Current status of self-management knowledge, attitude, behavior and influencing factors in patients with chronic obstructive pulmonary disease_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

LUO Qian , WANG Lianhong , HAN Die ,  ZHANG Li

The Affiliated Hospital of Zunyi Medical College, Zunyi, Guizhou 563003, P. R. China;

Corresponding author：

ZHANG Li, Email: zhli8523@163.com

Keywords：

Chronic obstructive pulmonary disease; Knowledge; Attitude; Behavior; Self-management

DOI：

10.7507/1671-6205.201707057

Video：

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Objective To investigate the current status of self-management knowledge, attitude and behavior and influencing factors in patients with chronic obstructive pulmonary disease (COPD) in Qianbei area, and to analyze the influencing factors. Methods A total of 329 COPD patients were recruited and investigated with self-compiled questionnaire for self-management knowledge, attitude and behavior of chronic obstructive pulmonary disease, and SPSS 17.0 software was used to analyze the data. Results The mean score of self-management knowledge, attitude and behavior in COPD patients was 132.6±17.0, in which the scores of each dimension from high to low were as follows: smoking, medication treatment, exercise and family oxygen therapy. The analysis of stepwise regression indicated that the main influencing factors of self-management of COPD patients were age, sex, address, degree of education, course of disease and smoking. Conclusions The self-management level of the disease recognition, attitude and behavior in COPD patients should be improved, in which the knowledge is key factor to promote the health behavior of patients. So the healthy workers should pay close attention to the influence factors and apply the new thinking pattern and methods to improve the self-management ability and the quality of life of patients.

Citation： LUO Qian, WANG Lianhong, HAN Die, ZHANG Li. Current status of self-management knowledge, attitude, behavior and influencing factors in patients with chronic obstructive pulmonary disease. Chinese Journal of Respiratory and Critical Care Medicine, 2018, 17(6): 552-556. doi: 10.7507/1671-6205.201707057 Copy

1.	GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2011).
2.	Littner MR. Chronic obstructive pulmonary disease. Ann Intern Med, 2011, 154(7): ITC4-1.
3.	World Health Organization. World health report 2000. Geneva: World Health organization, 2000, 1.
4.	梁民勇, 蔡珊, 吴秀明, 等. 慢性阻塞性肺疾病患者治疗依从性调查. 吉首大学学报(自然科学版), 2013, 34(3): 69-73.
5.	李晓茹, 赵子军. 吸烟与慢性阻塞性肺疾病相关性的研究进展. 中国慢性病预防与控制, 2014, 22(1): 110-112.
6.	肖建, 杜春玲. 慢性阻塞性肺疾病病因及发病机制研究进展. 中国老年学杂志, 2014, 34(11): 3191-3194.
7.	王少飞, 张庆, 张勃, 等. 戒烟干预对不同性别吸烟慢性阻塞性肺疾病患者临床症状及肺通气功能的影响研究. 中国全科医学, 2013, 16(1B): 136-139.
8.	Tonnesen P, Mikkelsen K, Bremann L. Nurse-conducted smoking cessation in patients with COPD using nicotine sublingual tablets and behavioral support. Chest, 2006, 130(2): 334-342.
9.	Tashkin DP, Rennard S, Hays JT, et al. Effects of varenicline on smoking cessation in patients with mild to moderate COPD: a randomized controlled trial. Chest, 2011, 139(3): 591-599.
10.	Tashkin DP, Kanner R, Bailey W, et al. Smoking cessation in patients with chronic obstructive pulmonary disease: a double-blind, placebo-controlled, randomised trial. Lancet, 2001, 357(9268): 1571-1575.
11.	慢性阻塞性肺疾病诊治指南(2013 年修订版). 中国医学前沿杂志(电子版), 2014, 6(2): 67-80.
12.	Kume H. Role of bronchodilators in therapy for COPD-mechanisms of LABA and LAMA on airway smooth muscle. Nihon Rinsho, 2016, 74(5): 813-819.
13.	Khdour MR, Hawwa AF, Kidney JC, et al. Potential risk factors for medication non-adherence in patients with chronic obstructive pulmonary disease (COPD). Eur J Clin Pharmacol, 2012, 68(10): 1365-1373.
14.	杨慧, 张二明, 郭伟安, 等. 老年重度慢性阻塞性肺疾病的预后研究. 中国呼吸与危重监护杂志, 2012, 11(3): 213-217.
15.	张春莲, 张亚玲. 影响慢性阻塞性肺疾病患者家庭氧疗依从性的因素及护理现状. 中华护理教育, 2010, 7(7): 333-335.
16.	Ergün P, Kaymaz D, Günay E, et al. Comprehensive out-patient pulmonary rehabilitation: treatment outcomes in early and late stages of chronic obstructive pulmonary disease. Ann Thorac Med, 2011, 6(2): 70-76.
17.	陈贵华, 周向东, 胡晓, 等. 运动疗法改善慢性阻塞性肺疾病患者的生活质量和肺功能. 中南大学学报(医学版), 2011, 36(7): 682-686.
18.	Puhan MA, Gimeno-Santos E, Scharplatz M, et al. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2011, 10(10): 1-39.
19.	Bourbeau J. Making pulmonary rehabilitation a success in COPD. Swiss Med Wkly, 2010, 140(13067): 1-7.
20.	石焜, 严谨. 慢性阻塞性肺疾病的运动康复研究进展. 中华护理杂志, 2012, 47(7): 670-672.
21.	陈亚红, 姚婉贞, 康健, 等. 慢性阻塞性肺疾病患者治疗状况与自我认知的多中心调查研究. 中华结核和呼吸杂志, 2010, 33(10): 750-753.
22.	王亚勤, 郑彩娥. 应用综合康复护理措施改善老年慢性阻塞性肺疾病患者肺功能. 中华护理杂志, 2012, 47(1): 25-27.
23.	Warwick M, Gallagher R, Chenoweth L, et al. Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease. J Adv Nurs, 2010, 66(4): 784-793.
24.	张彩虹, 何国平, 李继平, 等. 慢性阻塞性肺疾病患者自我管理现状及其影响因素研究. 中国全科医学, 2012, 15(4A): 1120-1123.

