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间质性肺病患者的疾病感知现状及影响因素研究

王磊 秦瑛   

  1. 北京协和医院国际医疗部,100730
  • 出版日期:2017-11-25 发布日期:2017-11-25
  • 基金资助:
    北京协和医院创新科研课题 (XHHLK201207)

The current status and influencing factors of illness perception in patients with Interstitial Lung Disease

  • Online:2017-11-25 Published:2017-11-25

摘要: 目的:调查间质性肺病患者疾病感知的现状并分析其影响因素,进一步探讨可干预的因素对其疾病感知的影响。方法:采用横断面调查方法,应用心理弹性量表(CD-RISC)、简易疾病感知问卷(BIPQ)以及自设的一般资料调查表对曾在某三级甲等医院住院的170例间质性肺病患者进行问卷调查。结果:间质性肺病患者的疾病感知得分为(56.02±11.09)分,心理弹性总分为(56.53±10.35)分,心理弹性与生活质量呈负相关(r=-0.432,P<0.001)。多元回归分析显示呼吸困难程度、病程、心理弹性可以解释间质性肺病患者疾病感知34.9%的总变异。结论:ILD患者的疾病感知非常消极,亟待改善。建议通过延续性护理、功能锻炼等多种方式重点改善间质性肺病的呼吸困难程度,开展心理弹性干预,不断改善患者的疾病感知。

Abstract: Objective: To describe the current status and influencing factors of illness perception in patients with Interstitial Lung Disease, and explore the effects of the influencing factors which can be intervened, such as resilience, on illness perception. Methods: A cross-sectional design was used in this study. The Connor-Davidson resilience scale, the Brief Illness Perception Questionnaire (BIPQ) and the demographic scale were applied to investigate the 170 interstitial lung disease patients. Results: The score of illness perception and resilience was 56.02±11.09 and 56.53±10.35 respectively, and the resilience was negatively related to the illness perception (r=-0.423, P<0.001). The multiple linear regression analysis showed that dyspnea, the illness duration and the resilience explained 34.9% variance of the illness perception. In addition, hierarchical regression analysis showed that the resilience alone explained 5.3% variance of the illness perception. Conclusion: The Interstitial Lung Disease patients have negative illness perception. Transitional care and functional exercise should be taken to improve the dyspnea. Moreover, healthcare providers should take some interventions on resilience to improve the illness perception of patients.