广州城市慢性阻塞性肺疾病住院患者的疾病认知行为状况调查

目的：了解患者对慢性阻塞性肺疾病（COPD）的认知行为状况，为进一步的认知行为干预（如卫生宣教和康复锻炼）提供依据。方法：采用系统抽样方法，选取广州医学院第一附属医院2008年1月-2008年12月住院的住院号尾数为双数住院的COPD患者共209例，对其进行有关COPD认知行为的横断面调查。入选的患者采用自制的认知行为问卷进行调查。结果：200例患者完成认知行为问卷调查其调查率为95．7％（200／209）①其中，男性180人（90，0％），女性20人（10．0％）；平均年龄为（68．8±9．5）岁，Ⅲ、Ⅳ级COPD患者分别占31．5％（63／200）和45．5％（91／200）。②患者对COPD的认知仍然相当贫乏。仅有127（63．5％）人听说过COPD；43．2％（86／199）的患者不了解急性加急慢阻塞解性AECOPD；10．5％不知道COPD有哪些症状；22．0％不知道COPD的危险因素；23．5％的患者不知道吸烟是COPD的危险因素；超过80％的患者不知道生物燃料和职业接触与COPD有关。⑧患者并没有采取对COPD积极的、有益的行为模式，仍有13．7％（27／197）的COPD患者现吸烟，仅63．0％（126／200）的患者遵医嘱服药；7．5％（15／200）的患者参加过COPD防治知识讲座；仅26．5％（53／200）的患者被告知治疗药物的作用；只有21．0％（42／200）的患者进行过肺康复治疗。结论：广州市三甲医院住院的中、重度COPD患者对COPD的认知行为仍然较差，亟待加强。

Cognitive behavior status among hospitalized patients with chronic obstructive pulmonary disease in urban Guangzhou

Objective：To investigate the current status of knowledge and behavior to COPD among hospitalized patients with COPD, providing targeted intervention on COPD. To investigate the current status of cognitive behavior to chronic obstructive pulmonary disease （COPD） among hospitalized COPD patients, so as to provide targeted intervention on COPD, such as health education and rehabilitation therapy. Methods：Between January and December 2008, a cross-sectional survey on cognitive and behavior to COPD was conducted in urban Guangzhou among hospitalized COPD patients with an even last-digit of medical chart number （ n = 209 ）, using systematic sampling strategy and self-made questionnaires. Results：200 of 209 COPD patients （180 males vs. 20 females） completed questionnaire, with a response rate of 95.7 %. The mean age of patients was 68.8± 9.5 years old. 31.5 % （63/200） and 45.5% （91/200） of patients with COPD were at Stages llI and IV respectively. Awareness of COPD was yet to be improved, as reflected in that only 63.5% of patients had been informed about COPD, 43.2% （86/199） knew nothing about AECOPD, 10.5% and 22.0% did not appreciated COPD symptoms and risk factors, 22.0% did not consider smoking as a risk factor for COPD, and more than 80% did not linked biomass and occupational exposure to COPD. Behavioral modality active or beneficial for COPD treatment was not adopted in the patients, and moreover, 13. 7% （27/197） were current smokers. Only 63.3% （126/200） complied with proscribed medications, 7.5% （15/200）ever participated in whatsoever health education about prevention and management of COPD, 26.5% （53/200） had ever been informed about the effects of medical treatment, and only 21. 0% （42/200） ever received lung rehabilitation. Conclusion：Cognitive behavior remained unsatisfactory and yet to improve among hospitalized patients with moderate to severe COPD in tertiary grade A hospitals in Guangzhou.