Yang Hua, Wang Huijun, Du Liying, Wang Ying, Wang Xiujin, Zhang Ruimin
Medicine (Baltimore). 2019 Feb;98(8):e14460. doi: 10.1097/MD.0000000000014460.
This study aims to investigate the disease knowledge and self-management behavior of patients with chronic obstructive pulmonary disease (COPD) in the respiratory ward of a tertiary hospital in China, and analyze the relationship between these.A total of 360 COPD patients were surveyed using the internationally validated COPD Questionnaire (COPD-Q), the COPD Patients' Self-Management Behavior Scale and a general sociodemographic questionnaire, and 346 valid responses were obtained.The results revealed that the surveyed COPD patients scored an average of 4.90 ± 2.50 points (maximal of 13 points) on the COPD-Q and 117.23 ± 20.56 points on the COPD Self-Management Behavior Scale, in which 86.1% of COPD patients were classified as having low to medium levels of self-management behavior. Pearson correlation analysis revealed that the total points on the COPD Self-Management Behavior Scale, symptom management, daily life management, emotional management and information management were all positively correlated to the disease knowledge of COPD (P < .01). In addition to COPD knowledge, the multiple regression analysis revealed that age, marital status and place of residence could also affect self-management behavior.The level of disease knowledge and self-management behaviors of patients with COPD is rather low in China. COPD knowledge level was found to correlate with the level of self-management behavior. Health education that enhances the disease knowledge of COPD patients might thereby be necessary to help improve self-management behavior.
本研究旨在调查中国一家三级医院呼吸内科病房中慢性阻塞性肺疾病（COPD）患者的疾病知识和自我管理行为，并分析两者之间的关系。使用国际认可的慢性阻塞性肺疾病问卷（COPD-Q）、慢性阻塞性肺疾病患者自我管理行为量表和一份一般社会人口学问卷对360例慢性阻塞性肺疾病患者进行了调查，共获得346份有效回复。结果显示，接受调查的慢性阻塞性肺疾病患者在慢性阻塞性肺疾病问卷上的平均得分为4.90±2.50分（满分13分），在慢性阻塞性肺疾病自我管理行为量表上的平均得分为117.23±20.56分，其中86.1%的慢性阻塞性肺疾病患者被归类为自我管理行为水平低至中等。Pearson相关性分析显示，慢性阻塞性肺疾病自我管理行为量表的总分、症状管理、日常生活管理、情绪管理和信息管理均与慢性阻塞性肺疾病的疾病知识呈正相关（P<0.01）。多元回归分析显示，除慢性阻塞性肺疾病知识外，年龄、婚姻状况和居住地点也会影响自我管理行为。中国慢性阻塞性肺疾病患者的疾病知识水平和自我管理行为水平较低。研究发现慢性阻塞性肺疾病知识水平与自我管理行为水平相关。因此，可能有必要开展健康教育以增强慢性阻塞性肺疾病患者的疾病知识，从而帮助改善自我管理行为。
