论文部分内容阅读
目的 :研究哮喘教育对哮喘患者的作用 ,并了解其心理因素与哮喘的临床表现之间的关系 ,对哮喘控制心理问卷 (PCAQ)的灵敏性、有效性进行评价。方法 :对门诊 74例哮喘病人采用PCAQ问卷 ,哮喘生活质量问卷 (AQLQ)、SF -36问卷、分别在哮喘教育前及教育后二个月进行评定 ,并与哮喘严重度、危险度问卷、哮喘症状记分、哮喘患者半年急诊次数、误工、误学天数等情况进行相关分析。结果 :哮喘教育可改变患者的心理状态 ,哮喘教育后PCAQ问卷分数明显好于哮喘教育前 ( 6 1 4 5± 6 6 9/ 41 86± 6 0 3,t=15 71,P0 0 0 1)。PCAQ简短、易操作 ,问卷测评分数范围在 35 -70分。问卷与SF -36心理因素 (r =0 4 9～0 33,P0 0 1)、哮喘生活质量问卷 (r =-0 4 1,P0 0 1)及、哮喘症状记分误工、误学天数 (r =-0 4 1～0 4 2 ,p均 <0 0 1)有明显的相关关系。未发现与哮喘严重度、危险度及FEV1%之间有明显的相关关系。结果 :哮喘教育可改变患者的心理状态 ,从而影响哮喘的预后 ,PCAQ是一个灵敏、有效的评价工具。
Objective: To study the effect of asthma education on asthma patients and to understand the relationship between psychological factors and clinical manifestations of asthma, and evaluate the sensitivity and validity of asthma control psychological questionnaire (PCAQ). Methods: A total of 74 outpatients with asthma were assessed with PCAQ questionnaire, AQLQ and SF-36 questionnaire before asthma education and two months after education, respectively, and were compared with asthma severity, risk questionnaire, asthma Symptom score, the number of emergency patients with asthma in six months, lost time, the number of days of misdiagnosis and other related analysis. Results: Asthmatic education changed the psychological status of patients. PCAQ questionnaire score was significantly better in patients with asthma than before asthma education (61.45 ± 6 6/41 86 ± 6 0 3, t = 15 71, P0 0 01) . PCAQ short, easy to operate, questionnaire evaluation score range of 35 -70 points. Questionnaire and SF-36 psychological factors (r = 0 4 9 ~ 0 33, P0 0 1), asthma quality of life questionnaire (r = -0 4 1, P0 0 1), asthma symptom scores, = -0 4 1 ~ 0 4 2, p <0 0 1). No significant correlation was found with severity of asthma, risk, and FEV 1%. Results: Asthma education can change the patient’s psychological status, thus affecting the prognosis of asthma. PCAQ is a sensitive and effective evaluation tool.