抽象的
这项研究检查了遵守邻域雾化治疗与心理因素之间的关系。患者的态度,焦虑,抑郁和生活质量。从医院数据库中招募了93名患有慢性阻塞性肺部疾病(COPD)和使用住所雾化器的45 - 77岁患者。他们完成了圣乔治的呼吸问卷(SGRQ)-1和医院的焦虑与抑郁量表(HADS),并参加了半结构化访谈。他们通常的雾化器被Datalogger所取代,这些数据记录了每种处理的日期,时间和持续时间,用于使用4周。然后重复SGRQ(SGRQ-2)。82名患者完成了这项研究。56%的依附者差。服用不到处方剂量的70%(每天>或= 5次的方案少于60%)。SGRQ-2上的总分数与依从性百分比负相关。 Multiple regression analysis showed that the SGRQ-2 total score was associated with percentage adherence, depression score, feeling supported by clinic staff, and patients feeling that they tried to ignore their chest disease. Patients who report poor quality of life are more likely to be depressed, feel unsupported by clinic staff and be poorly adherent to treatment. Increased levels of clinic support, with the addition of psychological treatments, may be of benefit to some patients with chronic obstructive pulmonary disease.