在患有慢性阻塞性肺病的患者中验证吸入疗法信念问卷
Francisca Muñoz-Cobos1, Virginia P Aguiar-Leiva2, Carmen Argüello-Suárez3
1Andalusian Health Service, Málaga Biomedical Research Institute (IBIMA-Plataforma BIONAND), University of Málaga, 29590 Málaga, Spain.
Journal of clinical medicine
|April 27, 2024
概括
这项研究验证了10项调查问卷,以评估患者对吸入性COPD治疗的信念,发现信念和坚持之间的轻微相关性. 了解这些信念可以改善慢性阻塞性肺病患者的药物坚持和健康结果.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性阻塞性肺病 (COPD) 管理严重依赖于吸入疗法.
- 患者对吸入治疗的信念显著影响药物坚持和健康结果.
- 需要一个经过验证的工具来评估COPD患者的这些信念.
研究的目的:
- 开发和验证一个调查问卷,评估对COPD患者吸入疗法的信念.
- 评估10项吸入疗法信仰问卷 (CCTI问卷v.2.0) 的心理测量特性.
- 探索患者信仰与吸入治疗的坚持之间的关系.
主要方法:
- 一项描述性,横截面研究,涉及来自五个初级医疗保健中心的260名COPD患者.
- 使用系统的随机抽样来选择参与者.
- 验证的措施包括CCTI问卷v.2.0,莫里斯基-格林测试,药房发行数据和两年测试复试可靠性分析.
主要成果:
- 10项CCTI问卷v.2.0显示出良好的可行性 (3分钟完成时间) 和可接受的内部一致性 (克朗巴赫的α=0.613).
- 三个因素解释了差异:吸入器的使用,效果和目标.
- 不遵守率各不相同 (48.3%莫里斯基-格林,31%药房数据,合计40.4%);对于特定项目,测试-重新测试可靠性较低;观察到信念和遵守之间存在轻微的相关性.
结论:
- CCTI问卷v.2.0显示可接受的可行性,可靠性和内容有效性,用于评估COPD患者的吸入治疗信念.
- 虽然信仰与坚持有轻微的相关性,但需要进一步的研究来加强这种关系.
- 该问卷可以帮助了解患者的观点,以改善COPD管理.
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