【摘要】 目的 调查慢性阻塞性肺疾病急性加重(acute exacerbation of chronic obstructive disease, AECOPD)住院患者慢性病资源利用和未来取向应对现状及其相关性。方法 便利抽样法选取河北省沧州市某三级甲等医院住院的300例AECOPD患者为研究对象，采用一般情况调查表、慢性病资源利用量表及未来取向应对量表对其进行调查。结果 AECOPD住院患者慢性病资源利用总分为(51.29±8.38)分，未来取向应对总分为(39.90±5.00)分。慢性病资源利用与未来取向应对呈正相关(r=0.519,P<0.001)。预防应对水平、预先应对水平、婚姻、居住地、是否频繁急性发作是AECOPD住院患者慢性病资源利用水平的影响因素。结论 提高患者未来取向应对水平可改善AECOPD患者慢性病资源利用水平。更多还原

【Abstract】 Objective To investigate the status quo and relationship between utilization of chronic illness resources and future-oriented coping in in-patients with acute exacerbation of chronic obstructive disease(AECOPD),and analyze its influencing factors.Methods 300 in-patients with AECOPD in a respiratory department of a tertiary hospital in Cangzhou were selected by convenience sampling method.General Condition Questionnaire, Chronic Illness Resources Survey(CIRS) and Future-oriented Coping Inventory(FCI) were used for investigation.Results The score of FCI in-patients with AECOPD was(39.90±5.00),and the score of CIRS was(51.29±8.38).Pearson correlation analysis showed that there was a positive correlation between utilization of chronic illness resources and future-oriented coping(r=0.519,P<0.001).Regression analysis showed that preventive coping, proactive coping, marital status, residential address and hospitalization frequency were the influencing factors of CIRS in-patients with AECOPD.Conclusions Improving future-oriented coping can advance the level of utilization of chronic illness resources for patients with AECOPD.更多还原