Mount Sinai Hospital Center, Research Department, Montreal, Canada.
COPD. 2011 Oct;8(5):375-9. doi: 10.3109/15412555.2011.605402.
Patient education is integral to the care of patients with chronic obstructive pulmonary disease (COPD), and a cornerstone of self-management in chronic illness. We aimed to assess information needs and knowledge of patients with COPD. The Lung Information Needs Questionnaire (LINQ) and The Mount Sinai Hospital Questionnaire (MSHQ) were used. The LINQ identifies what COPD information the patient has, or is lacking. Higher scores in the LINQ define a greater information need. The MSHQ assesses a patients' COPD knowledge. Higher scores in the MSHQ questionnaire indicate greater knowledge. Subjects, in (n = 38) and outpatients (n = 43) were aged (mean ± SD) 69 ± 9 years, 53% were women, and 36% had not completed high school. COPD was diagnosed 9 ± 7 years previously. Forty percent had recalled receiving specific COPD education. Mean forced expiratory volume in 1 second (FEV1) was 1.1 ± 0.6 Liters. Patients on average had a 29 ± 14% need for information as assessed by the LINQ. Patients indicated a 52 ± 34% need for information on diet and 43 ± 25% for self-management. The mean total score for the MSHQ was 71 ± 13%. The score on treatment was 76 ± 20% and 60 ± 14% on pathophysiology. There was a positive relationship between having prior COPD education, finishing high school and total MSHQ score (p < 0.05) and a positive correlation of prior COPD education and reduced LINQ total score (p < 0.01). Patients with COPD have received information and demonstrate some knowledge about their disease. However, there remains a need for more education on diet and self-management.
患者教育是慢性阻塞性肺疾病（COPD）患者护理的重要组成部分，也是慢性病自我管理的基石。我们旨在评估 COPD 患者的信息需求和知识水平。使用了 Lung Information Needs Questionnaire（LINQ）和 Mount Sinai Hospital Questionnaire（MSHQ）。LINQ 确定了 COPD 患者已有的或缺乏的信息。LINQ 得分越高，表明信息需求越大。MSHQ 评估患者的 COPD 知识。MSHQ 问卷得分越高，表明知识水平越高。门诊患者（n=38）和门诊患者（n=43）的年龄（平均值±标准差）为 69±9 岁，53%为女性，36%未完成高中学业。COPD 的诊断时间为 9±7 年前。40%的患者回忆曾接受过特定的 COPD 教育。平均用力呼气量（FEV1）为 1.1±0.6 升。根据 LINQ 评估，患者平均有 29±14%的信息需求。患者表示，在饮食和自我管理方面，分别有 52±34%和 43±25%的信息需求。MSHQ 的平均总分为 71±13%。治疗部分的得分为 76±20%，病理生理学部分的得分为 60±14%。既往 COPD 教育、完成高中学业和 MSHQ 总分之间呈正相关（p<0.05），既往 COPD 教育与 LINQ 总分呈负相关（p<0.01）。COPD 患者已经接受过信息，并对其疾病有一定的了解。然而，他们仍然需要更多关于饮食和自我管理方面的教育。
