与COPD相关的焦虑:对患者观点的系统审查
Camilla F Christiansen1,2, Anders Løkke1,2, Vibeke Bregnballe3
1Department of Medicine, Lillebaelt Hospital, Vejle, Denmark.
概括
在慢性阻塞性肺病 (COPD) 中,焦虑是常见的,但经常被忽视. 这次审查开发了一种以患者为中心的COPD相关焦虑模型,以改善识别和管理.
科学领域:
- 肺部医学 肺部医学
- 精神病学是一个精神病学.
- 定性研究综合 定性研究综合
背景情况:
- 患有慢性阻塞性肺病 (COPD) 的患者中,焦虑很普遍,但经常没有被识别和管理.
- 临床医生在检测焦虑症状方面面临挑战,原因是COPD和焦虑障碍之间的症状重叠.
- 在COPD患者中区分亚临床焦虑和焦虑障碍是很困难的.
研究的目的:
- 综合对患者与COPD相关的焦虑经验的定性研究.
- 从患者的角度开发COPD相关焦虑的概念模型.
主要方法:
- 在PubMed,CINAHL和PsycInfo进行了对COPD相关焦虑的定性研究的系统搜索.
- 包括COPD诊断的患者的英语研究.
- 使用主题分析分析数据.
主要成果:
- 在审查中包括了41项定性研究.
- 确定了四个关键主题:初始事件,内部维持因素,外部维持因素和行为维持因素.
- 基于这些主题,开发了COPD相关焦虑的概念模型.
结论:
- 现在可以使用以患者为中心的COPD相关焦虑的概念模型.
- 这个模型可以指导未来的努力,以改善COPD患者的焦虑的识别和管理.
- 未来的研究应该开发一个COPD特定的焦虑问卷,反映患者的观点.
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