摘要
目的了解慢性阻塞性肺疾病患者就诊现状及其影响因素。方法采用自设问卷对70例慢性阻塞性肺疾病患者进行调查,内容包括患者的一般资料,是否定期复查、什么情况下就诊、就诊是否需人陪同及影响定期复查的因素等。结果定期复查的患者仅占16%,出现症状即来就诊者占41%,症状严重或自服药物无效后才就诊者占43%。不能定期复查的主要原因有:认为定期复查没有必要、就诊需人陪同、就医不便、经济负担重等。Logistic多元回归分析显示患者的文化程度、患病年限、经济状况影响患者是否能够定期复查。结论慢性阻塞性肺疾病患者就诊延迟现象突出,需要加强护理干预:加强对文化程度低、患病年限短、经济状况差的慢性阻塞性肺疾病患者及其照顾者的教育,使其认识到定期复查、及时就医的必要性;采取措施,方便患者就医,降低治疗费用;开展社区护理,建立随访制度,通过电话咨询、家庭访视及时给予慢性阻塞性肺疾病患者针对性的指导。
Objective To explore the status quo of doctor visiting by patients with chronic obstructive pulmonary disease and the influencing factors. Methods Self-designed questionnaires were filled in by 70 patients, which included the general information of the patients, whether or not they had re-examinations regularly, in what cases, whether or not they were accompanied when taking re-examinations, and the influencing factors. Results The patients who had re-examinations regularly only accounted for 16%, those who did only when symptoms occurred, 41%, and those who did not until severe symptoms occurred or self-obtained medicines proved futile, 43%. Major causes of failure to take regular re-examinations inlcuded the following： they considered re-examinations were either unnecessary, company-requiring, inconvenient or economically burdensome. Logistic muhivariant regression analysis revealed that factors such as the educational level, medical length, economic condition of the patients all exerted influence on re-examinations taking. Conclusion Procrastination of re-examinations among patients with chronic obstructive pulmonary disease were widespread and needed nursing interventions： Education for the patients of poor education, economic condition and short length of the disease and for their dependents should be strengthened to make them aware of the necessity of re-examinations taking; measures should be adopted to make the re-examinations cheaper and more convenient; and a follow-up visit system shuold be established by which patients could be offered timely guidance through phone counselling and home visiting.
出处
《护理学报》
2008年第4期11-13,共3页
Journal of Nursing（China）
关键词
慢性阻塞性肺疾病
就诊
自我管理
影响因素
chronic obstructive pulmonary disease
doctor visiting
self-management
influencing factor
作者简介
陈英（1968-），女，北京人，本科学历，主管护师，护士长。
