【摘要】 目的 了解重庆市基层地区老年慢性阻塞性肺疾病(慢阻肺)患者的疾病知识掌握情况，为慢阻肺防治提供依据。方法 2021年11月至2022年5月在重庆市基层地区随机抽取612例老年慢阻肺患者进行横断面研究。采用自行设计的社会人口学问卷、慢阻肺疾病知识问卷进行调查。采用logistics回归模型分析老年慢阻肺患者疾病知识掌握情况的影响因素。结果 共发放612份问卷，其中回收有效问卷578份，有效回收率为94.4%。578例老年慢阻肺患者疾病知识掌握情况的平均得分为(4.73±2.57)分，满分13分。其中，单个条目最高得分率为81.3%,有5个条目得分率小于20.0%。logistics回归分析结果显示，地区(P<0.001)、收入(P<0.001)是老年慢阻肺患者疾病知识掌握情况的影响因素。结论 重庆市基层地区老年慢阻肺患者疾病知识掌握情况不理想，地区、收入是其影响因素。全科医生团队及各级医疗卫生管理部门应该加强对患者的健康教育，降低因认知不足导致的进展为严重疾病发生率。更多还原

【Abstract】 Objective To understand the disease knowledge of elderly patients with chronic obstructive pulmonary disease(COPD) in grassroots areas of Chongqing, and to provide evidence for the prevention and treatment of COPD.Methods From November 2021 to May 2022,a total of 612 elderly patients with COPD were randomly selected from the grassroots areas of Chongqing for a cross-sectional study.The self-designed socio-demographic questionnaire and COPD knowledge questionnaire were used to investigate.Logistic regression model was used to analyze the influencing factors of disease knowledge in elderly patients with COPD.Results A total of 612 questionnaires were distributed, of which 578 valid were recovered, with an effective recovery rate of 94.4%.The average score of disease knowledge of 578 elderly COPD patients was(4.73±2.57) points, with a full score of 13 points.Among them, the highest scoring rate of a single item was 81.3%,and the scoring rate of five items was less than 20.0%.The results of logistics regression analysis showed that region(P<0.001) and income(P<0.001) were the influencing factors of disease knowledge in elderly COPD patients.Conclusion The disease knowledge of elderly patients with COPD in the grassroots areas of Chongqing is not ideal, and the region and income are the influencing factors.The team of general practitioners and various levels of medical and health management departments should strengthen health education for patients and reduce the incidence of serious diseases caused by cognitive impairment.更多还原