慢性阻塞性肺疾病患者赋权水平现状及影响因素分析.docVIP

慢性阻塞性肺疾病患者赋权水平现状及影响因素分析 　　[摘要] 目的 调查稳定期慢性阻塞性肺疾病（COPD）患者赋权水平现状并分析其影响因素。 方法 选择2016年11月～2017年3月在广东省中医院就诊的192例稳定期COPD患者，应用自行设计的一般情况调查表及患者赋权量表（CES）进行调查，采用PASW 18.0软件进行单因素分析及回归分析。 结果 稳定期COPD患者的CES得分为44～187分，平均（107.31±31.93）分，处于中等偏下水平，其中，控制疾病的信心、角色认知及医疗决策参与为得分率最低的3个维度。回归分析结果显示，年龄、学历、病程、肺功能等级、呼吸困难程度均为赋权水平的影响因素（P 0.05），共可解释31.4%的方差变异量。 结论 稳定期COPD的赋权水平相对较差，尤其是在疾病控制、角色认知及医疗决策参与方面的能力明显不足。年龄、学历、病程、肺功能等级、呼吸困难程度是赋权水平的影响因素。 　　[关键词] 慢性阻塞性肺疾病；赋权水平；影响因素 　　[中图分类号] R563 [文献标识码] A [文章编号] 1673-7210（2017）09（c）-0070-05 　　[Abstract] Objective To investigate the current situation of empowerment level of patients with chronic obstructive pulmonary disease （COPD） at stable phase and to analyze the influence factors. Methods Totally 192 COPD patients at stable phase accepting treatment in Traditional Chinese Medical Hospital of Guangdong Province from November 2016 to March 2017 were selected to finish self-designed general situation investigation questionnaire and client empowerment scale （CES）. Single factor analysis and regression analysis were carried out with PASW 18.0 software. Results CES scores of COPD patients at stable phase were from 44 to 187 points， with the average score of （107.31±31.93） points， which was in or below the medium level. Confidence in disease control， role cognition and participation in medical decision-making were the three dimensions with lowest scores. Regression analysis results showed that age， education background， course of disease， pulmonary function degree and dyspnea degree were influence factors of empowerment level （P 0.05）， and they together could explain 31.4% of the variance variability amount. Conclusion Empowerment level of COPD patients at stable phase is relatively low， and the patients especially lack capability in disease control， role cognition and participation in medical decision-making. Age， education background， course of disease， pulmonary function degree and dyspnea degree are influence factors of empowerment level. 　　[Key words] C