CAJ | 학술논문

目的：探讨慢性阻塞性肺疾病（COPD）患者抑郁症发生的危险因素。方法：收集200例COPD患者的一般信息、肺功能、呼吸困难、生活质量和运动能力评估、HAD和BCKQ信息，进行偏相关分析及多变量模型检测焦虑和抑郁的危险因素，并构建BCKQ的13项疾病知识评估的多变量模型。结果：焦虑和／抑郁组受试者有更少的COPD认识。偏相关分析表明：HAD得分与BCKQ评分呈负相关（r＝－0．148，P＝0．002）；在焦虑和抑郁危险因素的多变量模型中，BCKQ得分（P＝0．002，OR＝0．890）显著。流行病学（P＜0．001，OR＝0．660）和感染（P＜0．001， OR ＝0．695）在评估13个疾病知识项目的多变量模型中显著。结论：COPD患者的疾病知识水平是其焦虑和抑郁发病的一个显著危险因素，其中流行病学和感染是影响COPD知识水平的重要项目。
목적：탐토만성조새성폐질병（COPD）환자억욱증발생적위험인소。방법：수집200례COPD환자적일반신식、폐공능、호흡곤난、생활질량화운동능력평고、HAD화BCKQ신식，진행편상관분석급다변량모형검측초필화억욱적위험인소，병구건BCKQ적13항질병지식평고적다변량모형。결과：초필화／억욱조수시자유경소적COPD인식。편상관분석표명：HAD득분여BCKQ평분정부상관（r＝－0．148，P＝0．002）；재초필화억욱위험인소적다변량모형중，BCKQ득분（P＝0．002，OR＝0．890）현저。류행병학（P＜0．001，OR＝0．660）화감염（P＜0．001， OR ＝0．695）재평고13개질병지식항목적다변량모형중현저。결론：COPD환자적질병지식수평시기초필화억욱발병적일개현저위험인소，기중류행병학화감염시영향COPD지식수평적중요항목。
Objective: To explore the risk factors of anxiety and depression in patients with COPD. Methods:200 patients with COPD were collected and the general information,assessments of lung function, dyspnea, quality of life, exercise capacity, and responses to the Hospital Anxiety and HAD and BCKQ. Partial correlation analysis was performed, and a multivariable model testing risk factors of anxiety and depression as well as a multivariable model of 13 topics of knowledge derived from BCKQ were constructed. Results:Subjects with anxiety or depression were more likely to have less COPD knowledge. Partial correlation analysis revealed that HAD score was negatively correlated with BCKQ score(r=-0.148,P=0.002). BCKQ score was significant in the multivariable model that tested risk factors of anxiety and depression (P=0.002,OR=0.890). Topics of epidemiology (P<0.001,OR=0.660) and infections (P<0.001,OR =0.695) were significant in the multivariable model evaluating 13 topics. Conclusion:The level of patients’ disease knowledge is a significant risk factor of anxiety and depression in patients with COPD. Epidemiology and infections are key topics of COPD knowledge.