患有晚期呼吸道疾病的个体对慢性喘息的疾病感知,认知和行为反应:一项观察性研究
Charles C Reilly1,2, Irene J Higginson2, Trudie Chalder3
1Department of Physiotherapy, King's College Hospital, London, UK.
ERJ open research
|April 30, 2024
概括
慢性呼吸困难是复杂的. 负面的疾病感知和某些认知反应,如症状聚焦,在晚期呼吸系统疾病患者中加剧呼吸困难的严重程度,痛苦和生活质量.
科学领域:
- 肺部医学 肺部医学
- 心理学 心理学 心理学
- 卫生科学 卫生科学 卫生科学
背景情况:
- 慢性呼吸困难是晚期呼吸道疾病的一个复杂,多维的症状.
- 有效的管理需要了解患者的疾病感知和行为反应.
研究的目的:
- 探索慢性喘息患者的疾病感知和认知行为反应.
- 确定这些因素与症状负担,自我效能和生活质量之间的关联.
主要方法:
- 来自SELF-BREATHE可行性试验的数据的横截面二次分析.
- 使用了经过验证的问卷,包括简短的疾病感知问卷 (简短的IPQ) 和认知和行为反应问卷 (CBRQ-S).
- 斯皮尔曼的rho相关系数 (rs) 用于检查关联,rs ≥0.50和p <0.008被认为是显著的.
主要成果:
- 疾病感知组件 (后果,身份,担忧,情绪反应) 与增加喘息严重程度和痛苦相关.
- 负面的疾病感知与自我管理能力的降低和与健康相关的生活质量的降低有关.
- 专注于症状和避免尬是显著的认知反应.
结论:
- 疾病的感知和认知反应显著影响慢性喘息的经历.
- 针对这些心理因素的干预措施可以减轻症状负担并改善患者的治疗结果.
- 这项研究支持一种更全面的方法来管理慢性喘息.
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