Research On The Relation Of Social Capital And The Quality Of Life Among People With Chronic Obstructive Pulmonary Disease

Background: According to the global burden of Disease study project estimates, to 2020, Chronic Obstructive Pulmonary Disease(Chronic Obstructive Pulmonary diseases, hereinafter referred to as COPD) will be the world’s cause of death in patients with the third. The world bank and the world health organization data show that in 2020, COPD will disease economic burden of the fifth largest in the world. Investigation into seven areas, 20245 adults in our country, the results showed that the prevalence of COPD in over 40 people as high as 8.2%. To prevent and control the spread of the COPD is the challenge for the health workers and public health systems. Under this new perspective of social capital theory, use of social resources, integration of network relations, to reduce the economic burden of patients and their families, improve the efficiency of the use of medical resources is of great significance.Objectives: To develop the current situation of social capital and quality of life of COPD patients in Anhui province. Find out the influence factors of patients with COPD and the key social capital that related to the quality of life. To explore the key factor affecting the quality of patients with COPD life elements of social capital.Methods: In this study, we use the review of the literature and expert advice to develop the questionnaire. multistage sampling was used in Fuyang city, Hefei city, Tongling city in Anhui province. The questionnaires were accomplished by both face to face.Epidata3.0 was used to do the data input, and SPSS15.0 was used to do the data analysis. Quantitative data were expressed by mean ± standard deviation, and Qualitative data were expressed by ratio or proportion. Kendall’w coefficient was used to express the coordination coefficient of each item evaluated by experts. The reliability of social capital questionnaire was expressed by Cronbach’s α, and the construct validity was expressed in factor analysis.Results: 1.The study of patients with copd, 368 questionnaires, 349 effective questionnaires were taken back, the effective response rate was 94.8%.2.Analysis of the reliability and validity of the questionnaire: social capital questionnaire Cronbach’s alpha was 0.823. Using the factor analysis of the structure of social capital, the questionnaire validity analysis showed that the extraction of the seven male factors can explain 72.198% of the total variance. Quality of life questionnaire scale of validity in previous research both at home and abroad have been verified, and has a good validity of the letter.3.The basic features of patients with copd, polled 360 people city of 162 people, accounting for 46.4%, rural, 187 people, accounted for 53.6%; Women, 98 people, accounted for 28.1%, male, 251, accounting for 71.9%; Average age(72.59 + 8.81); Low degree of culture, the cultural level of primary school and below accounted for 83.1%. All of the patients, 61.3% are farmers, followed by the factory/enterprise employees, accounting for 22.1%. There are 270 respondents are not working, accounting for 77.4%. Personal income, there are 239 people monthly income is in 1000 yuan the following, accounted for 68.5%, more than 2001 yuan has 45 people, accounting for 12.9%. There are 60 people often smoke, accounted for 17.2%, never smoke, 144 people, accounting for 41.3%. Never had passive smoking experience of 129 people, accounting for 37%, often secondhand smoke has 53 people, accounting for 15.2%. Often drink have 37 people, accounting for 10.6%, most people never drank,accounting for 205 people, accounted for 58.7%. There are 177 people never take part in the exercise, accounted for 50.7%, there are 133 people exercise number of times a week in more than 3 times, accounting for 38.1%. There are 113 people once career were dust exposure, accounted for 32.4%, 236 people from occupational exposure to dust, accounted for 67.6%. Severity of lung function for a total of 244 people in the mild patients, accounted for 69.9%, there are 105 people as severe and very severe, accounting for 30.1%.4.Social capital influence factors of patients with copd: social capital in the influence factors of trust with gender(OR = 0.407); If they work(OR = 0.363); Life satisfaction(OR = 35.684); If drinking(OR = 3.023). The influence factors of reciprocal marital status(OR = 0.163); Cultural degree(OR = 0.347); Exercise number of times a week(OR = 2.784); BMI(OR = 0.302). The influence factors of cohesion and belonging have whether work(OR = 2.103); Passive smoking(OR = 0.39); Exercise number of times a week(OR = 5.317). The influence factors of group support including the presence of endowment insurance(OR = 0.421); Self-reported health status(OR = 0.172; OR = 0.174); Smoking(OR = 8.6); Passive smoking history(OR = 4.626); Because of illness in hospital number(OR = 0.273). The influence factors of personal support including gender(OR = 2.726); If they work(OR = 2.737); Life satisfaction(OR = 5.759; OR = 5.894). The influence of the social network factors including whether work(OR = 0.521); Professional(OR = 11.518). The influence factors of social participation include religion(OR = 0.227); Personal monthly income(4.064).5.The quality of life of patients with copd: according to the division CAT scale scores copd patient quality of life condition, the higher the score, suggests that the patient’s quality of life. In 349 patients were surveyed, more than 117 people in 30 points very serious disease, accounting for 33.5%. 20 ~ 30 for serious disease, 181 people, accounting for 51.9%, in 10 ~ 20 diseases as medium of 46 people, accounting for 13.2%, only less than 10 points, 5 people for mild illness, accounting for 1.4%.6.The influence factors of copd patients quality of life: the factors influencing the quality of life in patients with copd, trust factor and mutual factor, life satisfaction, whether the dust exposure, admission, cultural degree, self-evaluation of health, smoking, and personal income condition has a significant effect on the quality of life. Among them, the higher the degree of trust in copd patients with the CAT, the lower the quality of life score, showed that the better the quality of life status. The higher level of mutual benefit in copd patients with CAT the higher quality of life score, indicates that the worse the situation of quality of life. The higher life satisfaction of patients, the quality of life. No dust exposure of copd patients quality of life scores were lower, the better the quality of life status. Hospitalized patients the CAT the higher the score, the more that the quality of life. The lower cultural degree of patients life quality is poorer. Relative to never smoking smoking patients often CAT score higher, shows that the quality of life. Personal monthly income, the higher the better the quality of life of patients. Self-reported health status in patients with poor patient CAT scores of higher and higher, the quality of life is poorer.Conclusions:1. This study used questionnaire and social capital and quality of life questionnaire(CAT scale) has good validity.2. In general, COPD patients quality of life is poorer, with the increase of age, quality of life is not ideal. Physical and psychological aspects of the scores are not ideal.3. The patients with copd social capital level is associated with individual way of life. High life satisfaction, exercise more often, don’t smoke less drinking lifestyle was positively related with social capital, such as worthy of attention. Men, passive smoking experience, self-reported health status is poorer, divorced or widowed, and there is no work individual situation and negatively correlated with social capital, most likely is a risk factor for copd patients’ social capital, is also worth studying.4. The patient’s quality of life and social capital in the trust and mutual factors have correlation. Among them, the trust and quality of life were positively correlated, the higher the degree of trust, the better the quality of life. Mutual benefit and negatively correlated with the quality of life, the higher the mutual benefit, quality of life.Suggestions:1. Building trust and standardized network system;2. Create a mutually beneficial social atmosphere;3. Give play to the important role of propaganda and education;4. Perfect the compensation mechanism of COPD patients.