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目的了解华新社区慢性阻塞性肺疾病(COPD)患者患病现状,为开展健康促进服务提供科学依据,制定切实可行和针对性的防治措施。方法通过对华新镇社区在册管理95例COPD患者采取面对面问卷调查的方法,了解他们目前的健康状况、生活质量、文化水平、健康知识掌握以及接受社区康复意愿等情况。结果通过CAT评分了解95位患者中因疾病对生活“轻微影响”的占2%,“中等影响”的占52%,“严重影响”的占29%,“非常严重影响”占18%。因长时间的就医或接受住院治疗,随其病程的延续出现失眠、烦躁、易怒等不良情绪。95位患者平均年龄66.7岁,平均可支配收入935元,与2010年统计数据显示上海地区50岁以上农村居民人均可支配收入666元相比略有盈余,生活水平中等。文化水平:小学及以下人数占60%。疾病相关知识问卷合格率仅14.7%。他们主要的疾病和卫生保健知识的来源是医务工作者,占46%。COPD患者对社区康复的需求100%。结论华新镇社区在册管理COPD患者文化层次低,疾病相关及保健知识缺乏,固有的生活习惯很难改变,康复依从性较差,要求有一定经验的社区护理工作者深入基层、进入家庭、循循善诱地引导他们建立良好的康复习惯。
Objective To understand the prevalence of chronic obstructive pulmonary disease (COPD) in Huaxin community and to provide a scientific basis for health promotion services and formulate practical and targeted prevention and treatment measures. Methods A total of 95 patients with COPD were enrolled in Huaxin Town Community Health Care Society to conduct a face-to-face questionnaire survey to find out their current status of health, quality of life, literacy, knowledge of health knowledge and willingness to accept community rehabilitation. Results The 95% of 95 patients were found to have a “minor effect” of illness on life by disease, 52% of “moderate effect”, and 29% of “severely affected”, “very serious Influence ”accounted for 18%. Due to prolonged medical treatment or hospitalization, with the continuation of the course of insomnia, irritability, irritability and other negative emotions. 95 patients with an average age of 66.7 years, with an average disposable income of 935 yuan, with the 2010 statistics show that Shanghai’s rural residents over the age of 50 per capita disposable income of 666 yuan a slight surplus, the standard of living is moderate. Literacy: 60% of primary and below. Disease-related knowledge questionnaire pass rate of only 14.7%. Their main source of disease and health care knowledge is medical workers, accounting for 46%. COPD patients demand for community rehabilitation 100%. Conclusion The community-based management of patients with COPD in Huaxin Town community has a low level of education, lack of disease-related knowledge and health care knowledge, difficult to change inherent living habits, poor compliance of rehabilitation and community care workers who require some experience. Guide them to establish good healing habits.