张 锐,杨 怡,孙兴如,岑 梅,金 铭

慢性阻塞性肺疾病（COPD）是一种常见的慢性呼吸系统疾病，尤其在老年人群中发病率较高，且具有较高的发病率和死亡率。呼吸困难是COPD最常见的典型症状，且其受患者的生理、心理、社会等方面多因素影响，而呼吸困难信念是指伴有呼吸系统疾病个体对呼吸困难及日常活动的主观认知或感知，其内容包括对呼吸困难的负面情绪以及与之相关的活动性回避倾向。本文将对近年来慢性阻塞性肺疾病患者呼吸困难信念的现状、评估工具、影响因素及干预措施做出总结，旨在增加对慢性阻塞性肺疾病患者呼吸困难信念的了解，为医务人员制定精准的干预措施提供理论基础，降低慢性阻塞性肺疾病病人呼吸困难信念水平及其带来的不利影响。

慢性阻塞性肺疾病；呼吸困难信念；评估工具；影响因素；综述

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