1. GOLD Executive Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (Revised 2011).
2. Littner MR. Chronic obstructive pulmonary disease. Ann Intern Med, 2011, 154(7): ITC4-1.
3. World Health Organization. World health report 2000. Geneva: World Health organization, 2000, 1.
4. 梁民勇, 蔡珊, 吴秀明, 等. 慢性阻塞性肺疾病患者治疗依从性调查. 吉首大学学报(自然科学版), 2013, 34(3): 69-73.
5. 李晓茹, 赵子军. 吸烟与慢性阻塞性肺疾病相关性的研究进展. 中国慢性病预防与控制, 2014, 22(1): 110-112.
6. 肖建, 杜春玲. 慢性阻塞性肺疾病病因及发病机制研究进展. 中国老年学杂志, 2014, 34(11): 3191-3194.
7. 王少飞, 张庆, 张勃, 等. 戒烟干预对不同性别吸烟慢性阻塞性肺疾病患者临床症状及肺通气功能的影响研究. 中国全科医学, 2013, 16(1B): 136-139.
8. Tonnesen P, Mikkelsen K, Bremann L. Nurse-conducted smoking cessation in patients with COPD using nicotine sublingual tablets and behavioral support. Chest, 2006, 130(2): 334-342.
9. Tashkin DP, Rennard S, Hays JT, et al. Effects of varenicline on smoking cessation in patients with mild to moderate COPD: a randomized controlled trial. Chest, 2011, 139(3): 591-599.
10. Tashkin DP, Kanner R, Bailey W, et al. Smoking cessation in patients with chronic obstructive pulmonary disease: a double-blind, placebo-controlled, randomised trial. Lancet, 2001, 357(9268): 1571-1575.
11. 慢性阻塞性肺疾病诊治指南(2013 年修订版). 中国医学前沿杂志(电子版), 2014, 6(2): 67-80.
12. Kume H. Role of bronchodilators in therapy for COPD-mechanisms of LABA and LAMA on airway smooth muscle. Nihon Rinsho, 2016, 74(5): 813-819.
13. Khdour MR, Hawwa AF, Kidney JC, et al. Potential risk factors for medication non-adherence in patients with chronic obstructive pulmonary disease (COPD). Eur J Clin Pharmacol, 2012, 68(10): 1365-1373.
14. 杨慧, 张二明, 郭伟安, 等. 老年重度慢性阻塞性肺疾病的预后研究. 中国呼吸与危重监护杂志, 2012, 11(3): 213-217.
15. 张春莲, 张亚玲. 影响慢性阻塞性肺疾病患者家庭氧疗依从性的因素及护理现状. 中华护理教育, 2010, 7(7): 333-335.
16. Ergün P, Kaymaz D, Günay E, et al. Comprehensive out-patient pulmonary rehabilitation: treatment outcomes in early and late stages of chronic obstructive pulmonary disease. Ann Thorac Med, 2011, 6(2): 70-76.
17. 陈贵华, 周向东, 胡晓, 等. 运动疗法改善慢性阻塞性肺疾病患者的生活质量和肺功能. 中南大学学报(医学版), 2011, 36(7): 682-686.
18. Puhan MA, Gimeno-Santos E, Scharplatz M, et al. Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev, 2011, 10(10): 1-39.
19. Bourbeau J. Making pulmonary rehabilitation a success in COPD. Swiss Med Wkly, 2010, 140(13067): 1-7.
20. 石焜, 严谨. 慢性阻塞性肺疾病的运动康复研究进展. 中华护理杂志, 2012, 47(7): 670-672.
21. 陈亚红, 姚婉贞, 康健, 等. 慢性阻塞性肺疾病患者治疗状况与自我认知的多中心调查研究. 中华结核和呼吸杂志, 2010, 33(10): 750-753.
22. 王亚勤, 郑彩娥. 应用综合康复护理措施改善老年慢性阻塞性肺疾病患者肺功能. 中华护理杂志, 2012, 47(1): 25-27.
23. Warwick M, Gallagher R, Chenoweth L, et al. Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease. J Adv Nurs, 2010, 66(4): 784-793.
24. 张彩虹, 何国平, 李继平, 等. 慢性阻塞性肺疾病患者自我管理现状及其影响因素研究. 中国全科医学, 2012, 15(4A): 1120-1123.

Chinese Journal of Respiratory and Critical Care Medicine

Current status of self-management knowledge, attitude, behavior and influencing factors in patients with chronic obstructive pulmonary disease

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