Institute of Nursing Policy and Research, College of Nursing, Yonsei University, Seoul, Korea.
Int J Tuberc Lung Dis. 2010 Jun;14(6):772-8.
To describe disease management, health behaviour, psychological health and quality of life (QOL) in people with chronic respiratory disease (CRD).
We analysed data from 798 adults with CRD drawn from the Korean National Health and Nutrition Examination Survey (KNHANES) 2005: 514 subjects with asthma alone, 258 with chronic obstructive pulmonary disease (COPD) alone, and 56 with asthma and COPD.
Disease management and health behaviour in this cohort were poor. One third of the cohort was not seeking any medical treatment, although many were currently experiencing respiratory symptoms. Twenty-six per cent of the subjects were current smokers who averaged 0.8 packs/day. More than half of the subjects did not exercise, only half of the subjects had regular health examinations and one third of the subjects did not get enough sleep. The study population exhibited poor psychological indices, functional health status and QOL. The combined asthma and COPD group was characterised by an increased frequency of problems related to functional status and QOL.
People with CRD are at high risk for functional limitations, unhealthy behaviour, poor mental status and poor QOL. A comprehensive disease management programme for people with CRD should be developed using collaborative team efforts.
描述慢性呼吸系统疾病(CRD)患者的疾病管理、健康行为、心理健康和生活质量(QOL)。
我们分析了 2005 年韩国国家健康和营养检查调查(KNHANES)中 798 名成年 CRD 患者的数据:514 名单纯哮喘患者、258 名单纯慢性阻塞性肺疾病(COPD)患者和 56 名哮喘和 COPD 并存患者。
该队列的疾病管理和健康行为较差。尽管许多患者目前有呼吸道症状,但三分之一的患者没有寻求任何治疗。26%的患者是当前吸烟者,平均每天 0.8 包。超过一半的患者不运动,只有一半的患者定期进行健康检查,三分之一的患者睡眠不足。研究人群表现出较差的心理指标、功能健康状况和 QOL。合并哮喘和 COPD 的组在与功能状态和 QOL 相关的问题发生率较高。
CRD 患者存在功能受限、不健康行为、较差的精神状态和较差的 QOL 的高风险。应通过协作团队努力为 CRD 患者制定综合疾病管理计划。