在慢性阻塞性肺病患者中探索社会支持和患者报告的结果之间的联系:初级保健的跨部门研究
Izolde Bouloukaki1, Antonios Christodoulakis1,2, Katerina Margetaki1
1Department of Social Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece.
Healthcare (Basel, Switzerland)
|March 12, 2024
概括
较低的社会支持与COPD患者的结果更差有关,包括症状增加,疲劳和失眠. 优先考虑社会支持可以改善慢性阻塞性肺病患者的整体健康状况.
科学领域:
- 肺部医学 肺部医学
- 健康的社会决定因素
- 患者报告的结果
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响患者的福祉.
- 患者报告的结果指标 (PROM) 对于评估COPD管理至关重要.
- 社会支持对COPD患者结果的作用需要进一步研究.
研究的目的:
- 检查COPD初级保健患者的社会支持和各种PROM之间的关联.
- 在这个人群中确定受社会支持水平影响的特定PROM.
主要方法:
- 一项涉及168名来自希腊克里特岛六个初级保健中心的COPD患者的横截面研究.
- 数据收集包括社会人口统计信息,病史,以及对生活质量 (COPD评估测试 - CAT),疲劳 (疲劳严重程度表 - FSS),抑郁症状 (患者健康问卷-9),焦虑 (一般焦虑障碍-7),睡眠质量 (匹兹堡睡眠质量指数,雅典失眠量表 - AIS,爱普沃思睡眠量表) 的验证问卷.
- 用多维感知社会支持量表 (MSPSS) 来评估社会支持.
主要成果:
- 很大一部分COPD患者 (68.9%) 报告社会支持较低.
- 较低的社会支持与COPD症状增加 (CAT分数≥10),疲劳 (FSS≥36) 和失眠症状 (AIS≥6) 强烈相关.
- 观察到低社会支持和抑郁症状 (PHQ-9 ≥10) 之间存在边际关联.
结论:
- 感知到的社会支持水平较低与COPD初级保健患者中较差的PROM显著相关.
- 旨在加强社会支持的干预措施可能是一个有价值的策略,以改善COPD患者的整体健康和福祉.
- 建议将社会支持作为COPD初级护理管理的中心重点.
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