对慢性阻塞性肺部疾病的认知和情绪反应 恶化和护理模式 寻求护理
Emily R Locke1, Rachel M Thomas1, Tracy L Simpson2,3
1Center of Innovation for Veteran-Centered and Value-Driven Care.
Annals of the American Thoracic Society
|November 15, 2023
概括
延迟治疗慢性阻塞性肺病 (COPD) 恶化症在美国退伍军人中很常见. 对症状的认知和情绪反应在寻求护理时与不寻求护理时有显著差异.
科学领域:
- 肺部医学 肺部医学
- 行为科学 行为科学
背景情况:
- 了解慢性阻塞性肺病 (COPD) 恶化的认知和情绪反应对于及时寻求护理至关重要.
- 目前关于这些反应如何影响美国退伍军人寻求护理行为的知识缺口存在.
研究的目的:
- 根据获得护理的时间来定义COPD恶化治疗寻求护理的个人资料.
- 在这些定义的个人资料中比较对恶化症状的认知和情绪反应.
主要方法:
- 一项前性观察队列研究分析了350名美国退伍军人在一年内患有COPD的数据.
- 寻求护理的个人资料根据延迟进行分类:早期 (0-3天),短期 (4-7天),长期 (>7天) 或从未寻求护理.
- 适应COPD的响应症状问卷测量了对症状恶化的认知和情绪反应.
主要成果:
- 在1052例恶化病例中,39%涉及寻求护理,平均延迟3天.
- 寻求护理的退伍军人与从未寻求护理的人相比,患有更严重的COPD.
- 寻求护理,无论延迟,与报告更严重的症状,对护理的感知重要性更高,与不寻求护理相比,焦虑增加有关.
结论:
- 推迟或不寻求治疗COPD恶化在这些退伍军人中很普遍.
- 对症状的认知和情绪反应因患者是否寻求护理而有很大差异.
- 个性化策略鼓励及时寻求COPD恶化的护理,应纳入患者的情绪和认知反应.
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