コロナ禍におけるCOPD患者の健康管理に関する情報ニーズの有無およびPHQ-4の現状とその関連要因：2020年12月の患者調査

Information Needs of COPD Patients Regarding Health Care in the COVID-19 Pandemic and the Current Status of the PHQ-4 and Related Factors: A Patient Survey in December 2020

要旨

　目的：コロナ禍におけるCOPD患者の健康管理に関する情報ニーズの有無およびPHQ-4の現状とその関連要因を明らかにする．

　方法：2020年12月COPD患者を対象にWeb調査を行った．情報ニーズとPHQ-4の関連要因について多変量解析を行った．

　結果：コロナ禍では，情報ニーズありは57.0％，心理的苦痛ありは34.8％であった．情報ニーズの関連要因はCAT（オッズ比（OR）= 2.63），ソーシャルサポート（OR = 4.42），身体活動（OR = 3.48）であった．PHQ-4の関連要因は，40〜64歳未満（OR = 3.11），CAT（OR = 4.28），手洗い（OR = 1.90），孤独感（OR = 3.48）であった．

　結論：コロナ禍におけるCOPD患者には情報ニーズがあり，抑うつや不安を感じていた．関連要因を有する患者では，症状ケアやソーシャルサポート，孤独感などに注目した支援が必要である．

　Objective: To examine the current status of the PHQ-4 and factors associated with the information needs of chronic obstructive pulmonary disease (COPD) patients regarding health care during the COVID-19 pandemic.

　Methods: A web-based survey was conducted among December 2020 COPD patients. Multivariate analysis was performed on factors associated with information needs and PHQ-4.

　Results: During the COVID-19 pandemic, 57.0% had information needs and 34.8% felt psychological distress. Multivariate analysis showed that factors associated with information needs were CAT (OR = 2.63), social support (OR = 4.42), and physical activity (OR = 3.48); factors associated with PHQ-4 were under 40-65 years (OR = 3.11), CAT (OR = 4.28), hand washing (OR = 1.90), loneliness (OR = 3.48).

　Conclusion: COPD patients during the COVID-19 pandemic had information needs and psychological changes. Patients with related factors need symptom care, social support, and assistance focused on loneliness.