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在COPD患者中识别不同疾病感知概况:集群分析结果
Svetlana Ovcharenko1, Yanina Galetskayte1, Dmitry Romanov2,3
1Department of Faculty Therapy, Sechenov University, Moscow, Russian Federation.
The open respiratory medicine journal
|June 5, 2023
概括
疾病感知显著影响慢性阻塞性肺病 (COPD) 患者的医疗行为和心理健康. 监测患者的感知对于管理COPD以及相关的焦虑和抑郁至关重要.
科学领域:
- 肺部医学 肺部医学
- 精神病体医学是一种精神病体医学.
- 健康心理学 心理健康心理学
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种普遍存在的,具有挑战性的疾病,影响生活质量.
- 目前的治疗方法无法治愈,吸烟等主要风险因素仍然存在.
- 疾病的感知和患者的行为是管理COPD的关键因素.
研究的目的:
- 研究COPD患者的疾病感知和医疗行为之间的关系.
- 评估疾病感知对COPD焦虑和抑郁水平的影响.
- 根据疾病感知概况识别患者子组.
主要方法:
- 对143名稳定的COPD门诊患者进行横截面研究.
- 肺病学和精神病学评估,包括汉密尔顿抑郁和焦虑量表.
- 使用简短的疾病感知问卷 (简称IPQ) 评估疾病感知.
主要成果:
- 痛苦的患者表现出更长的疾病持续时间,更高的焦虑/抑郁和更多的呼吸障碍.
- 忽视患者的吸烟患病率和强度较高,焦虑/抑郁程度较低.
- 一个"和"的组显示了最佳的配置文件:低焦虑/抑郁和更健康的吸烟态度.
结论:
- 疾病感知显著影响COPD的医疗行为和心理健康结果.
- 在临床实践中,用于COPD管理,建议定期监测疾病感知.
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