Peking University School of Nursing, Beijing, China.
Clin Nurs Res. 2022 Jan;31(1):80-88. doi: 10.1177/10547738211018818. Epub 2021 May 28.
This study aimed to assess self-rated health (SRH) status and its determinants in patients with chronic obstructive pulmonary disease (COPD). Participants aged at least 45 years were included from a nationally representative investigation in 2015. The SRH assessment was divided into two groups: "good" and "not good." Independent samples -tests, chi-square tests, and Fisher's exact tests were used to determine differences in patient characteristics between the two groups. Multiple logistic models were used to determine factors influencing SRH. A total of 1,215 patients with COPD were included in the final analysis, of whom 21.2% reported favorable SRH status. The results indicated that female gender, non-smoking, and elevated peak expiratory flow correlated with better SRH, while nighttime sleep duration less than 7 hours, asthma, and disability, negatively impacted SRH. Our findings provide new evidence for the development of effective health promotion programs for the well-being of patients with COPD.
本研究旨在评估慢性阻塞性肺疾病（COPD）患者的自我报告健康（SRH）状况及其决定因素。参与者为 2015 年全国代表性调查中年龄至少 45 岁的患者。SRH 评估分为“良好”和“不佳”两组。采用独立样本 t 检验、卡方检验和 Fisher 精确检验比较两组患者特征的差异。采用多因素逻辑回归模型确定影响 SRH 的因素。共纳入 1215 例 COPD 患者进行最终分析，其中 21.2%的患者报告 SRH 状况良好。结果表明，女性、不吸烟和呼气峰流速升高与更好的 SRH 相关，而夜间睡眠不足 7 小时、哮喘和残疾则对 SRH 产生负面影响。我们的研究结果为制定有效的健康促进计划，提高 COPD 患者的幸福感提供了新的证据。
