慢性病资源利用与COPD患者的疾病不确定性之间的关联:潜伏的个人资料分析
Yangjuan Bao1, Lili Yang2, Jing-Yi Zhao1
1Department of Nursing, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, Zhejiang, China.
PeerJ
|February 2, 2026
概括
在慢性阻塞性肺病 (COPD) 患者中存在明显的慢性疾病资源利用模式. 有效的资源使用与较低的疾病不确定性有关,突出显示了有针对性的支持干预措施的必要性.
科学领域:
- 肺部医学 肺部医学
- 医疗保健管理的管理
- 疾病的心理社会方面.
背景情况:
- 慢性阻塞性肺病 (COPD) 的管理涉及到复杂的医疗保健资源.
- 疾病的不确定性对患有慢性疾病的患者来说是一个重要的心理社会负担.
- 了解资源利用模式对于改善患者治疗结果至关重要.
研究的目的:
- 确定慢性病患者使用慢性病资源的不同模式.
- 调查这些利用模式与疾病不确定性水平之间的关联.
主要方法:
- 一项涉及中国江省308名住院COPD患者的横截面研究.
- 隐形形象分析 (LPA) 用于识别资源利用子组.
- 层次线性回归用于评估利用模式和疾病不确定性之间的关系.
主要成果:
- 确定了两个不同的资源利用模式:次优利用 (n=209) 和有效利用 (n=99).
- 有效利用组的患者报告了明显较低的疾病不确定性水平 (R2 = 0.587,p < 0.001).
结论:
- 慢性病资源利用的具体模式在COPD患者中很明显.
- 有效的资源利用与减少疾病不确定性有显著的关联.
- 改善资源获取的有针对性的干预措施可以帮助缓解COPD患者的疾病不确定性.
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