| 某二级医院稳定期慢性阻塞性肺疾病患者吸入治疗依从性及其影响因素研究 |
| 投稿时间：2022-04-22 修订日期：2023-09-19 点此下载全文 |
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| 中文摘要:目的：研究稳定期慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）患者吸入治疗依从性及其影响因素，针对性开展患者教育与管理。 方法：选取2021年6-12月我院呼吸内科门诊COPD患者，分别使用Morisky药物依从性量表和吸入十步法评估依从性和吸入技术，统计数据并分析依从性影响因素。 结果：共纳入门诊患者58例，其中依从性中等及以上的患者共25例（43.1%）。单因素分析显示病程≥5年、CAT≥10分、使用2个吸入装置和吸入技术评分≥8分的患者依从性更好，差异有统计学意义（P＜0.05）。 结论：应积极开展患者教育与管理，重点关注病程＜5年、CAT＜10分的患者；应充分考虑患者使用吸入装置的能力及个人偏好选择装置，加强装置使用培训并定期随访评估。 |
| 中文关键词:慢性阻塞性肺疾病 吸入治疗 依从性 |
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| Study on the treatment compliance and influencing factors of inhalation therapy in patients with stable chronic obstructive pulmonary disease |
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| Abstract:Objective: To study the compliance and influencing factors of inhalation therapy in patients with stable chronic obstructive pulmonary disease (COPD), and carry out patient education and management accordingly. Methods: COPD patients were selected in Respiratory Clinic of our hospital from June to December 2021. Compliance and inhalation techniques were assessed with the Morisky Medication Adherence Scale and the ten-step inhalation technique, and the factors influencing compliance were analyzed. Results: A total of 58 outpatients with COPD were included, in which 25 cases (43.1%) with moderate or above compliance. Univariate analysis showed that the patients with course of disease ≧ 5 years, CAT ≧ 10 points, used 2 inhalation devices and inhalation technique score ≧ 8 points had better compliance(P﹤ 0.05). Conclusion: Patient education and management should be carried out actively, The patients with course of disease ﹤ 5 years, CAT ﹤ 10 points should be concerned focally; The patients' ability to use inhalation devices and personal preference should be fully considered, Training on the use of device should be strengthened and regularly follow-up evaluation should be carried out. |
| keywords:chronic obstructive pulmonary disease inhalation therapy compliance |
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