在患有慢性阻塞性肺病和失眠的成年人中,症状集群概况
Jeehye Jun1, Chang Park2, Cynthia Fritschi2
1School of Nursing, University of Washington, Seattle, WA, USA.
Western journal of nursing research
|June 28, 2023
概括
患有慢性阻塞性肺病 (COPD) 和失眠的人可以根据症状严重程度分组. 较高的症状严重程度与较差的身体功能有关,这表明有针对性的干预措施可以改善结果.
科学领域:
- 肺部医学 肺部医学
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
背景情况:
- 慢性阻塞性肺病 (COPD) 和失眠经常同时存在,影响身体功能.
- 有限的研究存在于COPD和失眠的个体的症状集群.
研究的目的:
- 根据症状集群确定COPD和失眠患者的子组.
- 确定身体功能是否在已识别的子组之间有所变化.
主要方法:
- 对102名患有COPD和失眠的参与者的二次数据分析.
- 潜在的个人资料分析以基于失眠,呼吸障碍,疲劳,焦虑和抑郁症来分类子组.
- 后勤和多重回归以确定相关因素和物理功能差异.
主要成果:
- 确定了三个不同的症状严重程度组:低 (第1类),中等 (第2类) 和高 (第3类).
- 与第1类和第2类相比,第三类对睡眠和COPD管理的自我有效性较低,并且对睡眠的信念更具功能障碍.
- 一级表现出明显更好的身体功能比二级和三级.
结论:
- 关于睡眠的自我有效性和功能障碍的信念与患有失眠的COPD患者的症状集群成员关系密切.
- 针对自我效能和功能障碍的信念的干预措施可以减少症状严重程度,并提高这个人群的身体功能.
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