【摘要】 目的探讨慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者疲乏与自觉健康控制状况及其相关性。方法使用中文版多维度疲乏量表(multidimensionnal fatigue symptom inventory-short form,MFSI-SF)和自觉健康控制量表(multidimensional health locus of control scale,MHLC)对150例COPD患者进行调查。了解COPD患者疲乏状况与自觉健康控制的状况。结果 COPD患者疲乏状况得分为(78.82±1.50)分,处于中高水平,得分最高的两个维度分别为:身体疲乏和活动;自觉健康控制总分为(61.76±5.02)分,处于中低水平,自觉健康控制各因子评分由高至低分别为:外部命运控制,外部权威人士控制,内部控制;相关性分析结果:COPD患者外部权威人士控制、外部命运控制得分与疲乏总分呈正相关(均P<0.05),内部控制得分与疲乏总分呈负相关(P<0.05)。结论 COPD患者疲乏处于中高水平,自觉健康控制处于中等水平,其中内部控制与COPD患者疲乏呈负相关,外部权威人士控制、外部命运控制与COPD患者疲乏呈正相关。应采取减轻COPD患者疲乏的措施,并提高患者内部健康控制,降低外部命运控制,以发挥COPD患者的主观能动作用,形成自觉的健康行为,降低患者疲乏症状。更多还原

【Abstract】 Objective To investigate the status and correlation between fatigue and health locus of control in patients with chronic obstructive pulmonary disease( COPD). Method The multidimensional fatigue symptom inventory- short form and health locus of control questionnaire were used to investigate the fatigue and health locus of control among 150 COPD patients. Results The score on fatigue was 78.82 ± 1.50, in the middle-high level. The two factors scored the higher were physical fatigue and activity. The total score on health locus of control was 61.76 ± 5.02, at a middle-low level. The dimensions of health locus of control, ranked in a descending way in scores, included external control by destiny and authorities and internal control. The scores on external control by destiny and authorities were positively related that of total score on fatigue(P < 0.05 for both) and the score of internal control was negatively correlated(P < 0.05). Conclusion The fatigue of COPD patients was at high level and the health locus of control was at middle level.In the clinical practice, nurses should pay attention to the enhancement of patients′ health locus of control to help them take up health behaviors for the purpose of lowering their fatigue.更多还原