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疾病相关知识对中国湖南 COVID-19 患者疾病认知和心理状态的影响。

Effects of Disease-Related Knowledge on Illness Perception and Psychological Status of Patients With COVID-19 in Hunan, China.

机构信息

Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Department of Thoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

出版信息

Disaster Med Public Health Prep. 2022 Aug;16(4):1415-1422. doi: 10.1017/dmp.2021.33. Epub 2021 Feb 16.

DOI:10.1017/dmp.2021.33
PMID:33588968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8010286/
Abstract

OBJECTIVE

The aim of this study was to assess the current status of disease-related knowledge and to analyze the relationship among the general condition, illness perception, and psychological status of patients with coronavirus disease 2019 (COVID-19).

METHODS

A hospital-based cross-sectional study was conducted on 118 patients using convenience sampling. The general questionnaire, disease-related knowledge questionnaire of COVID-19, Illness Perception Questionnaire (IPQ), and Profile of Mood States (POMS) were used to measure the current status of participants.

RESULTS

The overall average score of the disease-related knowledge of patients with COVID-19 was (79.19 ± 14.25), the self-care situation was positively correlated with knowledge of prevention and control ( = 0.265; = 0.004) and total score of disease-related knowledge ( = 0.206; = 0.025); the degree of anxiety was negatively correlated with the knowledge of diagnosis and treatment ( = -0.182; = 0.049). The score of disease-related knowledge was negatively correlated with negative cognition (volatility, consequences, emotional statements) and negative emotions (tension, fatigue, depression) ( < 0.05); positively correlated with positive cognition (disease coherence) and positive emotion (self-esteem) ( < 0.05).

CONCLUSIONS

It was recommended that we should pay more attention to the elderly and low-income groups, and increase the knowledge about diagnosis and treatment of COVID-19 and self-care in the future health education for patients.

摘要

目的

本研究旨在评估 COVID-19 患者的疾病相关知识现状,并分析其一般状况、疾病感知与心理状况之间的关系。

方法

采用便利抽样法,选取 118 例 COVID-19 患者进行医院横断面研究。采用一般情况问卷、COVID-19 疾病相关知识问卷、疾病感知问卷(Illness Perception Questionnaire,IPQ)和心境状态问卷(Profile of Mood States,POMS)对患者进行测评。

结果

COVID-19 患者疾病相关知识总得分平均为(79.19±14.25)分,自我护理情况与预防控制知识( = 0.265; = 0.004)和疾病相关知识总分( = 0.206; = 0.025)呈正相关;焦虑程度与诊治知识呈负相关( = -0.182; = 0.049)。疾病相关知识得分与负性认知(不稳定性、后果、情绪表述)和负性情绪(紧张、疲劳、抑郁)呈负相关( < 0.05),与正性认知(疾病一致性)和正性情绪(自尊)呈正相关( < 0.05)。

结论

建议今后在针对 COVID-19 患者的健康教育中,应更加关注老年人和低收入群体,增加诊治知识和自我护理方面的内容。