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学科主题: 呼吸内科学
题名:
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
其他题名: Attitudes and actions of chronic obstructive pulmonary disease patients on treatment: a national multi-center investigative study
作者: 陈亚红; 姚婉贞; 康健; 蔡柏蔷; 周新; 刘政; 陈萍; 孙德俊; 郑劲平; 王国扬; 冯玉麟; 徐永健; 贾燕; 路明; 常春; 王筱宏
关键词: 肺疾病,慢性阻塞性 ; 认知 ; 治疗 ; Pulmonary disease,chronic obstructive ; Cognition ; Therapy
刊名: 中华结核和呼吸杂志
发表日期: 2010
DOI: 10.3760/cma.j.issn.1001-0939.2010.10.010
卷: 33, 期:10, 页:750-753
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 研究COPD患者的治疗状况及自我认知情况.方法 2007年9月至2008年12月在全国11家医院进行多中心问卷调查,内容包括患者对治疗目标的认知、既往治疗方法和对治疗药物的期望.采用描述性统计方法进行统计学分析.结果 共回收调查问卷2072份,有效问卷1698份.以听说过COPD的653例为基准分析,其中59.1%(384/650)的患者认为COPD的治疗目标是减轻症状;近3个月应用异丙托溴铵、噻托溴铵和茶碱缓释片治疗的患者分别占39.8%(260/653)、27.1%(177/653)和53.7%(351/653);72.0%(465/646)的患者遵医嘱服药;80%以上的患者不知道抗胆碱能药物、β2-受体激动剂、吸入糖皮质激素、吸入糖皮质激素/长效β2-受体激动剂、茶碱有无不良反应;37.4%(240/641)的患者担心吸入糖皮质激素有不良反应;42.2%(274/650)的患者经常服用抗生素,60.1%(391/651)的患者家中没有供氧设备,70.5%(457/648)的患者未接受过呼吸康复训练;77.4%(500/646)的患者认为COPD需要长期规律治疗;79.6%(481/604)的患者认为药效(效果好、起效快和作用时间长)在理想药物中居首位;16.9%(78/461)的患者认为,在既往使用过的治疗COPD的药物中,氟替卡松/沙美特罗或嚷托溴锼是最理想的药物.结论 COPD患者对疾病相关知识的知晓程度较低,应加强对患者的认知教育工作. Objective To investigate the attitudes and actions of patients with chronic obstructive pulmonary disease (COPD) on treatment. Methods A nation-wide multi-center, questionnaire study was carried out to investigate the patient understanding and experience of COPD treatment between Sep. 2007 and Dec. 2008. The questionnaire included the patients' understanding of goal of COPD treatment, previous treatment, and expectation on drugs. The data were analyzed by descriptive statistical methods. Results 2072 patients with COPD in 11 centers were interviewed in the study. The final effective questionnaires were collected from 1698 cases. 653 patients had known of COPD. The attitudes and actions on treatment were analyzed based on these patients. The patients had different understanding of goals for COPD treatment,including 59. 1% (384/650) for relieving symptoms. In recent 3 months, the most commonly used drugs were theophlline (53. 7%, 351/653), iprotropium (39. 8%, 260/653), tiotropium (27. 1%, 177/653).72. 0% (465/646) patients used the drugs according to the prescriptions. There were more than 80%patients who did not understand the side effects of anti-cholinergics, β-adrenergic agonists, inhaled steroids,inhaled steroid/long-acting β-agonist combination therapy, or theophyllines. 37.4% (240/641) patients were afraid of side effects of inhaled steroids. 42. 2% (274/650) patients often took antibiotics. There was no oxygen supply at home in 60. 1% (391/651) patients. 70.5% (457/648) did not have pulmonary rehabilitation. Requirement of long-term regular treatment was considered in 77.4% ( 500/646 ) patients.The most important thing about patients' attitude on ideal drugs for COPD was drug efficacy (79. 6% , 481/604). The most ideal drug used in the past was fluticasone/salmeterol or tiotropium ( 16. 9%, 78/461 ).Conclusions Patients had different attitudes and actions on COPD treatment. Patient education should be strengthened to realize treatment goals for COPD.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/71217
Appears in Collections:北京大学第三临床医学院_呼吸内科_期刊论文

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作者单位: 1.北京大学第三医院呼吸科,100191
2.中国医科大学附属第一医院呼吸科
3.北京协和医院呼吸科
4.上海市第一人民医院呼吸科
5.中国石油天然气集团公司中心医院呼吸科
6.解放军沈阳军区总医院呼吸科
7.内蒙古医学院第三附属医院呼吸科
8.广州医学院第一附属医院广州呼吸疾病研究所
9.北京京煤集团总医院呼吸科
10.四川大学华西医院呼吸科
11.华中科技大学同济医学院呼吸科
12.北京隆福医院呼吸科

Recommended Citation:
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[J]. 中华结核和呼吸杂志,2010,33(10):750-753.
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