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.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2010年第10期750-753,共4页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
肺疾病
慢性阻塞性
认知
治疗
Pulmonary disease, chronic obstructive
Cognition
Therapy
