{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:32:42Z","timestamp":1740126762094,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Einleitung Wie bei anderen chronischen Erkrankungen ist auch bei der chronisch-obstruktiven Lungenerkrankung (COPD) zu erwarten, dass der Verlauf positiv beeinflusst wird, wenn die Patienten gut \u00fcber ihre Erkrankung informiert sind und angemessen damit umgehen. Hierbei d\u00fcrfte eine vergleichbare Einsch\u00e4tzung des Wissensstands und Umgangs von strukturierten, systematisch entwickelten Frageb\u00f6gen profitieren, die allerdings bislang in Deutschland nicht publiziert sind.\n    <\/jats:p><jats:p>\n            Methoden Zur Entwicklung der Frageb\u00f6gen wurden insgesamt 310 Patienten mit COPD in drei pneumologischen Praxen und einer Klinik rekrutiert. Basierend auf statistischen Kriterien und inhaltlichen Bewertungen durch Fach\u00e4rzte wurden durch Auswahl und Modifikation aus publizierten Studien und Schulungsunterlagen jeweils zwei Frageb\u00f6gen zum Wissen (17 Fragen) bzw. Umgang (25 Fragen) erstellt. Aus diesen Frageb\u00f6gen wurden dar\u00fcber hinaus zwei kurze Versionen mit 5 bzw. 3 Fragen erstellt, um eine extrem schnelle Einsch\u00e4tzung des Wissens und des Umgangs der Patienten zu erm\u00f6glichen. Alle Frageb\u00f6gen beinhalteten au\u00dferdem eine visuelle Analogskala zur Selbsteinsch\u00e4tzung von Wissen und Umgang. Als statistische Verfahren zur systematisch geleiteten Auswahl wurden Korrelations- und Regressionsanalysen eingesetzt.\n    <\/jats:p><jats:p>\n            Ergebnisse Die Frageb\u00f6gen zeigten teils erhebliche Wissensdefizite und v.a. ein unsystematisches, wenig zusammenh\u00e4ngendes Wissen. Der Umfang dieses Wissens war mit dem Lebensalter negativ und mit der Teilnahme an Schulungen positiv korreliert. Dies galt ebenfalls f\u00fcr den Umgang mit der Erkrankung. Auch der Zusammenhang der Antworten auf die Wissensfragen profitierte von der Teilnahme an Schulungen. In jedem Fall korrelierten die visuellen Analogskalen der Selbsteinsch\u00e4tzung von Wissen und Umgang mit den Gesamtpunktzahlen korrekter Antworten.\n    <\/jats:p><jats:p>\n            Diskussion Die Frageb\u00f6gen zu Wissen und Umgang mit der COPD k\u00f6nnten u.a. im ambulanten Bereich eingesetzt werden, gegebenenfalls auch durch nicht-\u00e4rztliches Personal, um Defizite rasch zu erkennen und zu beheben oder als Anlass zu nehmen, eine Schulung zu empfehlen. Die Kurzversionen sowie die Analogskalen der Selbsteinsch\u00e4tzung erlauben zumindest eine orientierende Einsch\u00e4tzung. M\u00f6glicherweise sollten Schulungen mehr darauf abzielen, den Zusammenhang des Wissens durch besseres Verst\u00e4ndnis zu f\u00f6rdern, da dies vermutlich das Memorieren beg\u00fcnstigt. Hierbei erscheinen \u00e4ltere Patienten und solche mit geringem Bildungsstand auf sie angepasster Schulungen besonders bed\u00fcrftig.\n    <\/jats:p>","DOI":"10.1055\/a-2310-1887","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T22:43:48Z","timestamp":1714171428000},"page":"1014-1021","source":"Crossref","is-referenced-by-count":0,"title":["Entwicklung zweier Frageb\u00f6gen zum Krankheitswissen und Umgang mit der Erkrankung f\u00fcr Patienten mit chronisch-obstruktiver Lungenerkrankung (COPD)"],"prefix":"10.1055","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3072-0629","authenticated-orcid":false,"given":"Carolina","family":"Fischer","sequence":"additional","affiliation":[{"name":"Institut und Poliklinik f\u00fcr Arbeits-, Sozial- und Umweltmedizin, LMU Klinikum Institut und Poliklinik f\u00fcr Arbeits-, Sozial- und Umweltmedizin, M\u00fcnchen, 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