降低慢阻肺患者症状负担,提高慢阻肺患者的生活质量。
Objective:To investigate the correlation between symptom burden and quality of life in chronic obstructive pulmonary disease(COPD)patients.Methods:Totally 116 COPD patients from the First Hospital Affiliated with Ningbo University were selected by convenience sampling method.A general situation questionnaire,Chinese version of memory symptom assessment scale and COPD assessment test(CAT)scale were used to survey them.Results:Among the symptoms of COPD patients,the prevalence(81.03%,94/116),frequency(51.72%,60/116),severity(41.38%,48/116),and bothersome(39.66%,46/116)of shortness of breath all ranked the first.In the symptom burden score,the median score of psychological symptom distress score was the highest at 0.58(0.00,1.28);the total score of quality of life was significantly positively correlated with the total symptom burden score,physical symptom distress score,psychological symptom distress score,and global distress index(r=0.66,r=0.52,r=0.61,r=0.58,all P<0.05).Conclusion:In clinical practice,attention should be paid to the dyspnea symptoms of patients with COPD.The higher the symptom burden,the worse the quality of life.Healthcare professionals should strengthen the assessment of symptom burden in COPD patients,especially psychological symptom burden,take targeted intervention measures to reduce the symptom burden of COPD patients and improve their quality of life.
作者
郑肖霞
朱晓筱
吴奕帆
顾芬
Zheng Xiaoxia;Zhu Xiaoxiao;Wu Yifan;Gu Fen(The First Affiliated Hospital of Ningbo University,Ningbo 315000,China;Department of Nursing,Ninth People’s Hospital Affiliated of Shanghai Jiaotong University School of Medicine,Shanghai 200011,China;Department of Nursing,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)
出处
《结核与肺部疾病杂志》
2024年第3期207-211,共5页
Journal of Tuberculosis and Lung Disease
基金
国家自然科学基金项目(71904144)
上海交通大学医学院附属第九人民医院“优秀护理人才计划”领英计划(JYHRC22-L01)。
关键词
肺疾病
慢性阻塞性
症状负担
生活质量
Pulmonary disease,chronic obstructive
Symptom burden
Quality of life
