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已发表论文
探究不同阶段老年慢性阻塞性肺疾病患者健康素养需求：一项深入的定性研究
Authors Chen C , Qian Y, Wan G, Zhang Z
Received 23 July 2025
Accepted for publication 24 October 2025
Published 5 November 2025 Volume 2025:19 Pages 3421—3433
DOI https://doi.org/10.2147/PPA.S550268
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Ramón Morillo-Verdugo
Chen Chen,1,* Yinghua Qian,1,* Guangming Wan,1 Zhouji Zhang2
1Department of Nursing, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, People’s Republic of China; 2Department of Integrated Chinese and Western Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Zhouji Zhang, Department of Integrated Chinese and Western Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, People’s Republic of China, Email zhouji2468@163.com
Background: As the incidence and recurrence rates of chronic obstructive pulmonary disease (COPD) among older people continue to rise globally, it is essential to understand the health literacy needs of these patients at various stages of the disease. Health literacy is closely linked to the risk of COPD onset and recurrence. However, there is a notable deficiency in research that specifically addresses the health literacy requirements of this population across different disease stages.
Objective: This study aimed to investigate the health literacy needs of older patients with COPD across various stages of their disease trajectory.
Methods: Utilizing a timing framework, purposive sampling was conducted from July 2023 to March 2024, selecting participants from Shanghai Chest Hospital. Semi-structured in-depth interviews were conducted, and thematic analysis was employed to interpret the data.
Results: A total of 28 participants completed the interviews, comprising 18 males and 10 females. Based on timing theory, these findings identified four themes: 1) Diagnostic period: Limited ability to acquire disease information, psychological support, and change unhealthy lifestyles, 2) Treatment period: therapeutic information support and efficient care, 3) Discharge preparation period: specific health guidance and a promising life plan, 4) Home recovery period: self-management, continuous healthcare support, and balancing self-discipline with external discipline.
Conclusion: The health literacy needs of older patients with COPD varied across different stages of the disease. Healthcare professionals should develop individualized health literacy interventions that are tailored to the specific needs and characteristics of individuals at different stages of their health journey.
Keywords: health literacy, older patients, COPD, qualitative study
1Department of Nursing, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, People’s Republic of China; 2Department of Integrated Chinese and Western Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Zhouji Zhang, Department of Integrated Chinese and Western Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, People’s Republic of China, Email zhouji2468@163.com
Background: As the incidence and recurrence rates of chronic obstructive pulmonary disease (COPD) among older people continue to rise globally, it is essential to understand the health literacy needs of these patients at various stages of the disease. Health literacy is closely linked to the risk of COPD onset and recurrence. However, there is a notable deficiency in research that specifically addresses the health literacy requirements of this population across different disease stages.
Objective: This study aimed to investigate the health literacy needs of older patients with COPD across various stages of their disease trajectory.
Methods: Utilizing a timing framework, purposive sampling was conducted from July 2023 to March 2024, selecting participants from Shanghai Chest Hospital. Semi-structured in-depth interviews were conducted, and thematic analysis was employed to interpret the data.
Results: A total of 28 participants completed the interviews, comprising 18 males and 10 females. Based on timing theory, these findings identified four themes: 1) Diagnostic period: Limited ability to acquire disease information, psychological support, and change unhealthy lifestyles, 2) Treatment period: therapeutic information support and efficient care, 3) Discharge preparation period: specific health guidance and a promising life plan, 4) Home recovery period: self-management, continuous healthcare support, and balancing self-discipline with external discipline.
Conclusion: The health literacy needs of older patients with COPD varied across different stages of the disease. Healthcare professionals should develop individualized health literacy interventions that are tailored to the specific needs and characteristics of individuals at different stages of their health journey.
Keywords: health literacy, older patients, COPD, qualitative study