生活中的意义:促进COPD健康的新型因素
Caitlin Batzlaff1,2, Madison Roy2, Johanna Hoult2
1Department of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, United States.
概括
生活中的意义 (MIL) 对慢性阻塞性肺病 (COPD) 患者的结果产生积极影响. 强烈的MIL感觉和愿意寻找MIL与COPD患者更好的健康和福祉有关.
科学领域:
- 肺部医学 肺部医学
- 心理学 心理学 心理学
- 健康 结果 研究 研究 结果
背景情况:
- 生命的意义 (MIL) 被认为是个人管理慢性疾病的重要因素.
- 有限的研究已经探索了MIL与慢性阻塞性肺病 (COPD) 患者的结果之间的关联.
研究的目的:
- 调查MIL与被诊断患有COPD的患者临床上有意义的结果独立相关的假设.
- 评估存在意义与寻求生命意义之间的关系,以及患者报告的各种结果.
主要方法:
- 对一个大队列 (340名参与者) 的横截面分析,这些患者患有中度至重度的COPD,正在接受家庭肺部康复治疗.
- 生活中的意义问卷 (MLQ),评估存在和搜索领域,用于测量MIL.
- 数据包括人口统计,螺旋测量 (FEV1),呼吸障碍 (mMRC),以及对生活质量 (CRQ),自我管理,社会支持,焦虑和抑郁症的验证问卷.
主要成果:
- 较高的MLQ存在分数与所有慢性呼吸道问卷 (CRQ) 领域 (呼吸不良,疲劳,情绪,掌握),自我管理,社会支持,焦虑和抑郁症的显著改善结果相关.
- 在对共变量进行调整后,MLQ存在仍然与CRQ疲劳,情绪和自我管理独立相关.
- MLQ搜索独立地与CRQ呼吸障碍,疲劳和掌握有关.
结论:
- 在COPD患者中,对生命有意义的感知和积极寻找意义与高度重视的患者结果有关.
- 这些发现突出了MIL作为一个潜在的可修改因素,可以增强临床环境中以人为中心的护理,肺部康复和COPD的健康指导.
- 该研究提供了支持将MIL评估纳入COPD管理策略的新证据.
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